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{
"id": 25,
"url": "https://cclm.media-doc.io/conditions/25/?format=api",
"name": "Corneal Microcysts and Vacuoles",
"category": "Cornea",
"detail": "<h2>Symptoms</h2>\n\n<ul>\n\t<li>Generally none</li>\n\t<li>May be mild irritation or hazing of vision</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Microcysts show reversed illumination in marginal retro illumination (higher refractive index of necrotic cells)</li>\n\t<li>Vacuoles show non-reversed illumination and are larger and more rounded</li>\n\t<li>Punctate staining may be seen</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Microcysts are incompletely formed cells which move through the epithelium with normal cellular turnover</li>\n\t<li>Due to chronic hypoxia. Typically take several months to occur</li>\n\t<li>Can also be seen in non-CL wearers</li>\n\t<li>Small numbers of microcysts in a CL wearer is considered normal</li>\n\t<li>Vacuoles are fluid filled spaces due to chronic hypoxia</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/11\">Microcystic Edema (epithelial edema)</a></li>\n\t<li><a href=\"/condition/66\">See: Infiltrates and Opacities – Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Change to high Dk/t lenses, reduce the number of nights wear/week if EW, or change to DW or DD</li>\n\t<li>May be a temporary increase in microcyst numbers after ceasing EW or changing from low Dk to high Dk EW lens</li>\n</ul>",
"images": [
{
"name": "Corneal Microcysts and Vacuoles",
"file": "https://cclm-static.s3.amazonaws.com/images/microcysts-vacuoles_zoom.jpg"
}
],
"type": 1,
"videos": [],
"wear": false,
"ceaseWear": false,
"changeLens": true,
"changeSolutions": false,
"changeCare": false,
"counseling": false,
"dd": false,
"dw": true,
"gp": false,
"replace": false,
"review": true,
"rewettingDrops": false,
"rx": false,
"SiHy": true,
"toric": false,
"tags": []
}