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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 (> 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 – Differential Diagnosis</a></li>\n\t<li><a href=\"/condition/42\">Hyperemia – 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 (>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": []
}