{"id":44,"url":"https://cclm.media-doc.io/conditions/44/","name":"Lid Wiper Epitheliopathy (LWE)","category":"Conjunctiva","detail":"<h2>Symptoms</h2>\n\n<ul>\n\t<li>Asymptomatic or may experience dryness and/or discomfort</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Staining of the lid wiper (the portion of marginal conjunctiva that comes in contact with ocular surface during blinking)</li>\n\t<li>The lid wiper region extends from Marx&rsquo;s line (sharp green border staining superiorly) to the tarsal sulcus fold</li>\n\t<li>Observed with sodium fluorescein and/or Lissamine green</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Aqueous deficiency may play a role since increased friction between the lid wiper region and ocular surface subject the lid wiper to trauma on blinking</li>\n\t<li>Other possible causes include disorders of the adherent protective coatings of the epithelium of the lid wiper, disorders of blinking and ocular surface abnormalities</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Common in dry eye patients</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/32\">Conjunctival Staining</a></li>\n\t<li>Line of Marx</li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Consider rewetting drops</li>\n\t<li>If MGD co-exists, consider lid hygiene and hot compresses</li>\n\t<li>Changing materials to lower friction surfaces</li>\n</ul>","images":[{"name":"Lid Wiper Epitheliopathy (LWE)","file":"https://cclm-static.s3.amazonaws.com/images/lwe-staining_zoom.jpg"},{"name":"Lid Wiper Epitheliopathy (LWE)","file":"https://cclm-static.s3.amazonaws.com/images/lwe_zoom.jpg"}],"type":1,"videos":[{"name":"Lid Wiper Epitheliopathy - Fluorescein Stain (with Lid Eversion)","videoSrc":"255945642"},{"name":"Lid Wiper Epitheliopathy - Fluorescein Stain and Palpebral Staining","videoSrc":"255946014"},{"name":"Lid Wiper Epitheliopathy - Lissamine Stain","videoSrc":"255946307"}],"wear":false,"ceaseWear":false,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":true,"dd":false,"dw":false,"gp":false,"replace":false,"review":false,"rewettingDrops":true,"rx":true,"SiHy":false,"toric":false,"tags":[]}