第七章    眼與附器疾病

Transcription

1 (H00-H59) Chapter VII Diseases of the eye and adnexa (H00-H59) (P00-P96) (A00-B99) (O00-O99) 異 (Q00-Q99) 泌 ()() (E00-E90) [] (S00-T98) (C00-D48) 狀 臨 ( ) 異 類 (R00-R99) Excludes: certain conditions originating in the perinatal period (P00-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O99) congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E90) injury, poisoning and certain other consequences of external causes (S00-T98) neoplasms (C00-D48) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) 列 () This chapter contains the following blocks: H00-H06 淚 H10-H13 H15-H22 狀 H25-H28 H30-H36 H40-H42 H43-H45 H00-H06 Disorders of eyelid, lacrimal system and orbit H10-H13 Disorders of conjunctiva H15-H22 Disorders of sclera, cornea, iris and ciliary body H25-H28 Disorders of lens H30-H36 Disorders of choroid and retina H40-H42 Glaucoma H43-H45 Disorders of vitreous body and globe 465

2 H46-H48 神 路 H49-H52 H53-H54 ( 力 )( 亂 ) () H55-H59 H46-H48 Disorders of optic nerve and visual pathways H49-H52 Disorders of ocular muscles, binocular movement, accommodation and refraction H53-H54 Visual disturbances and blindness H55-H59 Other disorders of eye and adnexa 類 Asterisk categories for this chapter are provided as follows: H03* 類 () H03* Disorders of eyelid in diseases classified elsewhere H06* 類 () 淚 H06* Disorders of lacrimal system and orbit in diseases H13* 類 () H13* Disorders of conjunctiva in diseases H19* 類 () H19* Disorders of sclera and cornea in diseases H22* 類 () 狀 H28* 類 () H32* 類 () H36* 類 () H22* Disorders of iris and ciliary body in diseases H28* Cataract and other disorders of lens in diseases H32* Chorioretinal disorders in diseases H36* Retinal disorders in diseases classified elsewhere H42* 類 () H42* Glaucoma in diseases H45* 類 () H48* 類 () 神 路 H45* Disorders of vitreous body and globe in diseases H48* Disorders of optic nerve and visual pathways in diseases 466

3 H58* 類 () H58* Other disorders of eye and adnexa in diseases 淚 (H00-H06) Disorders of eyelid, lacrimal system and orbit (H00-H06) H00 粒 粒 H00 Hordeolum and chalazion H00.0 粒 () H00.0 Hordeolum and other deep inflammation of eyelid Abscess of eyelid Furuncle ( 粒 ) Stye H00.1 粒 H00.1 Chalazion H01 () H01.0 H01.0 Blepharitis (H10.5) H01 Other inflammation of eyelid Excludes: blepharoconjunctivitis (H10.5) H01.1 H01.1 Noninfectious dermatoses of eyelid ( 列 ) Dermatitis: allergic contact eczematous of eyelid 狀 狼 Discoid lupus erythematosus Xeroderma H01.8 H01.8 Other specified inflammation of eyelid H01.9 H01.9 Inflammation of eyelid, unspecified H02 H02 Other disorders of eyelid (Q10.0-Q10.3) Excludes: congenital malformations of eyelid (Q10.0-Q10.3) H02.0 H02.0 Entropion and trichiasis of eyelid H02.1 H02.1 Ectropion of eyelid H02.2 H02.2 Lagophthalmos H02.3 () H02.3 Blepharochalasis H02.4 H02.4 Ptosis of eyelid H02.5 () H02.5 Other disorders affecting eyelid function 連 Ankyloblepharon 467

4 裂 (G24.5) ()() (F95.-) (G25.6) Blepharophimosis Lid retraction Excludes: blepharospasm (G24.5) tic (psychogenic) (F95.-) organic (G25.6) H02.6 H02.6 Xanthelasma of eyelid H02.7 H02.7 Other degenerative disorders of eyelid and periocular area Chloasma 落 Madarosis of eyelid () Vitiligo H02.8 H02.8 Other specified disorders of eyelid Hypertrichosis of eyelid 異 留 Retained foreign body in eyelid H02.9 H02.9 Disorder of eyelid, unspecified H03* 類 () H03.0* 類 () () (B88.0 ) H03* Disorders of eyelid in diseases H03.0* Parasitic infestation of eyelid in diseases Dermatitis of eyelid due to Demodex species (B88.0 ) 列 () Parasitic infestation of eyelid in: 利 什 () (B55.- ) leishmaniasis (B55.- ) 羅 () (B74.3 ) loiasis (B74.3 ) () (B73 ) () (B85.3 ) onchocerciasis (B73 ) phthiriasis (B85.3 ) H03.1* 類 () 列 () []() (B00.5 ) H03.1* Involvement of eyelid in other infectious diseases Involvement of eyelid in: herpesviral [herpes simplex] infections (B00.5 ) 癩 [] (A30.- ) leprosy (A30.- ) (B08.1 ) (A18.4 ) (A66.- ) molluscum contagiosum (B08.1 ) tuberculosis (A18.4 ) yaws (A66.- ) 468

