Condition Instance

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{
    "id": 31,
    "url": "https://cclm.media-doc.io/conditions/31/?format=api",
    "name": "Lens Solution Toxicity",
    "category": "Cornea",
    "detail": "<h2>Symptoms</h2>\n\n<ul>\n\t<li>Stinging or burning on lens insertion</li>\n\t<li>Visual symptoms if severe</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Localized disruption of the corneal epithelial surface (superficial punctate keratitis) &ndash; often marked</li>\n\t<li>Absence of corneal infiltrates</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Effects are generally related to concentration and dosage of chemical preservative(s)</li>\n\t<li>Toxic effects of solution components potentially include hydrogen peroxide (inadequate neutralization), thimerosal, benzalkonium chloride, chlorhexidine</li>\n\t<li>Rare with modern, higher molecular weight preservatives such as polyhexamethylenebiguanide (PHMB) and Polyquaternium</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Uncommon with current multipurpose solutions. Will occur more frequently with inadequate hydrogen peroxide neutralization</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/33\">Solution-induced corneal staining</a></li>\n\t<li><a href=\"/condition/30\">Solution sensitivity</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Counsel on need to neutralize hydrogen peroxide</li>\n\t<li>Rinse lenses with saline prior to insertion</li>\n\t<li>Consider minimal maintenance options including DD lenses</li>\n</ul>",
    "images": [
        {
            "name": "Lens Solution Toxicity",
            "file": "https://cclm-static.s3.amazonaws.com/images/solution-toxicity_zoom.jpg"
        }
    ],
    "type": 1,
    "videos": [],
    "wear": false,
    "ceaseWear": false,
    "changeLens": false,
    "changeSolutions": false,
    "changeCare": true,
    "counseling": true,
    "dd": true,
    "dw": false,
    "gp": false,
    "replace": false,
    "review": true,
    "rewettingDrops": false,
    "rx": false,
    "SiHy": false,
    "toric": false,
    "tags": []
}