Name of the Condition

• Vitreous Prolapse, Right Eye
  
  • Also known as vitreous herniation.

Summary

Vitreous prolapse refers to the displacement of the vitreous gel from its normal position within the eye, often into the anterior chamber or through surgical incisions. This condition specifically affects the right eye and can occur following trauma or certain surgical procedures such as cataract surgery.

Causes

• Occurs primarily due to ocular trauma or surgical interventions involving the eye, particularly after cataract surgery or other intraocular procedures.

Risk Factors

• Recent eye surgery, especially cataract extraction.
• Eye injuries.
• Advanced age, as the vitreous humor naturally degenerates over time.

Symptoms

• Blurred or decreased vision in the affected eye.
• Sensation of something in the eye.
• Possible increase in floaters or visual disturbances.

Diagnosis

• A comprehensive eye examination using slit-lamp biomicroscopy.
• Ultrasound of the eye to visualize the displacement of the vitreous gel.

Treatment Options

• Observation: In cases without complication or vision impairment.
• Surgical Management: Vitrectomy might be indicated to remove the displaced vitreous.
• Medications: Anti-inflammatory or anti-glaucoma medications to manage associated symptoms.

Prognosis and Follow-Up

• Prognosis depends on severity, initial cause, and success of any intervention.
• Regular follow-up to monitor changes in vision or complications, especially if treated surgically.

Complications

• Secondary glaucoma due to blockages in the fluid drainage pathway.
• Retinal detachment if unmanaged.
• Persistent vision impairment.

Lifestyle & Prevention

• Protective eyewear to prevent trauma.
• Proper management and follow-up care post-eye surgery.
• Timely medical attention for eye injuries.

When to Seek Professional Help

• Any sudden changes in vision.
• Severe eye pain or discomfort.
• Noticeable increase in floaters or light flashes.

Additional Resources

• American Academy of Ophthalmology (AAO): aao.org
• National Eye Institute (NEI): nei.nih.gov

Tips for Medical Coders

• Ensure correct eye side specification (right eye) is coded.
• Verify the linkage to recent surgeries or traumatic events when present.
• Avoid confusion with similar vitreous or retinal conditions.