5 狀 (B02.3 ) zoster (B02.3 ) H03.8* 類 () () (L01.0 ) H03.8* Involvement of eyelid in other diseases Involvement of eyelid in impetigo (L01.0 ) H04 淚 淚 (Q10.4-Q10.6) H04 Disorders of lacrimal system H04.0 淚 H04.0 Dacryoadenitis 淚 Excludes: congenital malformations of lacrimal system (Q10.4-Q10.6) Chronic enlargement of lacrimal gland H04.1 淚 H04.1 Other disorders of lacrimal gland 淚 淚 Dacryops Dry eye syndrome Lacrimal: cyst gland atrophy H04.2 淚 淚 H04.2 Epiphora H04.3 淚 () H04.3 Acute and unspecified inflammation of lacrimal passages () 淚 Dacryocystitis (phlegmonous) acute, 淚 Dacryopericystitis subacute or 淚 Lacrimal canaliculitis unspecified 淚 (P39.1) Excludes: neonatal dacryocystitis (P39.1) H04.4 淚 () H04.4 Chronic inflammation of lacrimal 淚 淚 passages Dacryocystitis Lacrimal: 淚 canaliculitis mucocele chronic H04.5 淚 () 不 ( 不 ) H04.5 Stenosis and insufficiency of lacrimal 淚 淚 淚 passages Dacryolith Eversion of lacrimal punctum Stenosis of lacrimal: 淚 canaliculi 469

6 淚 duct 淚 sac H04.6 淚 H04.6 Other changes of lacrimal passages 淚 Lacrimal fistula H04.8 淚 H04.8 Other disorders of lacrimal system H04.9 淚 H04.9 Disorder of lacrimal system, unspecified H05 H05 Disorders of orbit (Q10.7) Excludes: congenital malformation of orbit (Q10.7) H05.0 () H05.0 Acute inflammation of orbit Abscess Cellulitis Osteomyelitis of orbit Periostitis Tenonitis H05.1 () H05.1 Chronic inflammatory disorders of orbit Granuloma of orbit H05.2 H05.2 Exophthalmic conditions () Displacement of globe (lateral) NOS Haemorrhage of orbit Oedemat H05.3 H05.3 Deformity of orbit Atrophy Exostosis of orbit H05.4 H05.4 Enophthalmos H05.5 刺 留 () 異 H05.5 Retained (old) foreign body following penetrating wound of orbit 異 Retrobulbar foreign body H05.8 H05.8 Other disorders of orbit Cyst of orbit H05.9 H05.9 Disorder of orbit, unspecified H06* 類 () 淚 H06* Disorders of lacrimal system and orbit in diseases 470

7 H06.0* 類 () 淚 H06.0* Disorders of lacrimal system in diseases H06.1* 類 () () H06.1* Parasitic infestation of orbit in diseases () (B67.- ) Echinococcus infestation of orbit (B67.- ) () (B87.2 ) Myiasis of orbit (B87.2 ) H06.2* 狀 () (E05.- ) H06.2* Dysthyroid exophthalmos (E05.- ) H06.3* 類 () H06.3* Other disorders of orbit in diseases (H10-H13) Disorders of conjunctiva (H10-H13) H10 H10 Conjunctivitis (H16.2) Excludes: keratoconjunctivitis (H16.2) H10.0 H10.0 Mucopurulent conjunctivitis H10.1 異 H10.1 Acute atopic conjunctivitis H10.2 H10.2 Other acute conjunctivitis H10.3 H10.3 Acute conjunctivitis, unspecified Excludes: ophthalmia neonatorum NOS (P39.1) (P39.1) H10.4 H10.4 Chronic conjunctivitis H10.5 H10.5 Blepharoconjunctivitis H10.8 H10.8 Other conjunctivitis H10.9 H10.9 Conjunctivitis, unspecified H11 (H16.2) H11.0 狀 H11.0 Pterygium 狀 (H11.8) H11 Other disorders of conjunctiva Excludes: keratoconjunctivitis (H16.2) Excludes: pseudopterygium (H11.8) H11.1 沈 () H11.1 Conjunctival degenerations and deposits ( 列 ) Conjunctival: 沈 ()[] 沈 () argyrosis [argyria] concretions pigmentation xerosis NOS 471

