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Irregular astigmatism, right eye

ICD10CM code

Irregular Astigmatism, Right Eye (ICD Code: H52.211)

Name of the Condition

  • Common Name: Irregular Astigmatism
  • Medical Term: Irregular Corneal Astigmatism

Summary

Irregular astigmatism is a vision condition characterized by an uneven curvature of the cornea, leading to distorted or blurred vision in the right eye. Unlike regular astigmatism, the irregular shape cannot be corrected simply by glasses or soft contact lenses.

Causes

The primary causes of irregular astigmatism include:

  • Eye injuries or trauma
  • Certain eye surgeries
  • Keratoconus or other corneal diseases
  • Scarring of the cornea

Risk Factors

  • History of eye surgeries like LASIK
  • Eye injuries or infections
  • Genetic predispositions to corneal disorders

Symptoms

  • Blurred or distorted vision
  • Eye strain or discomfort
  • Difficulty seeing at night
  • Frequent headaches related to eye strain

Diagnosis

  • Comprehensive eye examination
  • Keratometry to measure corneal curvature
  • Corneal topography to map the cornea's surface

Treatment Options

  • Rigid gas-permeable (RGP) contact lenses: Help in reshaping the cornea to correct vision.
  • Corneal cross-linking: Strengthens corneal tissue in cases related to keratoconus.
  • Surgery: Options like corneal transplants in severe cases.

    Prognosis and Follow-Up

    With appropriate treatment, most patients can manage symptoms effectively. Regular follow-ups ensure monitoring of the condition and timely adjustments to treatment plans.

Complications

If not properly managed, irregular astigmatism can lead to permanent vision loss or significant difficulties with everyday tasks requiring clear vision.

Lifestyle & Prevention

  • Avoiding eye trauma and protecting eyes during activities
  • Regular eye checkups for early detection and management
  • Managing and monitoring other eye conditions like keratoconus

When to Seek Professional Help

  • Sudden changes in vision
  • Persistent eye discomfort or pain
  • Difficulty with vision correction using current methods

Additional Resources

  • American Academy of Ophthalmology (AAO)
  • National Keratoconus Foundation
  • Vision Aware by the American Foundation for the Blind

Tips for Medical Coders

  • Ensure specificity by noting the distinction of the right eye in the diagnosis.
  • Double-check for any associated conditions like keratoconus that might require additional codes.
  • Avoid using general astigmatism codes (H52.20) when the condition is specifically irregular in nature.

Medical Policies and Guidelines for Irregular astigmatism, right eye

Related policies from health plans

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