H40.1411 Capsular glaucoma with pseudoexfoliation of lens, right eye, mild stage

ICD10CM code

#### Name of the Condition
- Capsular glaucoma with pseudoexfoliation of lens, right eye, mild stage (ICD-10: H40.1411)
- Often referred to as pseudoexfoliation glaucoma.

#### Summary
- Pseudoexfoliation glaucoma is a type of secondary open-angle glaucoma associated with the accumulation of extracellular material on the lens and structures of the eye, specifically affecting the right eye in this case. It causes increased eye pressure which can lead to vision loss.

#### Causes
- This condition is primarily caused by the deposition of pseudoexfoliative material in the eye, which obstructs fluid drainage and leads to increased intraocular pressure.

#### Risk Factors
- Age (more common in those over 60)
- Genetic predisposition
- Scandinavian or Mediterranean descent
- Exposure to ultraviolet (UV) rays

#### Symptoms
- Slowly progressing vision loss
- Elevated eye pressure
- At times, haloes around lights or eye discomfort

#### Diagnosis
- Detailed eye examination by an ophthalmologist
- Measuring intraocular pressure (tonometry)
- Gonioscopy to examine drainage angles
- Optical coherence tomography (OCT) or visual field tests for optic nerve damage

#### Treatment Options
- Medications such as eye drops to lower eye pressure
- Laser therapy (Laser trabeculoplasty) to improve fluid drainage
- Surgery in advanced cases to provide an alternative drainage pathway

#### Prognosis and Follow-Up
- Early detection and treatment can effectively control eye pressure and prevent further vision loss.
- Regular follow-ups are crucial to monitor eye pressure and adjust treatment as needed.

#### Complications
- Without treatment, the condition can lead to significant vision loss or blindness due to damage to the optic nerve.

#### Lifestyle & Prevention
- Regular eye check-ups, especially for those at risk
- Protecting eyes from UV exposure
- Controlling systemic conditions such as hypertension

#### When to Seek Professional Help
- Sudden vision changes
- Intense eye pain
- Red eye or flashes of light

#### Additional Resources
- American Academy of Ophthalmology (aao.org)
- Glaucoma Research Foundation (glaucoma.org)
  
#### Tips for Medical Coders
- Ensure the laterality (right eye) and stage (mild) are correctly documented.
- Double-check for accurate differentiation between primary and secondary types of glaucoma.

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