B30.0
Keratoconjunctivitis due to adenovirus
Clinical Classification Guidelines
Inclusion Terms
- Epidemic keratoconjunctivitis
- Shipyard eye
Medical Intelligence & Overview
Keratoconjunctivitis due to adenovirus, commonly known as epidemic keratoconjunctivitis or 'shipyard eye,' is a highly contagious eye infection caused by adenoviruses. This condition affects the conjunctiva, the clear tissue covering the white of the eye and the inner eyelids, and the cornea, the transparent outer layer of the eye. It often occurs in outbreaks, especially in crowded environments such as ships, schools, or workplaces, leading to widespread discomfort and eye health concerns.
Causes & Symptoms
Clinical Causes: Infection with adenoviruses, which are a group of viruses that can cause a variety of illnesses. Direct contact with infected eye secretions, such as touching contaminated surfaces and then touching the eyes. Infection spread through contaminated towels, tissues, or other personal items. Exposure to eye fluids from infected individuals, especially in communal settings. Touching eyes with unwashed hands after being in contact with infected individuals or contaminated objects.
Key Symptoms: Redness of the eyes (conjunctival injection). Swelling of the eyelids. Itchy eyes or a sensation of grit or foreign body in the eye. Tearing or watery eyes. Discharge from the eyes, which may be watery or mucopurulent. Blurred vision or sensitivity to light (photophobia). Pain or discomfort in the eyes, particularly if the cornea becomes involved. A feeling of irritation or burning sensation in the eyes.
Diagnostic & Treatment
Diagnosis Path: Diagnosis is primarily based on the clinical presentation and history of exposure. An eye care professional may examine the eyes using a slit lamp to assess the degree of conjunctival and corneal involvement. In some cases, laboratory tests such as conjunctival swabs or tear samples may be conducted to identify the specific adenovirus type, especially during outbreaks or for research purposes. Differentiating this infection from other types of conjunctivitis is important for appropriate management.
Treatment Protocols: There is no specific antiviral treatment for adenoviral keratoconjunctivitis. Management focuses on relieving symptoms and preventing complications. Recommended approaches include:
Clinical Advice & FAQs
Billing Guidance
Is B30.0 a billable ICD-10 code?
Yes, B30.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report B30.0?
Clinical documentation must specify the nature of Keratoconjunctivitis due to adenovirus and any associated comorbidities for accurate reporting.
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