Condition Instance

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{
    "id": 28,
    "url": "https://cclm.media-doc.io/conditions/28/?format=api",
    "name": "Polymegethism",
    "category": "Cornea",
    "detail": "<h2>Symptoms</h2>\n\n<ul>\n\t<li>None</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Variation in cell size and cell shape (pleomorphism) of the endothelium; seen with high magnification (40x) in the endothelial specular reflection</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Thought to result from chronic hypoxia causing corneal acidosis following wear of lens with a low Dk/t</li>\n\t<li>Common in long-term wearers, especially of PMMA and low Dk/t hydrogel lenses</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Rare with modern materials</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li>Other&nbsp;<a href=\"/condition/62\">endothelial anomalies</a>&nbsp;and corneal dystrophies</li>\n\t<li>See: <a href=\"/condition/62\">Endothelial Changes &ndash; Differential Diagnosis</a></li>\n\t<li><a href=\"/condition/61\">Corneal Exhaustion Syndrome</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Refit with a lens of high Dk/t (SiHy), or change to DW / reduce wearing time</li>\n</ul>",
    "images": [
        {
            "name": "Polymegethism",
            "file": "https://cclm-static.s3.amazonaws.com/images/polymegethism_zoom.gif"
        }
    ],
    "type": 1,
    "videos": [],
    "wear": true,
    "ceaseWear": false,
    "changeLens": false,
    "changeSolutions": false,
    "changeCare": false,
    "counseling": false,
    "dd": false,
    "dw": true,
    "gp": false,
    "replace": false,
    "review": false,
    "rewettingDrops": false,
    "rx": false,
    "SiHy": true,
    "toric": false,
    "tags": []
}