8 H11.2 () H11.2 Conjunctival scars ( 連 ) Symblepharon H11.3 H11.3 Conjunctival haemorrhage Subconjunctival haemorrhage H11.4 H11.4 Other conjunctival vascular disorders and cysts ( 列 ) Conjunctival aneurysm hyperaemia oedema H11.8 H11.8 Other specified disorders of conjunctiva 狀 Pseudopterygium H11.9 H11.9 Disorder of conjunctiva, unspecified H13* 類 () H13* Disorders of conjunctiva in diseases H13.0* (B74.- ) H13.0* Filarial infestation of conjunctiva (B74.- ) H13.1* 類 ( ) H13.1* Conjunctivitis in infectious and parasitic diseases ( 列 ) Conjunctivitis (due to): (B60.1 ) Acanthamoeba (B60.1 ) () 濾 (B30.1 ) adenoviral follicular (acute) (B30.1 ) (A74.0 ) chlamydial (A74.0 ) (A36.8 ) diphtheritic (A36.8 ) 淋 (A54.3 ) gonococcal (A54.3 ) ( )( 流 行 ) (B30.3 ) haemorrhagic (acute) (epidemic) (B30.3 ) [] (B00.5 ) herpesviral [herpes simplex] (B00.5 ) () (A39.8 ) meningococcal (A39.8 ) (B30.8 ) Newcastle (B30.8 ) 狀 (B02.3 ) zoster (B02.3 ) H13.2* 類 () H13.2* Conjunctivitis in other diseases classified elsewhere H13.3* 類 (L12.- ) H13.3* Ocular pemphigoid (L12.- ) H13.8* 類 () H13.8* Other disorders of conjunctiva in diseases 472

9 狀 (H15-H22) Disorders of sclera, cornea, iris and ciliary body (H15-H22) H15 H15 Disorders of sclera H15.0 H15.0 Scleritis H15.1 H15.1 Episcleritis H15.8 H15.8 Other disorders of sclera Equatorial staphyloma 隆 () Scleral ectasia () (H44.2) Excludes: degenerative myopia (H44.2) H15.9 H15.9 Disorder of sclera, unspecified H16 H16 Keratitis H16.0 H16.0 Corneal ulcer ( 列 ) Ulcer: : corneal: NOS central marginal perforated ring with hypopyon Mooren () Mooren H16.1 ( ) H16.1 Other superficial keratitis without conjunctivitis ( 列 ) Keratitis: 暈 areolar 狀 filamentary nummular 狀 stellate 狀 狀 striate superficial punctate Photokeratitis Snow blindness 473

10 H16.2 H16.2 Keratoconjunctivitis ( 列 ) Keratoconjunctivitis: NOS 暴 露 exposure 神 neurotrophic phlyctenular Ophthalmia nodosa Superficial keratitis with conjunctivitis H16.3 H16.3 Interstitial and deep keratitis H16.4 H16.4 Corneal neovascularization () Ghost vessels (corneal) () Pannus (corneal) H16.8 H16.8 Other keratitis H16.9 H16.9 Keratitis, unspecified H17 () H17 Corneal scars and opacities H17.0 ( 連 ) H17.0 Adherent leukoma H17.1 H17.1 Other central corneal opacity H17.8 () H17.8 Other corneal scars and opacities H17.9 () H17.9 Corneal scar and opacity, unspecified H18 H18 Other disorders of cornea H18.0 沈 () H18.0 Corneal pigmentations and deposits 沈 Haematocornea Kayser-Fleischer () Kayser-Fleischer ring Krukenberg () Krukenberg's spindle Staehli () Staehli's line 若 () Use additional external cause code (Chapter XX), if desired, to identify drug, if drug-induced. H18.1 () H18.1 Bullous keratopathy H18.2 H18.2 Other corneal oedema H18.3 H18.3 Changes in corneal membranes Descemet ( 裂 Fold Rupture in Descemet's membrane H18.4 H18.4 Corneal degeneration 474

