Condition Instance

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{
    "id": 44,
    "url": "https://cclm.media-doc.io/conditions/44/?format=api",
    "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": []
}