H02.056 Trichiasis without entropion left eye, unspecified eyelid

ICD10CM code

#### Name of the Condition
- Trichiasis without entropion, left eye, unspecified eyelid

#### Summary
- Trichiasis is a condition where eyelashes grow inward toward the eye, irritating the cornea and conjunctiva. This can occur without entropion, a condition where the eyelid itself turns inward. The condition specifically affects the left eye but is unspecified for a particular eyelid.

#### Causes
- Trichiasis can occur due to chronic inflammation, infection, eye trauma, or can be idiopathic (no known cause).

#### Risk Factors
- Prior eye infections, such as trachoma
- Chronic blepharitis (inflammation of the eyelid)
- Eye trauma or surgeries
- Autoimmune conditions that affect the eyes

#### Symptoms
- Redness and irritation in the left eye
- Persistent sensation of having something in the eye
- Tearing or watery eye
- Sensitivity to light
- Possible damage to the cornea if untreated

#### Diagnosis
- Physical examination by an ophthalmologist
- Slit-lamp examination to view the eyelashes and eye surface in detail

#### Treatment Options
- Epilation: Temporary removal of misdirected lashes
- Electrolysis or laser treatment: Permanent follicle destruction for problematic eyelashes
- Cryotherapy: A freezing technique used for lash removal
- Surgery: Realignment of eyelash growth or rearrangement of the eyelid margin

#### Prognosis and Follow-Up
- With appropriate treatment, prognosis is usually positive, and symptoms can be effectively managed.
- Regular follow-up is important to monitor recurrence or manage any complications promptly.

#### Complications
- Corneal abrasions or ulcers
- Vision impairment if the condition progresses
- Secondary infections from persistent irritation

#### Lifestyle & Prevention
- Maintaining good eyelid hygiene to prevent infections
- Regular eye examinations, especially after eye surgeries or trauma
- Immediate consultation if recurrent irritation occurs

#### When to Seek Professional Help
- Persistent redness, irritation, or sensation of a foreign body in the eye
- Any sudden changes in vision
- Recurrence of symptoms after treatment

#### Additional Resources
- American Academy of Ophthalmology (aao.org)
- National Eye Institute (nei.nih.gov)

#### Tips for Medical Coders
- Ensure the condition is coded correctly as affecting the left eye without entropion.
- Confirm that documentation specifies the absence of entropion to avoid misclassification.
- Always cross-check associated conditions or treatments documented in the patient's records.

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