11 老 年 Arcus senilis 狀 Mooren () (H16.0) Band keratopathy Excludes: Mooren's ulcer (H16.0) H18.5 () H18.5 Hereditary corneal dystrophies ( 列 )() Dystrophy: corneal: epithelial 粒 granular 狀 lattice 狀 macular Fuchs () Fuchs H18.6 H18.6 Keratoconus H18.7 () H18.7 Other corneal deformities ( 列 ) Corneal: 隆 () ectasia 力 (Q13.3-Q13.4) staphyloma Descemetocele Excludes: congenital malformations of cornea (Q13.3-Q13.4) H18.8 H18.8 Other specified disorders of cornea Anaesthesia Hypaesthesia of cornea 復 () 爛 Recurrent erosion H18.9 H18.9 Disorder of cornea, unspecified H19* 類 () H19.0* 類 () (A52.7 ) (A18.5 ) 狀 (B02.3 ) H19* Disorders of sclera and cornea in diseases H19.0* Scleritis and episcleritis in diseases Syphilitic episcleritis (A52.7 ) Tuberculous episcleritis (A18.5 ) Zoster scleritis (B02.3 ) H19.1* (B00.5 ) H19.1* Herpesviral keratitis and keratoconjunctivitis (B00.5 ) 475

12 狀 狀 Dendritic and disciform keratitis H19.2* 類 () 流 行 (B30.0 ) 列 () () (B60.1 ) (B05.8 ) (A50.3 ) (A18.5 ) H19.2* Keratitis and keratoconjunctivitis in other infectious and parasitic diseases Epidemic keratoconjunctivitis (B30.0 ) Keratitis and keratoconjunctivitis (interstitial) in: acanthamoebiasis (B60.1 ) measles (B05.8 ) syphilis (A50.3 ) tuberculosis (A18.5 ) 狀 (B02.3 ) zoster (B02.3 ) H19.3* 類 () (M35.0 ) H19.3* Keratitis and keratoconjunctivitis in other diseases Keratoconjunctivitis sicca (M35.0 ) H19.8* 類 () H19.8* Other disorders of sclera and cornea in diseases Down () (Q90.- ) Keratoconus in Down's syndrome(q90.- ) H20 狀 H20 Iridocyclitis H20.0 狀 H20.0 Acute and subacute iridocyclitis Anterior uveitis acute, recurrent or 狀 Cyclitis subacute Iritis H20.1 狀 H20.1 Chronic iridocyclitis H20.2 狀 H20.2 Lens-induced iridocyclitis H20.8 狀 H20.8 Other iridocyclitis H20.9 狀 H20.9 Iridocyclitis, unspecified H21 狀 H21 Other disorders of iris and ciliary body (H44.1) Excludes: sympathetic uveitis (H44.1) H21.0 H21.0 Hyphaema (S05.1) Excludes: traumatic hyphaema (S05.1) H21.1 狀 H21.1 Other vascular disorders of iris and ciliary body 476

13 狀 [] Neovascularization of iris or ciliary body Rubeosis of iris H21.2 狀 H21.2 Degeneration of iris and ciliary body 列 () () 裂 ()( 行 ) Degeneration of: iris (pigmentary) pupillary margin Iridoschisis Iris atrophy (essential)(progressive) Miotic pupillary cyst Translucency of iris H21.3 狀 H21.3 Cyst of iris, ciliary body and anterior 狀 : chamber Cyst of iris, ciliary body or anterior chamber: NOS exudative implantation parasitic (H21.2) Excludes: miotic pupillary cyst (H21.2) H21.4 H21.4 Pupillary membranes ( 隆 ) Iris bombé Pupillary: 塞 occlusion seclusion H21.5 狀 ( 連 ) 裂 ( 連 ) 離 ()( 連 ) 異 (Q13.2) H21.5 Other adhesions and disruptions of iris and ciliary body Goniosynechiae Iridodialysis Recession, chamber angle synechiae (iris): NOS anterior posterior Excludes: corectopia (Q13.2) H21.8 狀 H21.8 Other specified disorders of iris and 477 ciliary body

14 H21.9 狀 H21.9 Disorder of iris and ciliary body, unspecified H22* 類 () 狀 H22* Disorders of iris and ciliary body in diseases H22.0* 類 ( ) 狀 列 () 狀 H22.0* Iridocyclitis in infectious and parasitic diseases Iridocyclitis in: 淋 () (A54.3 ) gonococcal infection (A54.3 ) []() (B00.5 ) () (A51.4 ) (A18.5 ) herpesviral [herpes simplex] infections (B00.5 ) syphilis (secondary) (A51.4 ) tuberculosis (A18.5 ) 狀 (B02.3 ) zoster (B02. 3 ) H22.1* 類 () 狀 列 () 狀 連 (M45 ) (D86.8 ) H22.8* 類 () 狀 H22.1* Iridocyclitis in other diseases classified elsewhere Iridocyclitis in: ankylosing spondylitis (M45 ) sarcoidosis (D86.8 ) H22.8* Other disorders of iris and ciliary body in diseases (H25-H28) Disorders of lens (H25-H28) H25 老 年 () H25 Senile cataract Excludes: capsular glaucoma with 落 (H40.1) pseudoexfoliation of lens (H40.1) H25.0 老 年 H25.0 Senile incipient cataract 老 年 : Senile cataract: 狀 coronary cortical 狀 punctate ()() 老 年 Subcapsular polar senile cataract (anterior) (posterior) 裂 Water clefts 478

