Condition Instance

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{
    "id": 26,
    "url": "https://cclm.media-doc.io/conditions/26/?format=api",
    "name": "Mucin Balls",
    "category": "Cornea",
    "detail": "<h2>Symptoms</h2>\n\n<ul>\n\t<li>Generally none</li>\n\t<li>Vision may be affected in extreme cases</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Spheroidal, refractile particles under a contact lens, most common in the superior region and under the upper eye lid</li>\n\t<li>Display non-reversed illumination in marginal retro illumination</li>\n\t<li>Most disappear on lens removal, but some remain briefly</li>\n\t<li><a href=\"/condition/10\">Fluorescein pooling may occur at sites of mucin balls (see Dimple Veiling)</a></li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Focal accumulation of components of the tear film (e.g. mucus, lipids) under the lens that cause an indentation in the epithelium</li>\n\t<li>Seen most often with higher modulus materials. Most common in EW of SiHy lenses, but not exclusive to these lenses</li>\n\t<li>May occur as a result of aqueous-depleted post-lens tear film following overnight wear</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Rare, although more common in SiHy EW</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/25\">Microcysts</a>&nbsp;&ndash; mucin balls may be similar in size or larger.&nbsp;<br />\n\tThe majority of mucin balls disappear on lens removal, whereas microcysts remain for weeks</li>\n\t<li><a href=\"/condition/10\">Dimple-veil</a> &nbsp;&ndash; will pool fluorescein, as will mucin-ball indentations</li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Monitor</li>\n\t<li>Topical lubricants</li>\n</ul>",
    "images": [
        {
            "name": "Mucin Balls",
            "file": "https://cclm-static.s3.amazonaws.com/images/mucin-balls-01_zoom.jpg"
        },
        {
            "name": "Mucin Balls",
            "file": "https://cclm-static.s3.amazonaws.com/images/mucin-balls-02_zoom.jpg"
        }
    ],
    "type": 1,
    "videos": [
        {
            "name": "Mucin Balls - White Light",
            "videoSrc": "248362165"
        },
        {
            "name": "Mucin Balls - Sodium Fluorescein Imprints",
            "videoSrc": "248362152"
        }
    ],
    "wear": false,
    "ceaseWear": false,
    "changeLens": true,
    "changeSolutions": false,
    "changeCare": false,
    "counseling": false,
    "dd": false,
    "dw": false,
    "gp": false,
    "replace": false,
    "review": true,
    "rewettingDrops": true,
    "rx": true,
    "SiHy": false,
    "toric": false,
    "tags": []
}