H18.733
Descemetocele, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Descmetocele, bilateral, is a rare eye condition characterized by a severe protrusion of Descemet's membrane, a thin layer of tissue in the cornea. When it occurs bilaterally, it affects both eyes, potentially leading to significant visual impairment if not properly managed. This condition often results from corneal thinning and can be a serious sight-threatening issue. Recognizing its symptoms and understanding the possible causes are essential steps toward ensuring appropriate medical attention.
Causes & Symptoms
Clinical Causes: Chronic corneal ulceration Previous ocular trauma or injury Infections causing corneal thinning Advanced keratoconus (a degenerative condition of the cornea) Corneal dystrophies History of ocular surgery or procedures causing damage to corneal structure Autoimmune conditions affecting eye tissues
Key Symptoms: Sudden or gradual onset of eye pain Blurred or decreased vision Sensitivity to light (photophobia) Redness and swelling in the affected eye Appearance of a bulging or thinned area on the cornea Tearing or discharge from the eye In some cases, rupture of the corneal area may lead to sudden vision loss
Diagnostic & Treatment
Diagnosis Path: Diagnosing a descmetocele involves a comprehensive eye examination by an ophthalmologist. Diagnostic procedures include:
Treatment Protocols: Management of a descmetocele aims to prevent complications, preserve vision, and restore corneal integrity. Treatment options typically include:
Clinical Advice & FAQs
Billing Guidance
Is H18.733 a billable ICD-10 code?
Yes, H18.733 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H18.733?
Clinical documentation must specify the nature of Descemetocele, bilateral and any associated comorbidities for accurate reporting.
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