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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 &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": []
}