{"id":3,"url":"https://cclm.media-doc.io/conditions/3/","name":"Contact Lens-Related Superior Limbic Keratoconjunctivitis (CL-SLK)","category":"Limbus","detail":"<h2>Symptoms</h2>\n\n<ul>\n\t<li>Stinging or burning at time of lens insertion</li>\n\t<li>Lens awareness, itching</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Superior limbic redness</li>\n\t<li>Superior bulbar conjunctival chemosis</li>\n\t<li>Vascular pannus</li>\n\t<li>Superior corneal staining and infiltrates</li>\n\t<li>Bilateral epithelial keratinisation</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Inflammatory reaction of cornea in superior limbic region</li>\n\t<li>Historically occurred with solutions containing thimerosal</li>\n\t<li>May occur in response to hypoxia, or as an allergic reaction</li>\n\t<li>Bilateral presentation (but may be asymmetric)</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Rare</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li>Neovascularization, infiltrative keratitis, conjunctivitis</li>\n\t<li><a href=\"/condition/20/\">infiltrative keratitis</a></li>\n\t<li>See: <a href=\"/condition/65\">Epithelial Fluorescein Staining &ndash; Differential Diagnosis</a></li>\n\t<li>See: <a href=\"/condition/63\">Hyperemia and Vascularization &ndash; Differential Diagnosis</a></li>\n\t<li>Theodore&rsquo;s SLK (not CL related)</li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Use solutions without added preservatives, e.g. hydrogen peroxide</li>\n\t<li>Change to an alternative multipurpose solution</li>\n\t<li>Reduce wearing time</li>\n\t<li>Change to daily disposable</li>\n\t<li>Rewetting Drops, and/or NSAIDs</li>\n</ul>","images":[{"name":"Contact Lens-Related Superior Limbic Keratoconjunctivitis (CL-SLK)","file":"https://cclm-static.s3.amazonaws.com/images/cl-slk_zoom.jpg"},{"name":"Superior Limbic Keratoconjunctivitis","file":"https://cclm-static.s3.amazonaws.com/images/SLK_ID67_0001_comp.jpg"}],"type":1,"videos":[],"wear":true,"ceaseWear":false,"changeLens":false,"changeSolutions":false,"changeCare":true,"counseling":false,"dd":true,"dw":false,"gp":false,"replace":false,"review":false,"rewettingDrops":true,"rx":true,"SiHy":false,"toric":false,"tags":[]}