H44.753 Retained (nonmagnetic) (old) foreign body in vitreous body, bilateral

Name of the Condition

• Retained (nonmagnetic) (old) foreign body in vitreous body, bilateral

Summary

This condition involves nonmetallic foreign objects retained in the vitreous body of both eyes, typically resulting from prior trauma or injury. The presence of these foreign bodies may cause ocular irritation, vision changes, or increased risk of infection if not addressed. The term "old" indicates the objects have been retained for an extended period.

Causes

Accidental eye trauma, such as penetration by small objects (e.g., wood, plastic, or glass), is the primary cause. The foreign bodies may also be retained following ocular surgery or procedures where objects were inadvertently left behind.

Risk Factors

• Occupations involving machinery or tools that generate high-speed projectiles (e.g., construction, manufacturing).
• Lack of eye protection in hazardous environments.
• History of prior eye injuries or surgeries.

Symptoms

• Eye pain or discomfort
• Redness and irritation
• Blurred vision or vision changes
• Tearing or watery eyes
• Sensation of something in the eye

Diagnosis

Diagnosis involves a physical examination using a slit lamp to inspect the vitreous body. Imaging tests like X-rays or CT scans may be used if the foreign bodies are not visible externally. Clinical history of trauma or prior procedures is also considered.

Treatment Options

Treatment depends on the size, location, and impact of the foreign bodies on vision. Options may include observation, surgical removal, or management of associated complications like infection or inflammation.

Prognosis and Follow-Up

Prognosis varies based on the extent of damage and timely intervention. Regular follow-up is essential to monitor for complications such as infection, retinal detachment, or vision loss.

Complications

• Increased risk of infection (endophthalmitis)
• Retinal detachment
• Vision loss or impairment
• Chronic inflammation

Lifestyle & Prevention

• Wear protective eyewear in hazardous environments.
• Avoid activities with high risk of eye injury.
• Seek prompt medical attention for eye trauma.

When to Seek Professional Help

Consult an eye care specialist if you experience persistent eye pain, vision changes, redness, or a sensation of a foreign body, especially after trauma or surgery.

Tips for Medical Coders

Document the bilateral nature of the condition and confirm the foreign body is nonmagnetic and retained for an extended period. Ensure clinical documentation supports the diagnosis and specifies both eyes are affected.