H33.022 Retinal detachment with multiple breaks, left eye

ICD10CM code

#### Name of the Condition
- Retinal Detachment with Multiple Breaks, Left Eye (ICD Code: H33.022)

#### Summary
- Retinal detachment is a serious eye condition where the retina peels away from its underlying layer of support tissue. In the case of multiple breaks, there are several tears or holes in the retina, affecting vision. This specific condition affects the left eye.

#### Causes
- Causes may include aging, eye injury, severe nearsightedness, previous eye surgery, or retinal diseases that weaken the retina's integrity.

#### Risk Factors
- Increased age, family history of retinal detachment, extreme nearsightedness (myopia), previous history of detachment in the other eye, history of cataract surgery, and certain eye diseases.

#### Symptoms
- Sudden appearance of floaters, light flashes, blurred vision, reduced peripheral vision, or a shadow over the field of vision in the left eye.

#### Diagnosis
- Eye examination, including a dilated eye exam, ultrasound imaging of the eye, and optical coherence tomography (OCT) to visualize and assess the retina's structure.

#### Treatment Options
- Surgical interventions are necessary to repair the retina. Options include laser surgery (photocoagulation) or freezing (cryopexy), scleral buckle surgery, pneumatic retinopexy, or vitrectomy. These treatments aim to reattach the retina and restore vision.

#### Prognosis and Follow-Up
- The prognosis is generally favorable with prompt treatment, though visual recovery may vary depending on the detachment's severity and duration. Regular follow-up appointments are crucial to monitor retinal health and detect potential re-detachments early.

#### Complications
- Potential complications include permanent vision loss, development of new retinal breaks, or recurrent detachment. Early treatment reduces these risks.

#### Lifestyle & Prevention
- Protect eyes from injuries by using protective eyewear during high-risk activities, manage high blood pressure and diabetes, and attend regular eye check-ups, especially if you're at risk. 

#### When to Seek Professional Help
- Seek immediate medical attention if you experience sudden changes in vision, such as flashes of light, an increase in floaters, or a shadow across the vision.

#### Additional Resources
- American Academy of Ophthalmology (AAO) [aao.org]
- Retina International [retina-international.org]

#### Tips for Medical Coders
- Ensure coding reflects the condition’s laterality, in this case, specifically noting it affects the left eye. Verify the code follows ICD-10 guidelines and includes the multiple breaks detail. Double-check for accuracy in medical reports for any mentions of associated retinal conditions.

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