{"id":21,"url":"https://cclm.media-doc.io/conditions/21/","name":"Conjunctival Flap","category":"Conjunctiva","detail":"<h2>Symptoms</h2>\n\n<ul>\n\t<li>Often asymptomatic</li>\n\t<li>May experience contact lens discomfort</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Areas of loose conjunctival tissue, often along an area of indentation</li>\n\t<li>Best viewed with sodium fluorescein, cobalt blue filter, and yellow Wratten filter #12</li>\n\t<li>Conjunctival region between the flap and the limbus may be irregular, while the region beyond the flap is smooth</li>\n\t<li>More likely observed in the superior and inferior quadrants</li>\n\t<li>Resolves within one week of no lens wear</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Lens edge interaction with conjunctival surface delaminates superficial epithelial cells, subsequent blinking and lens movement push the detached sheets of cells into adjacent areas of loose tissue</li>\n\t<li>More common with CW of high modulus SiHy lenses</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Occasional</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/32\">Conjunctival staining</a></li>\n\t<li><a href=\"/condition/29\">Conjunctival indentation</a></li>\n\t<li><a href=\"/condition/43\">LIPCOF</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Switch from CW to DW</li>\n\t<li>Refit with a lens of lower modulus and/or rounded edge design</li>\n</ul>","images":[{"name":"Conjunctival Flap","file":"https://cclm-static.s3.amazonaws.com/images/con-flap.jpg"}],"type":1,"videos":[],"wear":true,"ceaseWear":false,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":false,"dd":false,"dw":true,"gp":false,"replace":false,"review":false,"rewettingDrops":false,"rx":false,"SiHy":false,"toric":false,"tags":[]}