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Paresis of accommodation, unspecified eye
ICD10CM code
Name of the Condition
- Paresis of Accommodation, Unspecified Eye
- Also known as accommodation paresis or accommodative dysfunction.
Summary
Paresis of accommodation is a condition affecting the eye's ability to change its focus from distant to near objects, often resulting in blurred vision for close tasks. This occurs due to weakness or dysfunction in the ciliary muscles, which adjust the lens shape for proper focusing.
Causes
- Trauma or injury to the eye or head.
- Neurological disorders such as multiple sclerosis.
- Certain medications, particularly those with anticholinergic properties.
- Systemic diseases like diabetes.
Risk Factors
- Advanced age leading to presbyopia, a similar age-related decrease in accommodation.
- History of eye surgeries.
- Use of medications that affect the parasympathetic nervous system.
Symptoms
- Difficulty focusing on near objects.
- Eyestrain or headaches during tasks involving close vision.
- Blurred vision when shifting focus from distant to near objects.
Diagnosis
- Comprehensive eye examination.
- Refraction tests to check vision clarity.
- Accommodation amplitude tests to measure focusing ability.
- Neurological assessment if a systemic cause is suspected.
Treatment Options
- Prescription of near-vision glasses or bifocal lenses to aid in focusing.
- Discontinuation or adjustment of any causative medications.
- Vision therapy exercises to strengthen eye muscles.
- Addressing underlying systemic conditions if present.
Prognosis and Follow-Up
- With appropriate treatment, symptoms can typically be well-managed.
- Regular follow-ups with an eye care professional are essential to monitor changes in vision and adjust prescriptions as needed.
Complications
- Persistent blurred vision and eye strain can impact daily activities and quality of life.
- If associated with systemic or neurological conditions, other complications may arise.
Lifestyle & Prevention
- Protect eyes from injury by using appropriate eye protection during high-risk activities.
- Regular eye examinations to detect changes in vision early.
- Balanced diet rich in vitamins for eye health, like Vitamin A and lutein.
When to Seek Professional Help
- Sudden or severe changes in vision.
- Blurred vision that impacts daily activities or fails to improve with rest.
- Accompanying symptoms such as severe headaches, nausea, or neurological signs.
Additional Resources
- American Academy of Ophthalmology (AAO): aao.org
- Vision Health Resource: visionresource.org
- Patient support groups for eye health and vision disorders.
Tips for Medical Coders
- Ensure specificity: Use H52.529 specifically for unspecified eye involvement.
- Avoid misclassifying under more general eye conditions like presbyopia unless specified.
- Verify if systemic causes are coded separately if documented in the medical record.