{"id":49,"url":"https://cclm.media-doc.io/conditions/49/","name":"Binding – Soft Contact Lens","category":"Contact Lens","detail":"<h2>Symptoms</h2>\n\n<ul>\n\t<li>None to difficulty in removing lens</li>\n\t<li>Blurred vision</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Lack of lens movement with blinking</li>\n\t<li>Colored post-lens tear film reflection (see image)</li>\n\t<li>The appearance of colored or striate patterns in the post-lens tear film reflection indicates a thinned and aqueous-depleted post-lens tear layer</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Static post-lens tear layer and binding of soft lens</li>\n\t<li>May arise with hypotonic tear film or excessive evaporation from lens surface</li>\n\t<li>Occurs with eye closure, excessive tearing, exposure to a fresh water environment (e.g. showering, swimming)</li>\n\t<li>Commonly observed soon after lens insertion</li>\n\t<li>Implicated in the contact lens acute red eye (CLARE)</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Common in EW, occasional in DW</li>\n\t<li>Low to moderate significance</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/18\">CLARE (tight lens)</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Fit a looser lens if movement remains minimal after some time of wear</li>\n\t<li>Avoid predisposing environmental factors</li>\n\t<li>Wetting drops on waking to replenish the post-lens tear film</li>\n</ul>","images":[{"name":"Binding – Soft Contact Lens","file":"https://cclm-static.s3.amazonaws.com/images/binding-scl_zoom.jpg"}],"type":1,"videos":[],"wear":false,"ceaseWear":false,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":true,"dd":false,"dw":false,"gp":false,"replace":false,"review":false,"rewettingDrops":false,"rx":true,"SiHy":true,"toric":false,"tags":[]}