H50.811
Duane's syndrome, right eye
Clinical Classification Guidelines
Medical Intelligence & Overview
Duane's syndrome is a congenital eye movement disorder characterized by restricted horizontal eye movement. When it affects the right eye, it can lead to noticeable issues with eye positioning and mobility. This condition is present from birth and results from abnormal development of the sixth cranial nerve, which controls the lateral rectus muscle responsible for moving the eye outward. The condition can vary in severity, from mild movement restriction to significant limitations that affect vision and eye alignment.
Causes & Symptoms
Clinical Causes: Abnormal development of cranial nerve VI (abducens nerve) during fetal growth Genetic factors that may be inherited or occur randomly Associated syndromes such as Goldenhar syndrome or Holt-Oram syndrome Environmental influences during pregnancy, although specific causes are often unknown
Key Symptoms: Limited horizontal eye movement, particularly when attempting to look to the side Pulling or narrowing of the eye's opening during movement Palpebral fissure narrowing on the affected side Double vision in some cases, especially if both eyes are affected Eye misalignment or strabismus, leading to a prominent eye appearance or head turn to compensate
Diagnostic & Treatment
Diagnosis Path: Diagnosis is primarily clinical, involving a detailed examination of eye movements. Eye specialists perform tests to observe restricted movement patterns and abnormal eye positioning. Additional assessments may include:
Treatment Protocols: Surgical intervention to improve eye alignment and movement, such as muscle repositioning procedures Prism glasses to help manage double vision or improve eye coordination Vision therapy to strengthen eye muscles and improve coordination Regular monitoring to assess changes over time, especially in young children
Clinical Advice & FAQs
Billing Guidance
Is H50.811 a billable ICD-10 code?
Yes, H50.811 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H50.811?
Clinical documentation must specify the nature of Duane's syndrome, right eye and any associated comorbidities for accurate reporting.
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