Name of the Condition

• Unspecified Episcleritis, Bilateral

Summary

Episcleritis is an inflammatory condition affecting the episclera, the thin layer of tissue between the conjunctiva and the sclera (the white of the eye). The term "unspecified" indicates that the precise cause or category of the episcleritis is not detailed. When bilateral, the condition affects both eyes.

Causes

The exact cause of episcleritis is often unknown. It can be idiopathic or associated with systemic diseases such as rheumatoid arthritis, lupus, or gout. Sometimes, infections or irritation from environmental factors might contribute.

Risk Factors

• Autoimmune disorders
• History of related systemic diseases
• Previous episodes of episcleritis or other eye inflammations

Symptoms

• Redness in both eyes
• Discomfort or mild eye pain
• Watery eyes
• Sensitivity to light

Diagnosis

• Physical examination of the eye by an ophthalmologist
• Slit-lamp examination to assess the extent of inflammation
• Patient history review to check for associated systemic conditions

Treatment Options

• Often self-limiting and may resolve without treatment
• Over-the-counter anti-inflammatory medications or prescribed topical corticosteroids to reduce inflammation
• Artificial tears for symptom relief

Prognosis and Follow-Up

Episcleritis generally has a good prognosis and often resolves on its own without complications. Regular follow-ups with an eye care provider can ensure proper management and monitor for recurrence or any association with systemic conditions.

Complications

• Rare, but recurrent episodes may indicate an underlying systemic disease.
• If misdiagnosed or untreated, it might complicate into more severe eye conditions like scleritis.

Lifestyle & Prevention

• Protect eyes from irritants, such as smoke or dust
• Manage underlying systemic conditions
• Use protective eyewear when necessary

When to Seek Professional Help

• Persistent eye redness or pain
• Significant changes in vision
• Symptoms that do not improve with initial treatment

Additional Resources

• American Academy of Ophthalmology (aao.org)
• National Eye Institute (nei.nih.gov)
• Arthritis Foundation for associated joint disorders (arthritis.org)

Tips for Medical Coders

• Ensure the laterality is correctly noted as bilateral.
• Be aware that this is an unspecified category; confirm the absence of more specific details before coding.
• Double-check for any underlying systemic diseases that may also need coding.