Condition Instance

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{
    "id": 19,
    "url": "https://cclm.media-doc.io/conditions/19/?format=api",
    "name": "Fungal Keratitis",
    "category": "Cornea",
    "detail": "<p><em>Fusarium</em>&nbsp;keratitis,&nbsp;<em>Aspergillus</em>&nbsp;keratitis ,&nbsp;<em>Candida</em>&nbsp;keratitis</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Acute severe pain</li>\n\t<li>Extreme redness</li>\n\t<li>Epiphora and photophobia</li>\n\t<li>No improvement with lens removal</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Typically unilateral</li>\n\t<li>Localized corneal infiltration, often with feathery margins and elevated edges. Satellite lesions may also be present</li>\n\t<li>Penetration of infiltrate into the stroma with surrounding edema.</li>\n\t<li>Hypopyon</li>\n\t<li>Anterior chamber reaction</li>\n\t<li>Severe hyperemia and possibly lid edema</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>May follow trauma (generally with plant material) to the cornea</li>\n\t<li>Inappropriate use of care systems (e.g. topping off, poor case hygiene) may result in product contamination by&nbsp;<em>Fusarium spp</em>.</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Very rare</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/2\">Acanthamoeba&nbsp;infection</a></li>\n\t<li><a href=\"/condition/24\">Microbial (bacterial) keratitis</a></li>\n\t<li><a href=\"/condition/20\">Corneal Infiltrates</a>,&nbsp;<a href=\"/condition/6\">CLPU</a>&nbsp;and other&nbsp;<a href=\"/condition/65\">staining patterns</a></li>\n\t<li>See: <a href=\"/condition/66\">Infiltrates and Opacities &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Cease lens wear immediately</li>\n\t<li>Consider culturing before initiating antimicrobial therapy, particularly for large central ulcers</li>\n\t<li>Instigate topical antifungal treatment</li>\n\t<li>Deeper infections may require systemic antifungal medication</li>\n\t<li>Treatment may be required for several months</li>\n</ul>",
    "images": [
        {
            "name": "Fungal Keratitis",
            "file": "https://cclm-static.s3.amazonaws.com/images/fungal-keratitis_zoom.jpg"
        }
    ],
    "type": 1,
    "videos": [],
    "wear": true,
    "ceaseWear": true,
    "changeLens": true,
    "changeSolutions": false,
    "changeCare": false,
    "counseling": false,
    "dd": false,
    "dw": false,
    "gp": false,
    "replace": false,
    "review": false,
    "rewettingDrops": false,
    "rx": false,
    "SiHy": true,
    "toric": false,
    "tags": []
}