Condition Instance

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{
    "id": 29,
    "url": "https://cclm.media-doc.io/conditions/29/?format=api",
    "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": []
}