{"id":30,"url":"https://cclm.media-doc.io/conditions/30/","name":"Lens Solution Sensitivity","category":"Cornea","detail":"<h2>Symptoms</h2>\n\n<ul>\n\t<li>Itching, burning and /or stinging</li>\n\t<li>Redness</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Bilateral conjunctival hyperemia. Sometimes a pannus of blood vessels infiltrating the cornea may be observed</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Any preservative can potentially lead to an immune reaction and sensitization may take months or years</li>\n\t<li>Most common with hydrogel lens wear</li>\n\t<li>Rapid reaction after lens insertion in sensitized patients; infiltrates may be seen within 24 hours</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Rare with modern preservatives</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/31\">Solution Toxicity</a></li>\n\t<li><a href=\"/condition/20\">Infiltrates/Marginal Keratitis</a></li>\n\t<li>Topical drug reaction</li>\n\t<li><a href=\"/condition/66\">See: Infiltrates and Opacities &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Use non-preserved solutions and/or hydrogen peroxide based solutions</li>\n\t<li>Ensure lenses are replaced at appropriate intervals</li>\n\t<li>Redness and irritation usually subside within 48 hours of lens removal; infiltrates take at least one week to resolve. Vessel infiltration will take months to resolve</li>\n\t<li>Cease lens wear until infiltrates resolve (if present)</li>\n\t<li>Consider minimal maintenance options such as DD lenses</li>\n</ul>","images":[{"name":"Lens Solution Sensitivity","file":"https://cclm-static.s3.amazonaws.com/images/lens-solution-sensitivity_zoom.jpg"}],"type":1,"videos":[],"wear":false,"ceaseWear":true,"changeLens":false,"changeSolutions":false,"changeCare":true,"counseling":false,"dd":true,"dw":false,"gp":false,"replace":false,"review":true,"rewettingDrops":false,"rx":false,"SiHy":false,"toric":false,"tags":[]}