Name of the Condition

• Hypermetropia, bilateral
• Also known as farsightedness, hyperopia

Summary

Hypermetropia, commonly referred to as farsightedness, is a refractive error where distant objects are seen more clearly than near ones. Bilateral hypermetropia indicates that both eyes are affected. This condition can lead to difficulties with tasks that require short-range vision, such as reading or using a smartphone.

Causes

Hypermetropia is typically caused by an eyeball that is too short or a cornea with too little curvature. This results in light focusing behind the retina instead of directly on it. Genetic factors often play a significant role in its development.

Risk Factors

• Family history of hypermetropia
• Advancing age
• Certain medical conditions, like diabetes

Symptoms

• Blurred vision, especially for close objects
• Eye strain or fatigue after prolonged periods of near work
• Headaches or discomfort around the eyes

Diagnosis

• Comprehensive eye examination
• Refraction assessment to determine the degree of farsightedness

Treatment Options

• Prescription glasses or contact lenses to improve vision clarity.
• Refractive surgery, such as LASIK or PRK, may be considered for eligible individuals to correct the refractive error.

Prognosis and Follow-Up

With appropriate corrective lenses or surgery, individuals with hypermetropia can typically see normally. Regular eye exams are essential to monitor vision changes and adjust prescriptions as needed.

Complications

If left untreated, hypermetropia can lead to strabismus (crossed eyes) in children or persistent eyestrain and headaches in adults, potentially impacting quality of life.

Lifestyle & Prevention

While hypermetropia cannot be prevented, maintaining good eye health through regular eye examinations, protective eyewear, and managing chronic health conditions can help in managing symptoms.

When to Seek Professional Help

Seek professional medical advice if experiencing persistent blurred vision, headaches, or eye fatigue, as these could be signs of hypermetropia or other eye conditions.

Additional Resources

• The American Optometric Association: www.aoa.org
• Prevent Blindness: www.preventblindness.org

Tips for Medical Coders

• Ensure proper documentation mentions "bilateral" to use the H52.03 code correctly.
• Be aware of common errors, such as confusing hypermetropia with myopia, the opposite refractive error (nearsightedness).