15 H25.1 老 年 H25.1 Senile nuclear cataract [] Cataracta brunescens Nuclear sclerosis cataract H25.2 老 年 morgagnian H25.2 Senile cataract, morgagnian type 老 年 Senile hypermature cataract H25.8 老 年 H25.8 Other senile cataract () 老 年 Combined forms of senile cataract H25.9 老 年 H25.9 Senile cataract, unspecified H26 (Q12.0) H26 Other cataract Excludes: congenital cataract (Q12.0) H26.0 年 老 年 H26.0 Infantile, juvenile and presenile cataract H26.1 H26.1 Traumatic cataract ( Use additional external cause code (Chapter ) XX), if desired, to identify cause. H26.2 H26.2 Complicated cataract 狀 () Cataract in chronic iridocyclitis () Cataract secondary to ocular disorders Glaucomatous flecks (subcapsular) H26.3 [] H26.3 Drug-induced cataract ( Use additional external cause code (Chapter ) XX), if desired, to indentify drug. H26.4 復 () H26.4 After-cataract Secondary cataract Soemmerring () Soemmerring's ring H26.8 H26.8 Other specified cataract H26.9 H26.9 Cataract, unspecified H27 () (Q12.-) H27 Other disorders of lens Excludes: congenital lens malformations (Q12.-) 479

16 (T85.2) (Z96.1) mechanical complications of intraocular lens (T85.2) pseudophakia (Z96.1) H27.0 () H27.0 Aphakia H27.1 H27.1 Dislocation of lens H27.8 H27.8 Other specified disorders of lens H27.9 H27.9 Disorder of lens, unspecified H28* 類 () H28.0* 糖 尿 [E10-E14 ().3 ] H28* Cataract and other disorders of lens in diseases H28.0* Diabetic cataract (E10-E14 with common fourth character.3) H28.1* 泌 ()() () H28.1* Cataract in other endocrine, nutritional and metabolic diseases 狀 (E20.- ) Cataract in hypoparathyroidism (E20.- ) 不 良 (E40-E46 ) Malnutrition-dehydration cataract (E40-E46 ) H28.2* 類 () (G71.1 ) H28.8* 類 () H28.2* Cataract in other diseases classified elsewhere Myotonic cataract (G71.1 ) H28.8* Other disorders of lens in diseases (H30-H36) Disorders of choroid and retina (H30-H36) H30 () H30 Chorioretinal inflammation H30.0 () H30.0 Focal chorioretinal inflammation ( 列 )() Focal: chorioretinitis choroiditis retinitis retinochoroiditis H30.1 () H30.1 Disseminated chorioretinal inflammation ( 列 ) Disseminated: chorioretinitis 480

17 (H35.0) choroiditis retinitis retinochoroiditis Excludes: exudative retinopathy (H35.0) H30.2 狀 H30.2 Posterior cyclitis Pars planitis H30.8 H30.8 Other chorioretinal inflammations () Harada's disease H30.9 H30.9 Chorioretinal inflammation, unspecified Chorioretinitis Choroiditis Retinitis NOS Retinochoroiditis H31 H31 Other disorders of choroid H31.0 () H31.0 Chorioretinal scars ()()() Macula scars of posterior pole (postinflammatory) (post-traumatic) Solar retinopathy H31.1 H31.1 Choroidal degeneration Atrophy Sclerosis of choroid 狀 (H35.3) Excludes: angioid streaks (H35.3) H31.2 () H31.2 Hereditary choroidal dystrophy Choroideremia ( 暈 狀 )()() () Dystrophy, choroidal (central areolar) (generalized) (peripapillary) 狀 Gyrate atrophy, choroid (E72.4) Excludes: ornithinaemia (E72.4) H31.3 裂 H31.3 Choroidal haemorrhage and rupture Choroidal haemorrhage: NOS expulsive H31.4 離 H31.4 Choroidal detachment H31.8 H31.8 Other specified disorders of choroid 481

