{"id":39,"url":"https://cclm.media-doc.io/conditions/39/","name":"Vascularization – Superficial and Deep Stromal","category":"Cornea","detail":"<p>Neovascularization</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>None, but vision may be affected in deep stromal vascularization due to associated opacities &ndash; Superficial and Deep Stromal</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Ingrowth of vessels in the cornea</li>\n\t<li>Usually superficial but can also be deep stromal</li>\n\t<li>Generally bilateral presentation</li>\n\t<li>Superficial: corneal penetration by vessels continuous with the limbal vessels</li>\n\t<li>Deep stromal: Blood vessel growth in the stroma and vessels disappear from view at the limbus</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Due to chronic corneal hypoxia</li>\n\t<li>Common sign associated with low Dk/t soft contact lens wear</li>\n\t<li>May be history of previous corneal disease, trauma, or infection</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Rare with modern materials</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/5\">Limbal Hyperemia</a></li>\n\t<li><a href=\"/condition/63\">See: Hyperemia Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Consider SiHy lenses or GP lenses</li>\n</ul>","images":[{"name":"Vascularization – Superficial and Deep Stromal","file":"https://cclm-static.s3.amazonaws.com/images/vascularization-01_zoom.jpg"},{"name":"Vascularization – Superficial and Deep Stromal","file":"https://cclm-static.s3.amazonaws.com/images/vascularization-02_zoom.jpg"}],"type":1,"videos":[],"wear":false,"ceaseWear":false,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":false,"dd":false,"dw":true,"gp":true,"replace":false,"review":true,"rewettingDrops":false,"rx":false,"SiHy":true,"toric":false,"tags":[]}