Condition Instance

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{
    "id": 59,
    "url": "https://cclm.media-doc.io/conditions/59/?format=api",
    "name": "Tear Instability - Non Wetting Lens",
    "category": "Contact Lens",
    "detail": "<p>Tear break-up time, deposits</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>Patient may report no symptoms</li>\n\t<li>Lenses may feel dry or uncomfortable</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Drying of lens surface and failure of lens to rewet during blink</li>\n\t<li>Prelens tear film breakup &lt; interblink period (e.g. 6 seconds)</li>\n\t<li>Lens surface is not smooth on slit lamp evaluation</li>\n\t<li>Lens deposition may be present</li>\n\t<li>May occur more frequently in those with a poor quality and/or quantity of tears</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Deposition or contamination of lens surface</li>\n\t<li>Poor lens production quality, resulting in poor quality surface</li>\n\t<li>Poor tear film quality or quantity which may be exacerbated by lid margin disease</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Common</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/69\">Dry eye</a></li>\n\t<li><a href=\"/condition/47\">Incomplete blinking</a></li>\n\t<li>Deposits-&nbsp;<a href=\"/condition/54\">protein</a>,&nbsp;<a href=\"/condition/53\">lipid</a></li>\n\t<li><a href=\"/condition/45\">Blepharitis</a>/lipid layer anomaly</li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Replace lens if old and/or deposited</li>\n\t<li>If lens is new, consider refitting into a new daily disposable, SiHy material, or improved tear film with lid hygiene, tear supplements, and/or lid massage</li>\n\t<li>Reduce wearing time or cease EW</li>\n\t<li>GP lenses may need to be remade</li>\n</ul>",
    "images": [
        {
            "name": "Tear Instability - Non Wetting Lens",
            "file": "https://cclm-static.s3.amazonaws.com/images/tbut-deposits-01.jpg"
        },
        {
            "name": "Tear Instability - Non Wetting Lens",
            "file": "https://cclm-static.s3.amazonaws.com/images/tbut-deposits-02.jpg"
        }
    ],
    "type": 1,
    "videos": [],
    "wear": true,
    "ceaseWear": false,
    "changeLens": true,
    "changeSolutions": false,
    "changeCare": false,
    "counseling": false,
    "dd": true,
    "dw": false,
    "gp": true,
    "replace": false,
    "review": false,
    "rewettingDrops": false,
    "rx": false,
    "SiHy": true,
    "toric": false,
    "tags": [
        {
            "id": 7,
            "url": "https://cclm.media-doc.io/tags/7/?format=api",
            "name": "conditions"
        }
    ]
}