18 H31.9 H31.9 Disorder of choroid, unspecified H32* 類 () H32* Chorioretinal disorders in diseases H32.0* 類 ( ) H32.0* Chorioretinal inflammation in infectious and parasitic diseases ( 列 ): Chorioretinitis: (A52.7 ) syphilitic, late (A52.7 ) (B58.0 ) toxoplasma (B58.0 ) (A18.5 ) tuberculous (A18.5) H32.8* 類 () H32.8* Other chorioretinal disorders in diseases H33 離 裂 離 (H35.7) H33.0 離 () 裂 裂 離 H33 Retinal detachments and breaks Excludes: detachment of retinal pigment epithelium (H35.7) H33.0 Retinal detachment with retinal break Rhegmatogenous retinal detachment H33.1 裂 H33.1 Retinoschisis and retinal cysts Cyst of ora serrata Parasitic cyst of retina NOS Pseudocyst of retina 裂 (Q14.1) Excludes: congenital retinoschisis (Q14.1) 狀 (H35.4) microcystoid degeneration of retina (H35.4) H33.2 離 H33.2 Serous retinal detachment ( 列 ) 離 Retinal detachment: NOS () 裂 (H35.7) without retinal break Excludes: central serous chorioretinopathy (H35.7) H33.3 裂 ( ) 離 H33.3 Retinal breaks without detachment 482

19 裂 裂 離 () (H59.8) ( 離 ( ) 裂 (H35.4) Horseshoe tear Round hole Operculum Retinal break NOS of retina, without detachment Excludes: chorioretinal scars after surgery for detachment (H59.8) peripheral retinal degeneration without break (H35.4) H33.4 離 H33.4 Traction detachment of retina ()( 離 Proliferative vitreo-retinopathy with retinal detachment H33.5 離 H33.5 Other of retinal detachment H34 塞 () (G45.3) H34 Retinal vascular occlusions Excludes: amaurosis fugax (G45.3) H34.0 塞 H34.0 Transient retinal artery occlusion H34.1 塞 H34.1 Central retinal artery occlusion H34.2 塞 H34.2 Other retinal artery occlusions Hollenhorst () ( 列 ) Retinal: 塞 Hollenhorst's plaque artery occlusion: branch partial 塞 microembolism H34.8 塞 H34.8 Other retinal vascular occlusions ( 列 ) 塞 Retinal vein occlusion: central incipient partial tributary H34.9 塞 H34.9 Retinal vascular occlusion, unspecified H35 H35.0 [] H35 Other retinal disorders H35.0 Background retinopathy and retinal vascular changes 483

20 Changes in retinal vascular appearance ( 列 ) Retinal: micro-aneurysms neovascularization perivasculitis varices vascular sheathing vasculitis ( 列 ) Rethinopathy: [] NOS Coats () Coats background NOS exudative hypertensive H35.1 H35.1 Retinopathy of prematurity () Retrolental fibroplasia H35.2 () H35.2 Other proliferative retinopathy () Proliferative vitreo-retinopathy 離 (H33.4) Excludes: proliferative vitreo-retinopathy with retinal detachment (H33.4) H35.3 H35.3 Degeneration of macula and posterior pole 狀 Angioid streaks Cyst () () Drusen (degenerative) of macula Hole Puckering Kuhnt-Junius () Kuhnt-Junius degeneration ()() 老 年 Senile macular degeneration (atrophic) (exudative) () 若 () Toxic maculopathy Use additional external external cause code (Chapter XX), if desired, to identify drug, if drug-induced. H35.4 H35.4 Peripheral retinal degeneration ( 列 ) Degeneration, retina: 484

21 狀 狀 NOS lattice microcystoid 欄 狀 palisade 狀 paving stone 狀 reticular () 裂 (H33.3) Excludes: with retinal break (H33.3) H35.5 () H35.5 Hereditary retinal dystrophies ( 列 )() Dystrophy: ( 狀 )()( 卵 ) retinal (albipunctate)(pigmentary) (vitelliform) 狀 tapetoretinal Stargardt () vitreoretinal Retinitis pigmentosa Stargardt's disease H35.6 H35.6 Retinal haemorrhage H35.7 離 H35.7 Separation of retinal layers Central serous chorioretinopathy 離 Detachment of retinal pigment epithelium H35.8 H35.8 Other specified retinal disorders H35.9 H35.9 Retinal disorder, unspecified H36* 類 () H36.0* 糖 尿 [E10-E14 ().3 ] H36.8* 類 () ( 狀 ) (I70.8 ) () 狀 (D57.- ) ( 沈 沈 )() () (E75.- ) H36* Retinal disorders in diseases classified elsewhere H36.0* Diabetic retinopathy (E10-E14 with common fourth character.3) H36.8* Other retinal disorders in diseases Atherosclerotic retinopathy (I70.8 ) Proliferative sickle-cell retinopathy (D57.- ) Retinal dystrophy in lipid storage disorders (E75.- ) 485

