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{
    "id": 3,
    "url": "https://cclm.media-doc.io/conditions/3/?format=api",
    "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": []
}