Name of the Condition

• Other Mechanical Complication of Prosthetic Orbit of Right Eye, Sequela
• ICD Code: T85.390S

Summary

• This condition refers to complications that arise from the mechanical function of a prosthetic orbit specifically on the right eye, occurring as a sequela, which means it is a condition resulting from a previous disease or injury.

Causes

• The primary cause is the mechanical failure or issues with the prosthetic orbit. Initial trauma, surgery for eye removal, or conditions necessitating a prosthesis can lead to this sequela.

Risk Factors

• Usage of eye prosthetics, especially for long durations.
• History of eye surgeries or severe trauma to the eye.
• Previous eye conditions that deteriorated eye health.

Symptoms

• Discomfort or pain around the prosthetic orbit.
• Inflammation or irritation in the surrounding area.
• Misalignment or unstable positioning of the prosthetic orbit.
• Possible vision issues if surrounding structures are impacted.

Diagnosis

• Diagnosis typically includes a physical examination and patient history review.
• Imaging tests like CT or MRI scans can be used to assess the positioning and condition of the prosthetic.

Treatment Options

• Adjustment or replacement of the prosthetic may be necessary to address mechanical issues.
• Anti-inflammatory medications to reduce any irritation.
• Physical therapy or specialized exercises to improve alignment and adaptation.

Prognosis and Follow-Up

• With appropriate treatment, many patients can achieve relief and proper functioning of the prosthetic.
• Regular follow-ups are critical to ensure the prosthesis remains well-adjusted and functional.

Complications

• If untreated, complications can include chronic pain, persistent inflammation, and further mechanical failure leading to more severe interventions.

Lifestyle & Prevention

• Routine care and maintenance of the prosthetic device to ensure functionality.
• Regular consultations with an ophthalmologist or specialist to monitor prosthetic health.

When to Seek Professional Help

• Seek immediate attention if experiencing severe pain, sudden misalignment, or significant changes in surrounding tissue appearance.

Additional Resources

• The American Academy of Ophthalmology for extensive resources on prosthetic eye care.
• Oculoplastic Surgery clinics often have specialized support groups and informational resources.

Tips for Medical Coders

• Ensure that the code T85.390S correctly reflects the condition as a sequela, indicating a complication arising from a previous condition.
• Avoid confusion with initial prosthetic implant complications; sequela specify resulting complications over time.