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{
"id": 30,
"url": "https://cclm.media-doc.io/conditions/30/?format=api",
"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 – 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": []
}