{"id":56,"url":"https://cclm.media-doc.io/conditions/56/","name":"Lens Misfitting - Soft","category":"Contact Lens","detail":"<p>Decentration, excess movement, immobile lens</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Excessive lens awareness</li>\n\t<li>Visual fluctuation</li>\n\t<li>Other (typically inflammatory) complications in cases of a marked lack of lens movement</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Decentered lens</li>\n\t<li>Immobile or excessively mobile lens</li>\n\t<li>Lens edge lift or &ldquo;fluting&rdquo;</li>\n\t<li>Edge indentation viewed by fluorescein in cases of excessive tightness</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Inappropriate soft lens parameters (diameter and radius) for optimal centration and movement</li>\n\t<li>Can arise due to lens being inserted inside out</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Fairly common</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/38\">Giant papillary conjunctivitis</a>&nbsp;(in cases of excessive movement)</li>\n\t<li><a href=\"/condition/18\">CLARE</a>&nbsp;(in cases of excessive tightness)</li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Altering base curve has more effect on lens centration than movement for ultrathin lenses</li>\n\t<li>Excess movement - allow for lens settling, increase diameter, decrease lens thickness, steepen base curve</li>\n\t<li>Insufficient movement - allow for lens settling, decrease diameter, flatten base curve, or refit with different lens design</li>\n\t<li>Decentration - increase diameter, steepen base curve or refit with different lens design</li>\n</ul>","images":[{"name":"Lens Misfitting - Soft","file":"https://cclm-static.s3.amazonaws.com/images/lens-misfitting-soft.jpg"}],"type":1,"videos":[{"name":"Contact Lens Misfitting - Inside-Out Soft Lens","videoSrc":"248362098"},{"name":"Contact Lens Misfitting - Very Loose Inferior Positioned Soft Lens","videoSrc":"248362110"}],"wear":false,"ceaseWear":false,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":false,"dd":false,"dw":false,"gp":false,"replace":false,"review":false,"rewettingDrops":false,"rx":false,"SiHy":false,"toric":false,"tags":[]}