H02.019 Cicatricial entropion of unspecified eye, unspecified eyelid

Name of the Condition

• Cicatricial Entropion of Unspecified Eye, Unspecified Eyelid
• (Medical term: H02.019)

Summary

Cicatricial entropion of the unspecified eye and 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

Diagnosis involves a physical examination of the eyelid and eye, along with a review of the patient's history. A slit-lamp examination may be used to assess the cornea and eyelid position in detail.

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, though follow-up care may be needed to monitor for recurrence or complications.

Complications

• Corneal abrasions or ulcers
• Infection
• Vision impairment if left untreated

Lifestyle & Prevention

• Protect the eyes from injury or infection.
• Manage chronic inflammatory conditions under medical guidance.
• Avoid rubbing the eyes to prevent further irritation.

When to Seek Professional Help

Seek medical attention if symptoms persist, worsen, or if there is pain, vision changes, or signs of infection.

Tips for Medical Coders

Document the specific eye and eyelid affected when possible, as this impacts code specificity. For H02.019, use when the eye and eyelid are not specified. Ensure clinical documentation supports the diagnosis and any associated factors.