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Macular cyst, hole, or pseudohole, right eye
ICD10CM code
Name of the Condition
- Macular cyst, hole, or pseudohole, right eye
- Also known as macular hole, retinal hole, or vitreomacular traction
Summary
- This condition involves the formation of a small break or cyst in the macula, the central part of the retina responsible for detailed vision. It can lead to a decrease in central vision and distortion of images in the right eye.
Causes
- Causes include age-related degeneration, vitreous detachment, eye trauma, high myopia, and complications from eye surgeries. Idiopathic macular holes occur without a clear cause.
Risk Factors
- Increased age, especially over 60 years old
- Gender, with females at higher risk
- Previous eye injuries
- Prior retinal detachment
- High myopia (severe nearsightedness)
Symptoms
- Blurry or distorted vision in the central field of view
- A dark or empty area in the center of vision
- Difficulty reading or recognizing faces
- Straight lines appearing wavy or bent
Diagnosis
- Comprehensive eye examination
- Optical coherence tomography (OCT), which provides detailed images of the retina
- Amsler grid test to detect vision changes
Treatment Options
- Vitrectomy surgery to remove the vitreous gel and allow the macula to heal
- Gas bubble placement within the eye to apply pressure and close the macular hole
- In some cases, observation without immediate treatment if the hole is small
Prognosis and Follow-Up
- Generally good prognosis if treated with vitrectomy, with significant improvement in vision for many patients
- Regular follow-up visits are crucial to monitor the healing process and detect any complications early.
Complications
- If untreated, can lead to permanent central vision loss
- Possible development of retinal detachment or cataracts post-surgery
- Recurrence of macular hole after surgical repair
Lifestyle & Prevention
- Protect eyes from trauma
- Regular eye check-ups, especially for individuals with high risk factors
- Control of systemic conditions like diabetes
When to Seek Professional Help
- Sudden changes in vision or visual distortions
- Difficulty in performing daily activities due to vision changes
Additional Resources
- American Academy of Ophthalmology (www.aao.org)
- Retina International (www.retina-international.org)
- Macular Society (www.macularsociety.org)
Tips for Medical Coders
- Ensure laterality is accurately coded: in this case, the right eye.
- Verify whether the condition involves a cyst, hole, or pseudohole for precise coding.
- Common coding errors include incorrect specification of laterality or overlooking associated conditions like vitreomacular traction.