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Chalazion left lower eyelid
ICD10CM code
#### Name of the Condition
- Chalazion left lower eyelid
- Also known as a meibomian gland lipogranuloma
#### Summary
A chalazion is a small, usually painless, lump or swelling that appears on the eyelid due to a blocked oil gland. When this condition affects the left lower eyelid, it is specifically coded as H00.15 in medical records.
#### Causes
Chalazia are usually caused by an obstruction in one of the meibomian glands, located in the eyelids. These obstructions can occur due to inflammation, often from a condition called blepharitis, or from a gland infection.
#### Risk Factors
- Having a history of blepharitis or rosacea.
- Chronic eyelid inflammation.
- Poor eyelid hygiene.
- Previous occurrences of chalazia.
#### Symptoms
- A small, non-tender lump in the left lower eyelid.
- Mild swelling or redness in the affected area.
- Occasionally, blurry vision or eyelid tenderness if the chalazion is large.
#### Diagnosis
- Physical examination by an ophthalmologist.
- Medical history evaluation.
- In rare cases, biopsy may be performed to rule out other conditions if a lump is persistent or atypical.
#### Treatment Options
- Warm compresses several times a day to encourage drainage.
- Over-the-counter pain relief if needed.
- In some cases, antibiotic ointments or steroid injections to reduce inflammation.
- Surgical intervention to drain the chalazion if it does not resolve on its own.
#### Prognosis and Follow-Up
- Chalazia often resolve within days to weeks with proper treatment.
- Follow-up is essential if the condition persists or recurs, to prevent complications.
#### Complications
- Potential distortion of the cornea if large or persistent.
- Recurrence, leading to chronic eyelid issues.
- Rarely, infection leading to a stye or cellulitis.
#### Lifestyle & Prevention
- Maintain good eyelid hygiene, including regular cleansing.
- Manage underlying conditions such as blepharitis or rosacea.
- Avoid eye makeup until the chalazion resolves.
#### When to Seek Professional Help
- If the lump grows rapidly or shows signs of infection (pain, significant redness/swelling).
- Vision changes.
- No improvement after several weeks of home treatment.
#### Additional Resources
- American Academy of Ophthalmology (aao.org)
- National Eye Institute (nei.nih.gov)
- Local support groups or forums for individuals with recurrent eyelid conditions.
#### Tips for Medical Coders
- Ensure to document the specificity of the condition being on the left lower eyelid.
- Verify that the diagnosis aligns with the patient's symptoms and any previous occurrences.
- Avoid coding errors by differentiating chalazion from similar conditions like styes (hordeolum).