H35.373 Puckering of macula, bilateral

Name of the Condition

Puckering of macula, bilateral
Also known as bilateral macular pucker or bilateral epiretinal membrane (ERM).

Summary

Bilateral macular puckering is a condition where a thin layer of scar tissue forms on the macula, the central part of the retina responsible for sharp, detailed vision, in both eyes. This can lead to distorted or blurred vision in both eyes.

Causes

Age-related changes are the most common cause. Eye injuries, surgeries, or conditions like diabetic retinopathy or retinal detachment may also contribute to the development of the scar tissue.

Risk Factors

Aging, particularly individuals over 50 years old. Previous eye surgeries or trauma. Associated eye conditions like retinal detachment or diabetic retinopathy.

Symptoms

Distorted or blurred central vision in both eyes. Wavy or crooked lines. Difficulty reading small print. Gray or cloudy areas in vision.

Diagnosis

Comprehensive eye examination. Optical Coherence Tomography (OCT) to visualize the layers of the retina. Fluorescein angiography may be used to rule out other conditions.

Treatment Options

Observation in mild cases where symptoms are not significant. Vitrectomy surgery to remove the scar tissue on the retina. Helps improve vision clarity and reduce distortions.

Prognosis and Follow-Up

Many patients recover some vision post-surgery, though full restoration to normal may not be achieved. Regular monitoring is essential to track progression.

Complications

Permanent vision loss if left untreated. Recurrence of the membrane after surgery. Increased risk of retinal tears or detachment.

Lifestyle & Prevention

Protect eyes from injury. Manage underlying conditions like diabetes. Regular eye exams, especially for those over 50.

When to Seek Professional Help

Sudden changes in vision. Persistent blurriness or distortion. Difficulty with daily tasks like reading or driving.

Tips for Medical Coders

Use H35.373 for bilateral puckering of the macula. Document the bilateral nature and any associated conditions. Ensure clinical correlation with diagnostic findings.