Condition Instance

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{
    "id": 21,
    "url": "https://cclm.media-doc.io/conditions/21/?format=api",
    "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": []
}