GET /conditions/16/?format=api
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{
"id": 16,
"url": "https://cclm.media-doc.io/conditions/16/?format=api",
"name": "Corneal Folds and Striae",
"category": "Cornea",
"detail": "<h2>Symptoms</h2>\n\n<ul>\n\t<li>May be asymptomatic</li>\n\t<li>Glare sensitivity in some cases</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Folds appear as long straight dark lines in the posterior stroma, as observed in the specular reflex</li>\n\t<li>Striae appear as fine white vertical lines, which tend not to branch, in the posterior stroma</li>\n\t<li>Observed in early morning with EW lenses or high plus DW hydrogel lenses</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Increased hydration in posterior stroma results in separation of the ordered collagen structure</li>\n\t<li>Folds occur with edema of >8%.</li>\n\t<li>Striae occur if stromal edema is > 5%, with the number of striae related to the degree of corneal swelling</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Occasional. Rare with modern lenses</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li>Corneal nerves (can usually be traced to the limbus)</li>\n\t<li>Ghost blood vessels</li>\n\t<li><a href=\"/condition/23\">Keratoconus</a> (striae are much smaller, thinner, and more localised at the apex of the cornea)</li>\n\t<li><a href=\"/condition/61\">Corneal Dystrophies</a></li>\n\t<li>See: <a href=\"/condition/66\">Infiltrates and Opacities – Differential Diagnosis</a></li>\n\t<li>See: <a href=\"/condition/62\">Endothelial changes – Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Improve lens Dk/t or Change to DW</li>\n\t<li>Manage same as for stromal edema</li>\n</ul>",
"images": [
{
"name": "Corneal Folds and Striae",
"file": "https://cclm-static.s3.amazonaws.com/images/folds-striae_zoom.jpg"
}
],
"type": 1,
"videos": [],
"wear": true,
"ceaseWear": false,
"changeLens": false,
"changeSolutions": false,
"changeCare": false,
"counseling": false,
"dd": false,
"dw": true,
"gp": false,
"replace": false,
"review": false,
"rewettingDrops": false,
"rx": false,
"SiHy": true,
"toric": false,
"tags": []
}