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Senile ectropion of left lower eyelid
ICD10CM code
Name of the Condition
- Senile Ectropion of Left Lower Eyelid
- ICD Code: H02.135
Summary
Senile ectropion refers to the outward turning of the eyelid margin, affecting the lower eyelid, commonly due to age-related changes. This condition can lead to discomfort, tearing, and exposure-related complications since the eyelid does not make proper contact with the eye.
Causes
- Primarily caused by age-related tissue relaxation and weakening of the muscles around the eye.
- Loss of skin elasticity over time.
Risk Factors
- Advanced age is the most significant risk factor.
- History of eyelid surgeries or trauma.
- Genetic predisposition to skin laxity.
Symptoms
- Eye irritation and excessive tearing.
- Redness and inflammation of the eyelid.
- Visible drooping of the eyelid margin away from the eye.
Diagnosis
- Clinical examination by an ophthalmologist.
- Visual inspection to assess eyelid position.
- Sometimes additional imaging to evaluate underlying tissue structures.
Treatment Options
- Lubricating eye drops or ointments: Provide moisture and relieve irritation.
- Eyelid taping or temporary sutures: Help reposition the eyelid.
- Surgical correction: Definitive treatment to restore proper eyelid position by tightening or repositioning eyelid structures.
Prognosis and Follow-Up
- Generally favorable if treated promptly with surgery.
- Regular follow-up with an eye specialist is essential for monitoring and managing symptoms.
Complications
- Chronic eye irritation and exposure keratopathy.
- Risk of corneal damage if left untreated.
Lifestyle & Prevention
- While age-related changes are unavoidable, maintaining good skincare practices can help slow down the process.
- Protect eyes from excessive sun exposure and pollutants.
When to Seek Professional Help
- Persistent tearing or eye discomfort.
- Noticeable change in eyelid positioning.
- Signs of infection or persistent redness.
Additional Resources
Tips for Medical Coders
- Ensure the complete and specific ICD code (H02.135) is used for senile ectropion of the left lower eyelid.
- Avoid generic or unspecified codes that don't capture the specific laterality and type of ectropion.