Condition Instance

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{
    "id": 56,
    "url": "https://cclm.media-doc.io/conditions/56/?format=api",
    "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": []
}