Search all medical codes
Photokeratitis, right eye
ICD10CM code
Name of the Condition
- Photokeratitis, Right Eye
- Also known as ultraviolet keratitis or welder’s flash.
Summary
Photokeratitis is a painful eye condition caused by exposure to ultraviolet (UV) rays, leading to a sunburn-like effect on the cornea. It's similar to having a burn on the skin, but it affects the surface of the eye.
Causes
- Exposure to ultraviolet (UV) light, often from the sun or artificial sources like welding torches, tanning beds, or arc lamps.
- Reflective surfaces such as snow, water, or sand can increase UV exposure.
Risk Factors
- Outdoor activities without proper eye protection.
- Participation in activities like skiing, snowboarding, welding, or tanning.
High altitude or proximity to the equator, where UV exposure is stronger.
Symptoms
- Eye pain and redness.
- Sensitivity to light (photophobia).
- A gritty sensation in the eye, similar to having sand in the eye.
- Blurred vision and tearing.
Diagnosis
- Clinical examination by an eye care professional.
- Use of a slit lamp to examine the cornea.
- Fluorescein staining to detect damage to the cornea.
Treatment Options
- Temporary cessation of UV exposure to allow the eyes to heal.
- Use of artificial tears and lubricating eye drops to relieve discomfort.
- Pain relievers such as oral NSAIDs or topical anesthetics under medical guidance.
- Avoidance of contact lenses until recovery is complete.
Prognosis and Follow-Up
- Photokeratitis is usually self-limiting; most symptoms resolve within 24 to 48 hours.
- Regular follow-ups are typically unnecessary, but severe cases might require further evaluation to ensure proper healing.
Complications
- Long-term UV damage can lead to cataracts or macular degeneration if frequent exposure is not managed.
- Inadequate treatment might cause corneal infections or abrasions.
Lifestyle & Prevention
- Wear sunglasses with full UV protection outdoors.
- Use safety goggles or face shields when welding or using tanning beds.
- Consider wearing a wide-brimmed hat for additional protection.
When to Seek Professional Help
- Seek medical attention if experiencing severe pain, persistent blurred vision, or symptoms that don't improve within 48 hours.
- In case of prolonged symptoms, a visit to an ophthalmologist is recommended.
Additional Resources
Tips for Medical Coders
- Ensure the laterality is specified correctly: code H16.131 is specifically for the right eye.
- Double-check the patient's medical history for accurate documentation of UV exposure.