{"id":34,"url":"https://cclm.media-doc.io/conditions/34/","name":"Staining - Confluent","category":"Cornea","detail":"<h2>Symptoms</h2>\n\n<ul>\n\t<li>Discomfort, which may persist for some time following lens removal</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Large area of disruption of the corneal epithelium</li>\n\t<li>Corneal fluorescein staining over a substantial area</li>\n\t<li>Configurations vary</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Indicates moderate to severe disruption of the epithelium</li>\n\t<li>May result from abrasions, foreign body under the lens, major toxic response or severe metabolic insult. May also result from a bound rigid/orthokeratology lens (after overnight wear)</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Occasional</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/65\">Other staining patterns</a></li>\n\t<li><a href=\"/condition/24\">Microbial keratitis</a></li>\n\t<li>See: <a href=\"/condition/65\">Epithelial Fluorescein Staining &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Cease lens wear until epithelial disruption is repaired</li>\n\t<li>Isolate cause of condition and take remedial action</li>\n\t<li>Prophylactic antibiotics (ensure pseudomonas coverage) may be advisable and rewetting drops are recommended</li>\n\t<li>May consider a topical analgesic or SCL bandage lens if discomfort is severe</li>\n\t<li>Monitor in 24-48 hours until epithelium is healed</li>\n</ul>","images":[{"name":"Staining - Confluent","file":"https://cclm-static.s3.amazonaws.com/images/staining-confluent-01_zoom.jpg"},{"name":"Staining - Confluent","file":"https://cclm-static.s3.amazonaws.com/images/staining-confluent-02_zoom.jpg"}],"type":1,"videos":[],"wear":false,"ceaseWear":true,"changeLens":false,"changeSolutions":false,"changeCare":false,"counseling":true,"dd":false,"dw":false,"gp":false,"replace":false,"review":true,"rewettingDrops":true,"rx":true,"SiHy":false,"toric":false,"tags":[]}