22 (H40-H42) Glaucoma (H40-H42) H40 (H44.5) (Q15.0) (P15.3) H40 Glaucoma Excludes: absolute glaucoma (H44.5) congenital glaucoma (Q15.0) traumatic glaucoma due to birth injury (P15.3) H40.0 H40.0 Glaucoma suspect [] Ocular hypertension H40.1 H40.1 Primary open-angle glaucoma ()() 落 Glaucoma (primary)(residual stage): capsular with pseudoexfoliation of lens chronic simple low-tension pigmentary H40.2 H40.2 Primary angle-closure glaucoma ()() Angle-closure glaucoma (primary) (residual stage): acute chronic intermittent H40.3 H40.3 Glaucoma secondary to eye trauma Use additional code, if desired, to identify () cause. H40.4 H40.4 Glaucoma secondary to eye inflammation Use additional code, if desired, to identify () cause. H40.5 H40.5 Glaucoma secondary to other eye disorders Use additional code, if desired, to identify () cause. H40.6 H40.6 Glaucoma secondary to drugs ( Use additional external cause code (Chapter ) XX), if desired, to identify drug. H40.8 H40.8 Other glaucoma H40.9 H40.9 Glaucoma, unspecified 486

23 H42* 類 () H42* Glaucoma in diseases classified elsewhere H42.0* 泌 ()() () H42.0* Glaucoma in endocrine, nutritional and metabolic diseases 列 () Glaucoma in: 類 () (E85.- ) amyloidosis (E85.- ) Lowe () (E72.0 ) Lowe's syndrome (E72.0 ) H42.8* 類 () ()() (B73 ) H42.8* Glaucoma in other diseases classified elsewhere Glaucoma in onchocerciasis (B73 ) (H43-H45) Disorders of vitreous body and globe (H43-H45) H43 H43 Disorders of vitreous body H43.0 H43.0 Vitreous prolapse () (H59.0) Excludes: vitreous syndrome following cataract surgery (H59.0) H43.1 H43.1 Vitreous haemorrhage H43.2 狀 沈 H43.2 Crystalline deposits in vitreous body H43.3 H43.3 Other vitreous opacities 索 Vitreous membranes and strands H43.8 H43.8 Other disorders of vitreous body Vitreous: degeneration 離 detachment ( 離 (H33.4) Excludes: proliferative vitreo-retinopathy with retinal detachment (H33.4) H43.9 H43.9 Disorder of vitreous body, unspecified H44 H44 Disorders of globe () Includes: disorders affecting multiple structures of eye H44.0 H44.0 Purulent endophthalmitis Panophthalmitis 487

24 Vitreous abscess H44.1 H44.1 Other endophthalmitis Parasitic endophthalmitis NOS Sympathetic uveitis H44.2 H44.2 Degenerative myopia H44.3 () H44.3 Other degenerative disorders of globe () 沈 Chalcosis ( 沈 沈 siderosis of eye H44.4 () H44.4 Hypotony of eye H44.5 狀 H44.5 Degenerated conditions of globe Absolute glaucoma Atrophy of globe Phthisis bulbi H44.6 () 異 留 H44.6 Retained (old) intraocular foreign body, ( 列 )() 異 留 magnetic Retained (old) magnetic foreign body (in): anterior chamber 狀 ciliary body iris lens posterior wall of globe vitreous body H44.7 () 異 留 H44.7 Retained (old) intraocular foreign body, nonmagnetic ( 列 )()() 異 留 Retained (nonmagnetic) (old) foreign body (in): anterior chamber 狀 ciliary body iris lens posterior wall of globe vitreous body H44.8 H44.8 Other disorders of globe Haemophthalmos 488

