Condition Instance

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{
    "id": 35,
    "url": "https://cclm.media-doc.io/conditions/35/?format=api",
    "name": "Staining – 3 & 9 O’Clock",
    "category": "Cornea",
    "detail": "<h2>Symptoms</h2>\n\n<ul>\n\t<li>May be associated with lens intolerance, reduced wear time, dryness</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Fluorescein, rose Bengal and/or lissamine green staining in the nasal and temporal corneal margins adjacent to the lens edge</li>\n\t<li>Conjunctival hyperemia along horizontal meridian</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Disruption of the epithelial surface due to tear film breakdown, incomplete blinking, or desiccation</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Common in rigid lens wearers</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/7\">Dellen</a></li>\n\t<li>Pseudopterygium</li>\n\t<li><a href=\"/condition/65\">See: Epithelial Fluorescein Staining &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Aim to improve the centration of the GP lens</li>\n\t<li>Blinking exercises</li>\n\t<li>Refit with larger diameter lens and thinner edge design</li>\n\t<li>Refit with a GP toric lens if the cornea is &gt;2D toric</li>\n\t<li>Refit with SiHys if GP lens fitting cannot be improved</li>\n\t<li>Ocular lubricants and/or blinking exercises</li>\n</ul>",
    "images": [
        {
            "name": "Staining – 3 & 9 O’Clock",
            "file": "https://cclm-static.s3.amazonaws.com/images/staining-3-9-oclock-01_zoom.jpg"
        },
        {
            "name": "Staining – 3 & 9 O’Clock",
            "file": "https://cclm-static.s3.amazonaws.com/images/staining-3-9-oclock-02_zoom.jpg"
        }
    ],
    "type": 1,
    "videos": [],
    "wear": false,
    "ceaseWear": false,
    "changeLens": true,
    "changeSolutions": false,
    "changeCare": false,
    "counseling": false,
    "dd": false,
    "dw": false,
    "gp": true,
    "replace": false,
    "review": true,
    "rewettingDrops": true,
    "rx": false,
    "SiHy": true,
    "toric": false,
    "tags": []
}