Condition Instance

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{
    "id": 34,
    "url": "https://cclm.media-doc.io/conditions/34/?format=api",
    "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": []
}