Angular blepharoconjunctivitis, right eye
ICD10CM code
Name of the Condition
- Angular Blepharoconjunctivitis, Right Eye
- Also known as: Angular blepharitis, Angular conjunctivitis
Summary
Angular blepharoconjunctivitis is an inflammation that affects both the eyelid margin and conjunctiva at the angles of the eye. It typically presents uniocularly, meaning in one eye only, and can cause discomfort and visual disturbances.
Causes
The condition is often caused by bacterial infections, most commonly from Staphylococcus or Moraxella bacteria. Allergic reactions or prolonged exposure to environmental irritants, such as wind or smoke, may also contribute.
Risk Factors
- Exposure to allergens or irritants
- Poor eyelid hygiene or makeup use
- Compromised immune system
- Contact lens wear
Symptoms
- Redness at the corner of the eye
- Itching or burning sensation
- Sensation of a foreign body in the eye
- Tearing or discharge
- Swelling of the eyelid margins
Diagnosis
- Physical examination by an eye care professional, focusing on visual inspection and palpation of the eyelid and conjunctiva.
- Laboratory tests of eye discharge may be conducted to identify specific bacteria.
Treatment Options
- Topical antibiotics to address bacterial causes.
- Warm compresses to alleviate discomfort and promote drainage.
- Lubricating eye drops may provide symptomatic relief.
- Antihistamines may be used if there is an allergic component.
Prognosis and Follow-Up
Most cases respond well to treatment; however, follow-up is essential to ensure resolution and prevent recurrence. Regular eye examinations are vital for assessing the progress and managing any potential complications.
Complications
Without appropriate treatment, angular blepharoconjunctivitis can lead to chronic swelling or the spread of infection, potentially resulting in keratitis or corneal erosions.
Lifestyle & Prevention
- Maintain eyelid and eye hygiene.
- Avoid rubbing the eyes with unclean hands.
- Manage allergens or environmental irritants by using protective eyewear or addressing triggers.
- Regular cleaning and proper handling of contact lenses.
When to Seek Professional Help
- Persistent or worsening symptoms despite initial treatment
- Severe pain or vision changes
- Development of additional symptoms like fever or excessive discharge
Additional Resources
Tips for Medical Coders
- Ensure the laterality is clearly documented as "right eye" in the medical records.
- Avoid confusion with similar conditions by verifying the specific diagnosis from the provider.
- Be cautious of incorrect code use for different types of conjunctivitis or blepharitis.