{"id":7,"url":"https://cclm.media-doc.io/conditions/7/?format=json","name":"Corneal Dellen","category":"Cornea","detail":"<p>Desiccation, focal corneal dehydration</p>\n\n<h2>Symptoms</h2>\n\n<ul>\n\t<li>None to dryness and discomfort</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Local saucer-like depression in the peripheral cornea</li>\n\t<li>May be associated scarring and vascularization</li>\n\t<li>Epithelium intact</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Localized dryness and desiccation</li>\n\t<li>Loss of stromal hydration causes compaction of lamellae</li>\n\t<li>Occasionally occurs with 3 and 9 o&#39;clock staining in GP lens wear</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Rare</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li><a href=\"/condition/65\">3 and 9 o&#39;clock staining</a></li>\n\t<li><a href=\"/condition/69\">Severe dryness due to poor blinking</a></li>\n\t<li>See: <a href=\"/condition/66\">Infiltrates and Opacities &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>Eliminate causes of 3 and 9 o&#39;clock staining</li>\n\t<li>Depression may resolve within days, scarring may not resolve</li>\n\t<li>Persistent dellen may require reducing lens wearing time or refitting with soft lenses</li>\n\t<li>Blinking exercises and rewetting drops may also help</li>\n</ul>","images":[{"name":"Corneal Dellen","file":"https://cclm-static.s3.amazonaws.com/images/dellen-01_zoom.jpg"},{"name":"Corneal Dellen","file":"https://cclm-static.s3.amazonaws.com/images/dellen-02_zoom.jpg"}],"type":1,"videos":[],"wear":true,"ceaseWear":false,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":true,"dd":false,"dw":false,"gp":false,"replace":false,"review":false,"rewettingDrops":true,"rx":false,"SiHy":false,"toric":false,"tags":[{"id":7,"url":"https://cclm.media-doc.io/tags/7/?format=json","name":"conditions"}]}