S05.22XS Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, sequela

ICD10CM code

#### Name of the Condition
- **Ocular Laceration and Rupture with Prolapse or Loss of Intraocular Tissue, Left Eye, Sequela**
- Commonly referred to as traumatic eye rupture or eye laceration aftermath.

#### Summary
- This condition represents a severe ocular injury where the outer structure of the left eye has been compromised, resulting in the loss or prolapse of internal eye components, and refers to the sequela or complications following the initial injury.

#### Causes
- Typically caused by blunt or penetrating trauma to the eye. This can result from accidents, physical assaults, or by impact from foreign objects.

#### Risk Factors
- Engaging in high-risk activities without eye protection.
- Occupational hazards such as construction work or sports.
- Personal history of eye injuries or conditions that weaken eye integrity.

#### Symptoms
- Decreased vision or sudden vision loss.
- Eye pain and possible bleeding.
- Visible deformity or puncture of the eye structure.
- Loss of eye tissue externally visible or reported as missing.

#### Diagnosis
- Physical examination of the eye, often using magnification.
- Imaging tests like CT scans or ultrasounds to assess internal eye damage.
- Visual acuity tests to determine the extent of vision loss.

#### Treatment Options
- Emergency surgical intervention to repair the rupture and salvage eye structure.
- Medications such as antibiotics to prevent infection and anti-inflammatory drugs to alleviate swelling.
- Eye protection post-surgery to prevent further injury.

#### Prognosis and Follow-Up
- Prognosis varies based on the severity of the injury and timeliness of treatment.
- Regular follow-up with an ophthalmologist is crucial to monitor healing and any long-term effects on vision.

#### Complications
- Permanent vision loss in severe cases.
- Development of cataracts or glaucoma.
- Potential for infection that could lead to further eye damage.

#### Lifestyle & Prevention
- Use protective eyewear during activities that pose an eye injury risk.
- Adherence to occupational safety guidelines.
- Immediate response and care following any eye trauma.

#### When to Seek Professional Help
- Sudden decrease in vision or eye pain.
- Any visible injury or deformity of the eye.
- Signs of infection such as redness, warmth, or discharge.

#### Additional Resources
- [American Academy of Ophthalmology](https://www.aao.org/)
- [Prevent Blindness](https://www.preventblindness.org/)
- Patient support groups for individuals who have experienced traumatic eye injuries.

#### Tips for Medical Coders
- Ensure to capture laterality — this code specifically involves the left eye.
- Note that this code pertains to sequela, indicating issues stemming from a previous injury; proper sequencing might be necessary.
- Avoid confusion with acute episodes; use appropriate history codes if needed.

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