icd 9 code for salzmann's nodular degeneration

What is Salzmann's nodular dystrophy ICD 10?

Salzmann's nodular dystrophy Salzmanns nodular corneal degeneration ICD-10-CM H18.459 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 124 Other disorders of the eye with mcc

What is Salzmann nodular degeneration (Salzmann disease)?

Salzmann nodular degeneration is a disease of uncertain etiology in which inflammation of the ocular surface may play a role. It predominantly affects women in the sixth decade of life.

Where can I find a virtual microscope image of Salzmann nodular degeneration?

The American Academy of Ophthalmology's Pathology Atlas contains a virtual microscopy image of Salzmann Nodular Degeneration .

What is Salzmann's nodular degeneration?

Salzmann's nodular degeneration SND is a slowly progressive condition in which gray-white to bluish nodules measuring 1-3 mm are seen anterior to Bowman's layer of the cornea, usually bilaterally,,. These elevated nodules can be located near the limbus or in the mid-peripheral cornea.

Is Salzmann's nodular degeneration hereditary?

Salzmann nodular degeneration was first described by Maximilian Salzmann. 1 It is more often associated with chronic corneal diseases2 and is not considered to be hereditary. We describe this condition in four women in four successive generations, all direct descendants.

How do you treat Salzmann's nodules?

Salzmann's nodules can be removed with a blade or with an excimer laser (phototherapeutic keratectomy or PTK) with good success. The nodules sometimes recur after excision. The use of the anti-scarring agent mitomycin-C at the time of the procedure is believed to reduce the frequency and severity of recurrences.

What is Salzman eye disease?

Salzmann's Nodular Degeneration (SND) is characterized by multiple superficial blue-white nodules in the midperiphery of the cornea. The pathogenesis is unknown and usually develops following ocular surface inflammation or surgery as an end-stage of the corneal scarring pathway.

How common is Salzmann's nodular degeneration?

Salzmann's nodular degeneration is an uncommon, yet potentially sight-threatening condition that may require surgery. By Paul M. Karpecki, O.D., and Diana L. Shechtman, O.D.

What is anterior basement membrane dystrophy?

Anterior Basement Membrane Corneal Dystrophy is the official name for Map Dot Fingerprint Corneal Dystrophy. In this condition, the basement membrane under the corneal epithelium does not function properly. The basement membrane functions as a sticky anchor over which the epithelium grows.

What is corneal degeneration?

Corneal degenerations are changes or gradual deteriorations in the tissue of the cornea. They can negatively impact the function of the cornea, limiting its ability to help the eye focus properly. Over time, corneal degenerations can cause loss of vision, eye pain, and other issues.

What is peripheral hypertrophic Subepithelial corneal degeneration?

Peripheral hypertrophic subepithelial degeneration is characteristic of middle-aged women, in whom it is typically a bilateral idiopathic degeneration of the cornea associated with ocular surface disease and reduced vision. The fibrotic lesions probably undergo remodelling, inducing changes in corneal contour.

What causes nodules in the eyes?

These bumps are irregularly shaped and tend to be white or yellowish. They are caused by deposits of fat or protein and are usually located on the white part of the eyeball nearest the nose. A combination of dry eyes and UV rays from the sun can cause a pinguecula to form.

What are nodules on eyes called?

A pinguecula is a fairly common, non-cancerous growth that forms on the conjunctiva, or white tissue near the cornea. It is a yellowish patch or bump, and typically forms on the inner side of the eye, near the nose. A pinguecula is caused by changes in your conjunctiva tissue.

What is Terrien's marginal degeneration?

Terrien's marginal degeneration is an uncommon but distinct variety of marginal thinning of the cornea. It causes a slowly progressive non-inflammatory, unilateral or asymmetrically bilateral peripheral corneal thinning and is associated with corneal neovascularization, opacification and lipid deposition.

What is Fuchs dystrophy?

Fuchs' dystrophy; Fuchs' endothelial dystrophy; Fuchs' corneal dystrophy. Fuchs (pronounced "fooks") dystrophy is an eye disease in which cells lining the inner surface of the cornea slowly start to die off. The disease most often affects both eyes.

Where are Salzmann's nodular degeneration nodules located?

These elevated nodules can be located near the limbus or in the mid-peripheral cornea.

Does spontaneous resolution of nodular lesions require surgical removal?

Spontaneous resolution has not been reported to date —treatment involves either medical management or surgical removal of the nodu lar lesions , depending on the patient’s clinical picture. Surgical treatment (when indicated) usually results in rapid improvement of visual acuity .

Is the nodular stroma mitotically active?

The kera tocytes seen in the nodular stroma have not been shown to be mitotically active; rather, they resemble activated fibroblasts or myofibroblasts of the anterior stroma during corneal repair. Morphometric analysis yields a thinned corneal epithelium (2-4 fold) overlying the Salzmann nodules .

Can keratectomy separate nodular tissue?

In some cases, superficial keratectomy can easily separate elevated nodular tissue from the corneal surface, leaving Bowman’s layer (where present) untouched. These operations are followed by subsequent phototherapeutic keratectomy in order to create a homogeneous cornea. Recurrence is rare with such cases.

What are the white nodules on the cornea?

For an unknown reason, some eyes develop one or more creamy white nodular elevations called Salzmann’s nodules. These are often mild and located at the edge of the cornea, not causing any symptoms, and can simply be followed. However, if the nodules are larger or more central, they may cause irritation and/or decreased vision.

Can Salzmann's nodules be removed?

Salzmann’s nodules can be removed with a blade or with an excimer laser (phototherapeutic kerat ectomy or PTK) with good success. The nodules sometimes recur after excision. The use of the anti-scarring agent mitomycin-C at the time of the procedure is believed to reduce the frequency and severity of recurrences.