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{
    "id": 18,
    "url": "https://cclm.media-doc.io/conditions/18/?format=api",
    "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": []
}