Name of the Condition

• Cicatricial Entropion of Right Lower Eyelid
• (Medical term: H02.012)

Summary

Cicatricial entropion of the right lower eyelid is a condition where the eyelid turns inward due to scarring. This causes the eyelashes to rub against the eyeball, potentially leading to discomfort and damage to the eye.

Causes

This condition often results from scarring due to trauma, infection, or inflammatory diseases. Chronic conditions like trachoma or cicatricial pemphigoid can also contribute to cicatricial entropion.

Risk Factors

• Advanced age
• Previous eyelid surgery
• Chronic inflammatory conditions
• History of eye infections
• Genetic predisposition to scarring

Symptoms

• Red, irritated eye
• Tearing and discomfort
• Sensation of having something in the eye
• Vision disturbances if the cornea is affected by the friction

Diagnosis

• Physical examination and patient history
• Slit-lamp eye exam for detailed assessment
• Evaluation of eyelid position and function

Treatment Options

• Lubricating Eye Drops: Alleviate symptoms and protect the cornea.
• Taping or Stitches: Temporary measures to reposition the eyelid.
• Surgery: Often required to permanently correct the eyelid position by removing or repositioning scarred tissue.

Prognosis and Follow-Up

With proper treatment, the prognosis is generally good, and most patients experience relief from symptoms. Regular follow-up is advised to monitor the condition and prevent recurrence, particularly for those with underlying inflammatory diseases.

Complications

• Corneal abrasion or ulceration due to persistent friction
• Increased risk of eye infections
• Potential vision impairment if the condition is not treated effectively

Lifestyle & Prevention

• Regular eye check-ups, especially for individuals with chronic eye conditions or previous surgeries.
• Prompt treatment of eye infections and inflammatory conditions to reduce scarring risk.
• Avoidance of eye trauma as much as possible.

When to Seek Professional Help

• Persistent discomfort, redness, or tearing in the eye
• Any sudden changes in vision
• Recurrence of symptoms despite initial treatment efforts

Additional Resources

• American Academy of Ophthalmology for comprehensive eye health information.
• National Eye Institute for details on various eye conditions and treatments.

Tips for Medical Coders

• Ensure the specificity of the code to reflect the precise location and nature of the entropion (e.g., right lower eyelid).
• Double-check for possible underlying causes or associated conditions that may also need coding.
• Be precise in coding surgical corrections if applicable, as these may have distinct codes.