H02.883 Meibomian gland dysfunction of right eye, unspecified eyelid

ICD10CM code

#### Name of the Condition
- **Meibomian Gland Dysfunction of Right Eye, Unspecified Eyelid**
- Also known as MGD, posterior blepharitis.

#### Summary
Meibomian gland dysfunction (MGD) is a common condition where the meibomian glands in the eyelids do not secrete enough oil into the tears, leading to dry, irritated eyes. This specific code pertains to the right eye with unspecified eyelid involvement.

#### Causes
- Blockage or abnormal secretion of oil from the meibomian glands.
- Hormonal changes, including androgen deficiency.
- Chronic inflammatory conditions.
- Use of contact lenses or certain medications.

#### Risk Factors
- Aging.
- Hormonal fluctuations, particularly in post-menopausal women.
- History of eye surgery or trauma to the eye.
- Use of eye makeup and other cosmetic products.

#### Symptoms
- Dryness and irritation in the eyes.
- Blurred vision and eyelid inflammation.
- Burning sensation or feeling of grit in the eyes.
- Redness or watery eyes.

#### Diagnosis
- Clinical examination by an eye specialist.
- Meibomian gland expression test.
- Tear break-up time test.
- Use of imaging techniques like meibography.

#### Treatment Options
- **Warm compresses**: To help unblock the gland ducts.
- **Lid massages and cleaning**: To maintain eyelid hygiene.
- **Artificial tears**: Lubricating eye drops to alleviate dryness.
- **Omega-3 supplements**: To improve gland function.
- In severe cases, medications such as antibiotics or steroid eye drops may be prescribed to reduce inflammation.

#### Prognosis and Follow-Up
- Chronic condition, manageable with ongoing treatment.
- Regular follow-ups with an eye care professional are necessary to monitor symptoms and adjust treatments as needed.

#### Complications
- Can lead to chronic dry eye syndrome.
- Increased risk of eye infection due to improper tear film function.
- Potential for corneal inflammation and damage if untreated.

#### Lifestyle & Prevention
- Maintain good eyelid hygiene.
- Reduce screen time to minimize eye strain.
- Use eyewear to protect eyes from wind and pollution.
- Regular breaks from contact lens wear.

#### When to Seek Professional Help
- Persistent eye discomfort or dryness unrelieved by over-the-counter treatments.
- Significant changes in vision.
- Severe eye pain or redness.

#### Additional Resources
- [American Academy of Ophthalmology](https://www.aao.org/)
- [National Eye Institute](https://www.nei.nih.gov/)
- Support groups such as those on social media platforms.

#### Tips for Medical Coders
- Ensure the correct eye (right) is specified to avoid errors.
- Check the patient's record for additional details if the eyelid specifics are unspecified.
- Use the full ICD code H02.883 when coding Meibomian gland dysfunction for billing purposes.

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