Condition Instance

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{
    "id": 57,
    "url": "https://cclm.media-doc.io/conditions/57/?format=api",
    "name": "Lens Mislocation – Soft Toric",
    "category": "Contact Lens",
    "detail": "<p>Tear break-up time, deposits</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Decreased or variable vision</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Toric location marks misalign</li>\n\t<li>Sphero-cylindrical over-refraction is non-plano</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Axis of hydrogel toric lens fails to locate correctly or consistently</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Common. But newer designs reducing the prevalence</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li>Compare with actual change in ocular refraction</li>\n\t<li>For empirical confirmation of toric lens power, check:\n\t<ol>\n\t\t<li>relationship to refraction</li>\n\t\t<li>relation between ocular and corneal cylinder axis y</li>\n\t</ol>\n\t</li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>If asymptomatic, no treatment</li>\n\t<li>Reorder lens with compensatory axis change</li>\n\t<li>Change lens design. Figure above shows designs with shading for the thickened stabilization zones</li>\n\t<li>Avoid compromising cornea with low Dk/t toric lenses; consider SiH toric lenses or GP lenses</li>\n</ul>",
    "images": [
        {
            "name": "Lens Mislocation – Soft Toric",
            "file": "https://cclm-static.s3.amazonaws.com/images/lens-mislocation-soft-toric.jpg"
        },
        {
            "name": "Lens Mislocation – Soft Toric",
            "file": "https://cclm-static.s3.amazonaws.com/images/toric-lens-markings.jpg"
        }
    ],
    "type": 1,
    "videos": [],
    "wear": false,
    "ceaseWear": false,
    "changeLens": true,
    "changeSolutions": false,
    "changeCare": false,
    "counseling": false,
    "dd": false,
    "dw": false,
    "gp": true,
    "replace": false,
    "review": false,
    "rewettingDrops": false,
    "rx": false,
    "SiHy": true,
    "toric": false,
    "tags": []
}