Condition Instance

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{
    "id": 48,
    "url": "https://cclm.media-doc.io/conditions/48/?format=api",
    "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": []
}