Name of the Condition

• Corneal Transplant Failure, Left Eye
• Also known as graft failure or keratoplasty failure.

Summary

Corneal transplant failure occurs when the donated corneal tissue placed in the left eye does not function as intended. This condition can happen shortly after surgery or over a longer period.

Causes

• Host rejection of the transplant.
• Infection following surgery.
• Trauma or injury to the eye.
• Pre-existing conditions, such as glaucoma or uveitis.

Risk Factors

• Previous corneal transplants.
• Eye conditions like glaucoma.
• History of eye infections.
• Inadequate postoperative care.

Symptoms

• Decreased vision or visual acuity.
• Redness and swelling of the eye.
• Sensitivity to light.
• Eye pain or discomfort.
• A cloudy or hazy appearance in the cornea.

Diagnosis

• Detailed eye examination.
• Slit-lamp examination.
• Corneal topography.
• Possible biopsy of the corneal tissue.

Treatment Options

• Anti-rejection medication to suppress immune response.
• Anti-inflammatory drugs to reduce swelling.
• Possible repeat corneal transplant surgery.
• Addressing underlying complications or infections.

Prognosis and Follow-Up

• Prognosis varies based on cause and severity of failure.
• Regular monitoring by an ophthalmologist is essential.
• Ongoing check-ups help detect issues early and improve outcomes.

Complications

• Permanent vision impairment if untreated.
• Secondary infections.
• Increased intraocular pressure leading to glaucoma.
• Complete graft rejection requiring another transplant.

Lifestyle & Prevention

• Follow postoperative care instructions diligently.
• Protect eyes from injury and wear sunglasses when outside.
• Regular eye check-ups to monitor eye health.
• Avoid environments with a high risk of eye infections.

When to Seek Professional Help

• Sudden loss or decrease in vision.
• Severe eye pain or persistent discomfort.
• Rapid onset of redness or swelling.
• Presence of discharge or severe sensitivity to light.

Additional Resources

• American Academy of Ophthalmology (www.aao.org)
• Eye Bank Association of America (www.restoresight.org)
• National Eye Institute (www.nei.nih.gov)

Tips for Medical Coders

• Ensure laterality is documented accurately; this code is specific to the left eye.
• Review patient history, as previous transplants may affect coding.
• Avoid confusion with other ocular rejection or transplant failure codes.