Name of the Condition

• Unspecified Epiphora, Unspecified Side

Summary

• Epiphora is a condition characterized by excessive tearing from one or both eyes. It occurs when there is an imbalance between tear production and drainage. When classified as "unspecified," the exact cause or side affected is not detailed.

Causes

• Common causes include blocked tear ducts, overproduction of tears due to irritation or inflammation, and anatomical irregularities. Environmental factors like wind or smoke can also contribute.

Risk Factors

• Risk factors include age (more common in elderly individuals), chronic eye infections, previous eye surgeries, and exposure to irritants.

Symptoms

• Typical symptoms include persistent watery eyes, constant or intermittent tears rolling down the face, and possibly blurry vision or irritation around the eyes.

Diagnosis

• Diagnosis typically involves a physical examination, history evaluation, and possible imaging tests like dacryocystography to assess tear duct obstruction.

Treatment Options

• Treatment varies; options include artificial tears for mild cases, surgical procedures (such as dacryocystorhinostomy) to unblock tear ducts, or addressing underlying allergies or infections.

Prognosis and Follow-Up

• Prognosis generally depends on the cause; many cases resolve with appropriate treatment. Regular follow-up is essential to assess the success of interventions and manage any underlying conditions.

Complications

• Potential complications include chronic eye infections, impaired vision due to persistent tearing, and social or psychological impacts from visible symptoms.

Lifestyle & Prevention

• Protective eyewear in windy environments, regular eyelid hygiene, and managing allergies can help prevent or manage epiphora.

When to Seek Professional Help

• Seek medical attention if experiencing persistent tearing, recurrent eye infections, or sudden changes in vision.

Additional Resources

• American Academy of Ophthalmology (www.aao.org)
• National Eye Institute (www.nei.nih.gov)

Tips for Medical Coders

• Ensure precise documentation when coding; verify if either side of the eye is specified and differentiate from "specified" epiphora codes.
• Common errors include misidentifying the affected side or overlooking associated conditions that might change the coding classification.