Condition Instance

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{
    "id": 9,
    "url": "https://cclm.media-doc.io/conditions/9/?format=api",
    "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": []
}