H35.343 Macular cyst, hole, or pseudohole, bilateral

ICD10CM code

#### Name of the Condition
- Macular cyst, hole, or pseudohole, bilateral

#### Summary
- Macular conditions like cysts, holes, or pseudoholes affect the central part of the retina, known as the macula, in both eyes. This can impair central vision, impacting tasks such as reading or recognizing faces.

#### Causes
- These conditions can be caused by aging, vitreous traction (pulling on the retina), injury, or conditions like diabetic retinopathy and retinal vein occlusion.

#### Risk Factors
- Age (more common in people over 50)
- History of eye injuries or surgeries
- Diabetes
- Family history of macular issues

#### Symptoms
- Blurred or distorted central vision
- A blind spot in the field of vision
- Difficulty in seeing fine details

#### Diagnosis
- Comprehensive eye examination
- Optical coherence tomography (OCT) to capture detailed images of the retina
- Fluorescein angiography to check for leaking blood vessels in the retina

#### Treatment Options
- Observation for mild cases with minimal symptoms
- Vitrectomy surgery to remove vitreous gel and relieve retina traction
- Intraocular injections to reduce swelling or promote healing

#### Prognosis and Follow-Up
- Prognosis varies; some patients experience vision improvement post-treatment, while others may have permanent changes.
- Regular eye exams are crucial for monitoring any progression or new developments.

#### Complications
- Untreated cases can lead to persistent vision loss or retinal detachment.
- Post-surgical complications may include cataract formation or infection.

#### Lifestyle & Prevention
- Maintain regular eye examinations, especially after age 50.
- Manage underlying conditions like diabetes to reduce risk.
- Protect eyes from injuries by using protective eyewear.

#### When to Seek Professional Help
- Sudden changes in vision or new symptoms like visual distortions or blind spots.
- Regular vision check-ups if experiencing progressive vision changes.

#### Additional Resources
- American Academy of Ophthalmology [website](https://www.aao.org)
- Retina International [website](https://retina-international.org)
- Macular Society [website](https://www.macularsociety.org)

#### Tips for Medical Coders
- Ensure bilateral involvement is documented for accurate coding; use H35.343 only when both eyes are affected.
- Double-check for documentation of specific conditions, such as cysts or holes, to select the precise code.

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