Condition Instance

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{
    "id": 38,
    "url": "https://cclm.media-doc.io/conditions/38/?format=api",
    "name": "Contact Lens Papillary Conjunctivitis",
    "category": "Conjunctiva",
    "detail": "<p>CLPC, Giant Papillary Conjunctivitis (GPC), CLAPC, CLIPC, lid roughness</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Intense Itching</li>\n\t<li>Lens awareness</li>\n\t<li>Blurred vision</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Papillae, &gt;1 mm diameter in GPC</li>\n\t<li>Hyperemia of the palpebral conjunctiva</li>\n\t<li>Increased lens movement</li>\n\t<li>Mucus discharge</li>\n\t<li>Protein deposits on lens surface</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Allergic, mechanical, or combination reaction of superior conjunctival tarsal plate</li>\n\t<li>More common in soft than GP lens wear</li>\n\t<li>Can be related to solution sensitivity to preservatives</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Infrequent with disposable/frequently replaced lens materials</li>\n\t<li>More common with stiffer lens materials</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li>Vernal keratoconjunctivitis</li>\n\t<li>Normal appearance of a few papillae around edge of tarsal plate (junctional conjunctiva)</li>\n\t<li>Viral or follicular conjunctivitis</li>\n\t<li>See: <a href=\"/condition/64\">Palpebral Conjunctival Inflammation &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Cease lens wear until inflammation subsides</li>\n\t<li>Refit with DD or GP lenses or alternative soft lens materials</li>\n\t<li>Reduce wearing time</li>\n\t<li>Antihistamine + mast cell stabilizer combination or steroid therapy</li>\n</ul>",
    "images": [
        {
            "name": "Contact Lens Papillary Conjunctivitis",
            "file": "https://cclm-static.s3.amazonaws.com/images/clpc.jpg"
        },
        {
            "name": "Contact Lens Papillary Conjunctivitis",
            "file": "https://cclm-static.s3.amazonaws.com/images/gpc.jpg"
        }
    ],
    "type": 1,
    "videos": [
        {
            "name": "Contact Lens Papillary Conjunctivitis (CLPC) - Severe (White Light)",
            "videoSrc": "255944692"
        },
        {
            "name": "Contact Lens Papillary Conjunctivitis (CLPC) - Sodium Fluorescein Stain",
            "videoSrc": "255945089"
        }
    ],
    "wear": true,
    "ceaseWear": false,
    "changeLens": true,
    "changeSolutions": false,
    "changeCare": false,
    "counseling": false,
    "dd": true,
    "dw": true,
    "gp": false,
    "replace": false,
    "review": false,
    "rewettingDrops": false,
    "rx": true,
    "SiHy": false,
    "toric": false,
    "tags": []
}