{"id":18,"url":"https://cclm.media-doc.io/conditions/18/","name":"C.L.A.R.E.","category":"Conjunctiva","detail":"<p>Contact lens relate acute red eye, acute red eye, tight lens syndrome</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Early morning, acute onset</li>\n\t<li>Painful, red eye</li>\n\t<li>Photophobia</li>\n\t<li>Lacrimation</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Acute, usually unilateral, bulbar hyperemia (&gt; grade 2).</li>\n\t<li>Small focal, diffuse peripheral infiltrates may be present.</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Inflammatory reaction of the cornea and conjunctiva usually following overnight lens wear.</li>\n\t<li>Due to contamination of the lens with gram negative bacteria.</li>\n\t<li>Often minimal or no corneal staining</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Rare in DW, infrequent in EW.</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/24\">Microbial keratitis</a></li>\n\t<li><a href=\"/condition/66\">See: Infiltrates and Opacities &ndash; Differential Diagnosis</a></li>\n\t<li><a href=\"/condition/42\">Hyperemia &ndash; sectorial, bulbar</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Cease wear immediately</li>\n\t<li>Consider therapeutic treatment for large (&gt;0.5mm) infiltrate(s), if diagnosis is uncertain or for significant discomfort.</li>\n\t<li>Review within 24 hours and confirm diagnosis.</li>\n\t<li>Wear may be resumed when infiltrates resolve. Hyperemia resolves rapidly, infiltrate resolution may take several weeks.</li>\n\t<li>Reduce EW schedule after resolution, consider refit with looser lens or switch to DW. Discuss hygiene habits to prevent contamination of the lenses with bacteria.</li>\n</ul>","images":[{"name":"C.L.A.R.E.","file":"https://cclm-static.s3.amazonaws.com/images/clare-01.jpg"},{"name":"C.L.A.R.E.","file":"https://cclm-static.s3.amazonaws.com/images/clare-02.jpg"}],"type":1,"videos":[],"wear":true,"ceaseWear":true,"changeLens":false,"changeSolutions":false,"changeCare":false,"counseling":true,"dd":false,"dw":true,"gp":false,"replace":false,"review":false,"rewettingDrops":false,"rx":true,"SiHy":false,"toric":false,"tags":[]}