{"id":29,"url":"https://cclm.media-doc.io/conditions/29/","name":"Conjunctival Indentation","category":"Conjunctiva","detail":"<p>Furrow staining</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Often asymptomatic</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Arc of fluorescein which pools into area of depressed tissue</li>\n\t<li>Best viewed with sodium fluorescein, cobalt blue filter, and yellow Wratten filter #12</li>\n\t<li>Location corresponds to the circumference of the contact lens</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Factors that contribute to indentation include: high lens modulus, sharp edge design, tight lens fit, and overnight wearing modality</li>\n\t<li>Pressure from upper lid contributes to a greater amount of indentation in the superior quadrant</li>\n\t<li>May indicate poor tear exchange behind lens if indentation is a complete annulus</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/21\">Conjunctival flaps</a></li>\n\t<li><a href=\"/condition/36\">SEAL</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Reduce frequency of overnight wear</li>\n\t<li>Refit with lower modulus material, a looser base curve or a different lens edge design</li>\n\t<li>If lens dehydration is suspected, consider using rewetting drops</li>\n</ul>","images":[{"name":"Conjunctival Indentation","file":"https://cclm-static.s3.amazonaws.com/images/furrow-staining.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":false,"rewettingDrops":true,"rx":false,"SiHy":false,"toric":false,"tags":[]}