T85.398S Other mechanical complication of other ocular prosthetic devices, implants and grafts, sequela

ICD10CM code

#### Name of the Condition
- Other Mechanical Complication of Other Ocular Prosthetic Devices, Implants, and Grafts, Sequela

#### Summary
- This condition involves complications arising from the use of ocular prosthetic devices, implants, or grafts, following an initial injury or incident. "Sequela" refers to the aftermath or secondary symptoms that persist after the primary problem has been treated.

#### Causes
- This condition can occur due to a variety of mechanical issues related to the design, placement, or deterioration of ocular prosthetics or implants.

#### Risk Factors
- The likelihood of complications increases with age, inadequate post-operative care, previous eye conditions, and the use of older or less advanced prosthetic technology.

#### Symptoms
- Patients might experience discomfort, vision changes, inflammation, or infection as a result of mechanical complications.

#### Diagnosis
- Diagnosis could involve a thorough physical eye examination, imaging techniques such as an MRI or CT scan, and possibly a review of the surgical history related to the ocular device.

#### Treatment Options
- Treatment may involve surgical revision of the implant or prosthetic, medication to manage inflammation or infection, and corrective procedures to address mechanical faults.

#### Prognosis and Follow-Up
- With prompt and proper management, the prognosis tends to be positive, but regular follow-ups are crucial to monitor the function and position of the ocular device and prevent further issues.

#### Complications
- If untreated, complications might include chronic inflammation, persistent pain, worsening vision, or even damage to the eye structure.

#### Lifestyle & Prevention
- Regular eye examinations and adherence to post-operative care instructions can help in early detection and prevention. Maintaining hygiene and protective eyewear may reduce risks.

#### When to Seek Professional Help
- Immediate consultation is necessary if there are signs of severe discomfort, noticeable changes in vision, persistent redness, or swelling around the eye.

#### Additional Resources
- American Academy of Ophthalmology (AAO) – [aao.org](https://www.aao.org)
- Ocular Prosthetics Association – [ocularprosthetics.org](https://www.ocularprosthetics.org)

#### Tips for Medical Coders
- Ensure that the coding reflects the sequela nature of the condition, indicating it is a follow-up issue post initial treatment.
- Double-check for accurate code assignment by verifying against the patient's complete medical and surgical history to distinguish primary conditions from sequelae.

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