What is zonular instability?

Zonular instability is no doubt the bane of many a cataract surgeon, as the risk for the cataract moving posteriorly or the vitreous moving anteriorly becomes higher, putting patients at risk for such complications as a retinal hole or detachment.

What is zonular dehiscence?

Definition. Rupture of the fibrous strands connecting the ciliary body and the crystalline lens of the eye. [

What is the ICD 10 code for zonular dehiscence?

H27. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM H27. 8 became effective on October 1, 2020.

What is the ICD 10 code for zonular weakness?

9, H22). Zonular weakness, as occurs with pseudoexfoliation (H26. 8 or H40.

What is zonular weakness?

Zonular weakness can be caused by disease or trauma, and its presence can make cataract surgery more challenging. Fortunately, there are adjunctive devices to effectively manage it and achieve successful outcomes. Causes. Certain diseases of the eye are associated with zonular weakness or insufficiency.

When do you use a capsular tension ring?

Capsular tension rings (CTRs), well known to ophthalmic surgeons, are C-shaped devices used to stabilize the capsular bag of the crystalline lens during cataract surgery in eyes with zonular weakness.

How is intraoperative zonular dialysis diagnosed?

… Intraoperative signs of zonulopathy include difficulty in the central perforation of the anterior lenticular capsule with the cystotome, extremely wrinkling and the mobility of the anterior lenticular capsule, and heavy movement of the peripheral lenticular capsule when capsular flap is maneuvered with capsule …

Is a capsular tension ring an implant?

The Capsular Tension Ring is a sterile, non·optical ocular implant that is permanently inserted into the Ciystalline lens capsular bag during intraocular lens surgery.

Can you see cataracts in the mirror?

At some point, the maturing lens begins to opacify, blocking and scattering the light entering the eye. If left untreated, a cataract will naturally continue to progress. In some cases, the maturing cataract becomes completely white and can be seen in the mirror or by others.

What is the concept ID for zonular dialysis?

Zonular dialysis MedGen UID: 721512 •Concept ID: C1299674 Finding SNOMED CT: Zonular dialysis (370935006) Recent clinical studies Etiology Prevalence of cataract complications in patients with pseudoexfoliation syndrome in Northwestern Spain.

How is zonular dialysis used to treat vitreous loss?

Zonular dialysis and vitreous loss with a J-shaped hydrodissection cannula during phacoemulsification. Munshi V, Sampat V, Pagliarini SJ Cataract Refract Surg2005 Feb;31(2):450-1. doi: 10.1016/j.jcrs

How is triamcinolone suspension used in zonular dialysis?

Triamcinolone suspension is used to stain the vitreous that has prolapsed through a traumatic zonular dialysis and the pupil. Compartmentalizing the vitreous pr

What is a deficiency of zonular support for the lenticular capsule?

Zonulopathy is a state in which there is a deficiency of zonular support for the lenticular capsule. Zonulopathy may be include malposition of the lens (subluxation or dislocation), though in many cases no malposition may be present.