Conjunctivochalasis, bilateral
ICD10CM code
Name of the Condition
- Conjunctivochalasis, Bilateral
- Also known as CCH
Summary
Conjunctivochalasis is a common eye condition characterized by excess folds of conjunctival tissue—specifically visible on the lower eyelid—which often affects both eyes (bilateral). These folds can disrupt the natural tear film, leading to irritation and discomfort.
Causes
The primary cause of conjunctivochalasis is not fully understood, but it is thought to be related to the natural aging process. Other potential factors include chronic inflammation, eye surgery, or eye injuries, which may contribute to the weakening of conjunctival tissue.
Risk Factors
- Aging: More common in older adults.
- Chronic eye inflammation: Conditions such as dry eye or blepharitis.
- Previous eye surgeries or trauma: Such as cataract surgery.
- Autoimmune disorders: Which may affect connective tissues.
Symptoms
- Persistent eye irritation or discomfort.
- Watery eyes or excessive tearing.
- Sensation of dryness or 'grittiness' in the eyes.
- Blurred vision in severe cases.
Diagnosis
Diagnosis generally involves a thorough eye examination by an ophthalmologist. Slit-lamp examination may be used to visualize the conjunctival folds and assess tear film stability.
Treatment Options
- Lubricating eye drops: To alleviate dryness and improve comfort.
- Anti-inflammatory medications: To reduce inflammation if present.
- Surgery: In severe cases, procedures like conjunctival resection may be necessary to remove excess tissue and restore tear film function.
Prognosis and Follow-Up
The outlook is generally good with appropriate treatment, although symptoms may persist or recur. Regular eye examinations are recommended to monitor the condition and respond to changes promptly.
Complications
If untreated, conjunctivochalasis can lead to chronic eye irritation and an increased risk of secondary infections or persistent visual disturbances.
Lifestyle & Prevention
- Regular eye exams: Especially for older adults or those with risk factors.
- Protective eyewear: To prevent injury or irritation.
- Maintaining eye hygiene: Managing dry eye or blepharitis promptly.
When to Seek Professional Help
Consult an eye care professional if experiencing persistent eye discomfort, changes in vision, or if over-the-counter remedies do not alleviate symptoms.
Additional Resources
Tips for Medical Coders
- Ensure the bilateral aspect is correctly noted in the documentation to use code H11.823.
- Verify the diagnosis with documented ophthalmological findings to avoid miscoding.