H27.133
Posterior dislocation of lens, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Posterior dislocation of the lens occurs when the eye's natural crystalline lens is displaced backward into the vitreous cavity. When this condition affects both eyes simultaneously, it is termed bilateral posterior lens dislocation. This condition is a rare form of lens dislocation and can significantly impair vision if not diagnosed and managed appropriately. It may be associated with trauma, underlying systemic conditions, or degenerative changes within the eye. Recognizing the signs and understanding the causes can help patients seek timely medical attention to preserve their visual health.
Causes & Symptoms
Clinical Causes: Ocular trauma or injury that forces the lens backward Degenerative conditions of the lens capsule or supporting structures Systemic disorders such as Marfan syndrome, homocystinuria, or Weill-Marchesani syndrome Increased intraocular pressure causing lens dislocation Previous eye surgeries or traumatic cataracts
Key Symptoms: Sudden vision loss or blurring in one or both eyes Perception of a shadow or curtain across the visual field Double vision or diplopia in affected eye(s) Presence of floaters or a moving spot in vision Possible pain or discomfort if associated with trauma
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a comprehensive eye examination performed by an ophthalmologist. Key steps include:
Treatment Protocols: Management of posterior dislocation of the lens varies based on the severity and underlying causes. Options may include:
Clinical Advice & FAQs
Billing Guidance
Is H27.133 a billable ICD-10 code?
Yes, H27.133 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H27.133?
Clinical documentation must specify the nature of Posterior dislocation of lens, bilateral and any associated comorbidities for accurate reporting.
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