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Abscess of right lower eyelid

ICD10CM code

Name of the Condition

  • Abscess of the right lower eyelid, also known as a hordeolum or stye when commonly referring to an acute infection.

Summary

  • An abscess of the right lower eyelid is a localized collection of pus caused by an infection typically affecting the eyelid margin or glands. It often results in swelling, redness, and tenderness in the affected area.

Causes

  • Usually caused by bacterial infection, commonly Staphylococcus aureus.
  • Can arise from blocked oil glands or introduction of bacteria due to touching or rubbing the eyes.

Risk Factors

  • Poor eyelid hygiene.
  • Chronic eyelid conditions like blepharitis.
  • Using old or contaminated eye makeup.
  • Having a weakened immune system.

Symptoms

  • Red, swollen, and tender lump on the lower eyelid.
  • Pain and discomfort around the eye.
  • Watery eyes and possible discharge.

Diagnosis

  • Physical examination by a healthcare professional, focusing on the eyelid.
  • In rare cases, culture of the pus may be done to identify the bacteria.

Treatment Options

  • Warm compresses applied several times a day to promote drainage.
  • Antibiotic ointments if a bacterial infection is involved.
  • Incision and drainage by a healthcare provider if the abscess does not resolve.

Prognosis and Follow-Up

  • Generally resolves with treatment within a few days to a week.
  • Follow-up may be necessary if symptoms persist or complications arise.

Complications

  • Potential for spread of infection to other parts of the eye or eyelid.
  • Recurrence if underlying conditions are not managed.

Lifestyle & Prevention

  • Maintain proper eyelid hygiene.
  • Avoid sharing towels or cosmetics.
  • Replace eye makeup every six months to prevent bacterial growth.

When to Seek Professional Help

  • If the abscess becomes significantly large or painful, or vision is affected.
  • Persistent symptoms despite home treatment.

Additional Resources

  • American Academy of Ophthalmology (aao.org) provides resources on eyelid disorders.
  • Local patient support groups for individuals with chronic eyelid issues.

Tips for Medical Coders

  • Ensure correct laterality when coding (right lower eyelid).
  • Confirm the condition is an abscess and not other eyelid conditions like chalazion or stye.
  • Avoid confusing with generalized eyelid swelling or non-infectious causes.