{"id":9,"url":"https://cclm.media-doc.io/conditions/9/","name":"Desiccation (SMILE Staining)","category":"Cornea","detail":"<h2>Symptoms</h2>\n\n<ul>\n\t<li>None or minor symptoms of dryness/discomfort</li>\n</ul>\n\n<h2>Signs</h2>\n\n<ul>\n\t<li>Inferior arcuate staining of inferior cornea. Lesion is between 4 and 8 o&rsquo;clock and is parallel to limbus. Often bilateral and asymmetric</li>\n</ul>\n\n<h2>Etiology</h2>\n\n<ul>\n\t<li>Localized disruption of the corneal surface as a result of desiccation</li>\n\t<li>Often associated with incomplete blinking</li>\n\t<li>More common with thin and high water content soft lenses</li>\n\t<li>Lens dehydration leads to post-lens tear film elimination and, ultimately, epithelial desiccation</li>\n</ul>\n\n<h2>Prevalence</h2>\n\n<ul>\n\t<li>Mild degrees are common. Severe forms are infrequent</li>\n</ul>\n\n<h2>Differential Diagnosis</h2>\n\n<ul>\n\t<li>Other&nbsp;<a href=\"/condition/65\">staining patterns</a></li>\n\t<li>See: <a href=\"/condition/65\">Epithelial Fluorescein Staining &ndash; Differential Diagnosis</a></li>\n</ul>\n\n<h2>Management</h2>\n\n<ul>\n\t<li>If staining is severe, then cessation of wear is required with the addition of rewetting drops</li>\n\t<li>Refit if persistent or severe to a lower water content material, SiHy material</li>\n\t<li>Rewetting Drops</li>\n\t<li>May need to reduce wearing time</li>\n</ul>","images":[{"name":"Desiccation (SMILE Staining)","file":"https://cclm-static.s3.amazonaws.com/images/staining-smile-01_zoom.jpg"},{"name":"Desiccation (SMILE Staining)","file":"https://cclm-static.s3.amazonaws.com/images/staining-smile-02_zoom.jpg"}],"type":1,"videos":[{"name":"Inferior Smile (Dehydration) Staining","videoSrc":"248362260"}],"wear":true,"ceaseWear":true,"changeLens":true,"changeSolutions":false,"changeCare":false,"counseling":false,"dd":false,"dw":false,"gp":false,"replace":false,"review":true,"rewettingDrops":true,"rx":false,"SiHy":true,"toric":false,"tags":[]}