{"id":48,"url":"https://cclm.media-doc.io/conditions/48/","name":"Binding – RGP","category":"Contact Lens","detail":"<p>Adherence, lens edge imprint</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Patient may be asymptomatic</li>\n\t<li>Lens removal maybe difficult</li>\n\t<li>Spectacle blur following lens removal</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Immobile, decentred lens</li>\n\t<li>Indentation ring remains when lens is removed</li>\n\t<li>Corneal topography may show distortion</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Due to mechanical imprint of immobile GP lens in EW</li>\n\t<li>Most common on eye opening after overnight wear</li>\n\t<li>May be linked with too little edge clearance</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Occasional. Rare in daily wear; more likely with EW</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li>See:&nbsp;<a href=\"/condition/61\">Corneal Distortion &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Increase lens mobility by reducing overall diameter, changing base curve (flatter or steeper may work) or increase edge clearance</li>\n\t<li>Change to DW RGP</li>\n\t<li>Advise patient to check for binding each morning</li>\n\t<li>Wetting drops on waking to replenish the post-lens tear film may assist</li>\n</ul>\n\n<h2>&nbsp;</h2>\n\n<p>&nbsp;</p>\n\n<p>&nbsp;</p>","images":[{"name":"Binding – RGP","file":"https://cclm-static.s3.amazonaws.com/images/binding-rgp.jpg"},{"name":"Binding – RGP","file":"https://cclm-static.s3.amazonaws.com/images/binding-rgp-02.jpg"}],"type":1,"videos":[],"wear":false,"ceaseWear":false,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":false,"dd":false,"dw":true,"gp":false,"replace":false,"review":false,"rewettingDrops":false,"rx":false,"SiHy":false,"toric":false,"tags":[]}