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This medication hold should be coordinated with the patient's diabetes care provider to prevent hyperglycemia or ketosis during the testing period
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However, the authors caution that “the apparently ‘protective’ effect of contact lens use should be tempered by the fact that contact lens wear is a known risk factor to develop MK, so contact lens hygiene remains a pillar to emphasize with patients.” Applying these findings clinically, the researchers suggest that “multiple MK prognostic indicators offer avenues for novel interventions to address MK-related visual impairment, including rapid triage systems and more aggressive management of patients with large ulcers, fungal ulcers or those with worse presenting vision
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