This article will outline the causes, symptoms, diagnosis, treatment and the ICD 10 CM code for Meibomian Gland Dysfunction.
Asians are three times more likely to develop foot-and-mouth disease than people of European descent. Age can also play a role, as the number of meiboid glands increases and decreases over time. Wearing contact lenses can make patients less likely to develop MMD.
Drugs that can cause problems with oil production include estrogen replacement therapy, androgens-reducing drugs, retinoid acne drugs, and anti-aging creams. Common medical problems associated with MMD include:
- high cholesterol and triglycerides
- allergic conjunctivitis and other eye diseases (inflamed or damaged eyelids and corneas)
- bacterial infections
- autoimmune diseases such as rosacea, lupus, rheumatoid arthritis
- Sjogrens syndrome
Meibomian Gland Dysfunction ICD 10 Symptoms
There are many symptoms of Meibomian Gland Dysfunction ICD 10. The eyes become dry, and they itch and crunch around the eyes. They can be red, sore and watery and cause vision to become blurred. The eyelids can become sore and swollen, and the glands can become blocked.
Meibomian Gland Dysfunction ICD 10 Diagnosis
Diagnostic tests for Meibomian Gland Dysfunction ICD 10 such as tear volume meibometry, a non-invasive method to quantify the eyelid margin, tear film evaporation, eye surface staining and Schirmer score meibography can be used in conjunction to establish an appropriate diagnostic and management plan for patients with MGT. These tests can also be used to monitor the progression of MGT and the response of patients to therapy.
Meibomian Gland Dysfunction ICD 10 Treatment
The most common treatment for Meibomian Gland Dysfunction ICD 10 is a warm compress on the eyelids, followed by a massage of the eyelid. The aim of this treatment is to block the opening of the Meibomian Gland. Some doctors recommend putting a warm, damp washcloth on the closed eyelids. Others recommend using a specially developed eye mask that delivers heat directly to the lid. In some cases, the heat following the massage can expel molten oil from the gland.
Today, there are many treatment options for Meibomian Gland Dysfunction ICD 10. These treatments can be used alone or in combination with each other. Warm compresses, eyelid massages are not sufficient to treat the dysfunction of the Meibomian Gland or to eliminate the symptoms. Modern treatments for this disorder include Lipiflow and its thermal pulsation system through Johnson & Johnson’s Vision Office of Medical Devices for the treatment of Meibomian Gland Dysfunction ICD 10.
It applies heat to the eyelid to melt the waxy deposits of the meibomian gland. At the same time, it exerts pulsed pressure until the eyelids open to express the contents of the gland. The system is designed to transfer heat and pressure from the eyelids to the eyeball itself. The device is attached to an eyelid for a 12-minute treatment.
Research has shown that a single lipid treatment can improve meibomic glandular secretion and dry eye symptoms for up to three years. Systane Ilux Alcon MgD treatment device: systane Ilux is a portable hand-held instrument. It leads to a heat source that warms the inner and outer surface of the eyelids and causes the waxy secretions trapped in the meiboid glands to melt. If enough heat is applied to melt the secretion, the ophthalmologist can apply compression to the eyelid to express the clogged meibOMian glands and observe the process.
Most patients with the Systane Ilux system can be treated within less than eight minutes using the system. Studies have shown that treatment with Systanes Ilux two to four weeks after treatment leads to a significant improvement in the signs and symptoms of Meibomian Gland Dysfunction. and dry eyes. TearCare is a Sight & Science office for the treatment of MMD.
The TearCare system consists of a disposable adhesive plaster applied to the outer eyelid. The patch is connected to a small, reusable hand-held heater via a cable. After a 12-minute warm-up phase, the ophthalmologist presses the lid open to remove clogged meibomian glands.
A pilot study of the TearCare system showed that it was the most effective treatment option for dry eye MMD and reduced dry eye symptoms lasting for at least six months. No such improvement was observed in a control group of patients who used warm compresses at home.
Intensive pulse light (IPL) has proven to be an effective treatment for Meibom glandular dysfunction and dry eye symptoms. IPL is applied to the eyelids as an intense pulse of visible and infrared light. The light itself has been used by dermatologists for years to treat acne and rosacea.
Each treatment session lasts about 20 minutes. Several treatment sessions can be scheduled during the month to achieve long-lasting effects.
A three-year study with intensive pulse light therapy showed that 93% of the subjects were satisfied with the degree of improvement in their symptoms of meibom glandular dysfunction after a series of treatment sessions. The treatment also reduced inflammation of the eyelids caused by clogged meibomian glands. Blephex in their practice treating blepharitis has also been shown to decrease the symptoms of the disease.
The hand-held Blephex scrubs the edge of the eyelid with a rotating sponge. This eliminates the inflammation caused by the biofilms that form on the eyelids. It is this inflammation that causes the Meibomian Glands to become clogged.
Eyelid debridement treatment: An ophthalmologist uses a hand-held device to remove a material called keratin and other deposits that stick to the edges of the eyelids and clog the meibomian glands. The treatment lasts less than 10 minutes and cleans up to four eyelids. Research has shown that this treatment relieves the symptoms of dry eye and improves the function of the gland up to one month after treatment.
Cyclosporine eye drops: Cyclosporine are active substances that alter the body’s immune response in a specific way. They are contained in prescription eye drops such as Restasis (Allergan, Cequa and Sun Ophthalmics) and are used to treat dry eye symptoms. Antibacterial eye drops Studies have shown that antibacterial eye drops can help solve the dysfunction of the Meibomian Gland. After an eye examination, the ophthalmologist will advise the patient that an antibacterial eye drop is the best option for him.
Ophthalmologists often recommend supplements with omega-3 fatty acids to alleviate MMD symptoms. It appears that omega-3 fatty acids can help suppress inflammation associated with MMD and reduce the risk of wax formation in the Meibomian Gland. A diet rich in omega-3 fatty acids may also reduce the risk of future episodes of Meibomian Gland Dysfunction.
ICD 10 CM H02.88 Meibomian gland dysfunction of eyelid
Related ICD 10 CM Codes:
- ICD 10 CM H02.881 Meibomian Gland Dysfunction right upper lid
- ICD 10 CM H02.882 Meibomian Gland Dysfunction right lower lid
- ICD 10 CM H02.88A Meibomian Gland Dysfunction right upper and lower lids
- ICD 10 CM H02.884 Meibomian Gland Dysfunction left upper lid
- ICD 10 CM H02.885 Meibomian Gland Dysfunction left lower lid
- ICD 10 CM H02.88B Meibomian Gland Dysfunction left upper and lower lids