Condition Instance

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{
    "id": 4,
    "url": "https://cclm.media-doc.io/conditions/4/?format=api",
    "name": "Blebs (Endothelial)",
    "category": "Cornea",
    "detail": "<p>Endothelial edema</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>None</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Black spots which appear to be &ldquo;holes&rdquo; on endothelium when viewed with specular reflection</li>\n\t<li>Intracellular edema of endothelial cells</li>\n\t<li>Maximum response occurs 10-20 minutes after lens insertion.</li>\n\t<li>Reduction in response occurs over initial weeks of lens wear.</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Local decrease in pH, associated with hypoxia and carbon dioxide build-up</li>\n\t<li>Typically occurs in unadapted wearers. Degree related to oxygen transmissibility of the lens material</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/62/\">Guttata</a></li>\n\t<li>See: <a href=\"/condition/62/\">Endothelial Changes &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>No action required</li>\n\t<li>May consider refit into SiHy or high Dk GP lenses if response is severe</li>\n</ul>",
    "images": [
        {
            "name": "Blebs (Endothelial)",
            "file": "https://cclm-static.s3.amazonaws.com/images/endothelial-bleb_zoom.jpg"
        }
    ],
    "type": 1,
    "videos": [],
    "wear": false,
    "ceaseWear": false,
    "changeLens": true,
    "changeSolutions": false,
    "changeCare": false,
    "counseling": false,
    "dd": false,
    "dw": false,
    "gp": false,
    "replace": false,
    "review": false,
    "rewettingDrops": false,
    "rx": false,
    "SiHy": true,
    "toric": false,
    "tags": []
}