25 Luxation of globe H44.9 H44.9 Disorder of globe, unspecified H45* 類 () H45.0* 類 () H45.1* 類 () 列 () () (B69.1 ) () (B73 ) () (B83.0 ) H45* Disorders of vitreous body and globe in diseases H45.0* Vitreous haemorrhage in diseases H45.1* Endophthalmitis in diseases classified elsewhere Endophthalmitis in: cysticercosis (B69.1 ) onchocerciasis (B73 ) toxocariasis (B83.0 ) H45.8* 類 () H45.8* Other disorders of vitreous body and globe in diseases 路 (H46-H48) Disorders of optic nerve and visual pathways (H46-H48) H46 神 H46 Optic neuritis Optic 神 neuropathy, except ischaemic 神 神 (H47.0) 神 [Devic ()] (G36.0) papillitis Retrobulbar neuritis NOS Excludes: ischaemic optic neuropathy (H47.0) neuromyelitis optica [Devic] (G36.0) H47 [] 神 路 H47 Other disorders of optic [2nd] nerve and visual pathways H47.0 神 類 H47.0 Disorders of optic nerve, not elsewhere classified 神 Compression of optic nerve 神 Haemorrhage in optic nerve sheath 神 Ischaemic optic neuropathy H47.1 神 H47.1 Papilloedema, unspecified 489

26 H47.2 神 H47.2 Optic atrophy 神 () Temporal pallor of optic disc H47.3 神 H47.3 Other disorders of optic disc 神 Drusen of optic disc 神 Pseudopapilloedema H47.4 H47.4 Disorders of optic chiasm H47.5 路 H47.5 Disorders of other visual pathways 狀 Disorders of optic tracts, geniculate nuclei and optic radiations H47.6 ( 力 ) H47.6 Disorders of visual cortex H47.7 路 H47.7 Disorder of visual pathways, unspecified H48* 類 ()[ ] 神 路 H48.0* 類 () 神 () 神 (A52.1 ) H48.1* 類 () 神 列 () 神 (A52.1 ) ()() (A39.8 ) (G35 ) H48.8* 類 () 神 路 H48* Disorders of optic [2nd] nerve and visual pathways in diseases classified elsewhere H48.0* Optic atrophy in diseases classified elsewhere Optic atrophy in late syphilis (A52.1 ) H48.1* Retrobulbar neuritis in diseases classified elsewhere Retrobulbar neuritis in: late syphilis (A52.1 ) meningococcal infections (A39.8 ) multiple sclerosis (G35 ) H48.8* Other disorders of optic nerve and visual pathways in disease (H49-H52) 不 律 (H55) Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52) Excludes: nystagmus and other irregular eye movements (H55) H49 ( 列 ) (H52.5) (H51.2) H49 Paralytic strabismus Excludes: ophthalmoplegia: internal (H52.5) internuclear (H51.2) 490

27 行 (G23.1) progressive supranuclear (G23.1) H49.0 [] 神 H49.0 Third [oculomotor] nerve palsy H49.1 [ 滑 車 ] 神 H49.1 Fourth [trochlear] nerve palsy H49.2 六 [] 神 H49.2 Sixth [abducent] nerve palsy H49.3 () H49.3 Total (external) ophthalmoplegia H49.4 行 H49.4 Progressive external ophthalmoplegia H49.8 H49.8 Other paralytic strabismus External ophthalmoplegia NOS (Kearns-Sayre)() Kearns-Sayre syndrome H49.9 H49.9 Paralytic strabismus, unspecified H50 H50 Other strabismus H50.0 () H50.0 Convergent concomitant strabismus ()() Esotropia (alternating)(monocular), except intermittent H50.1 H50.1 Divergent concomitant strabismus ()() Exotropia (alternating)(monocular), except intermittent H50.2 () H50.2 Vertical strabismus H50.3 兩 不 行 H50.3 Intermittent heterotropia ()() Intermittent: esotropia exotropia (alternating)(monocular) H50.4 兩 不 行 H50.4 Other and unspecified heterotropia Concomitant strabismus NOS Cyclotropia Hypertropia Hypotropia Microtropia Monofixation syndrome H50.5 H50.5 Heterophoria Alternating hyperphoria Esophoria Exophoria 491

28 H50.6 H50.6 Mechanical strabismus Brown () Brown's sheath syndrome ( 連 ) Strabismus due to adhesions Traumatic limitation of duction of eye muscle H50.8 H50.8 Other specified strabismus Duane () Duane's syndrome H50.9 H50.9 Strabismus, unspecified H51 H51 Other disorders of binocular movement H51.0 H51.0 Palsy of conjugate gaze H51.1 () 不 度 H51.1 Convergence insufficiency and excess H51.2 H51.2 Internuclear ophthalmoplegia H51.8 H51.8 Other specified disorders of binocular movement H51.9 H51.9 Disorder of binocular movement, unspecified H52 H52 Disorders of refraction and accommodation H52.0 H52.0 Hypermetropia H52.1 H52.1 Myopia (H44.2) Excludes: degenerative myopia (H44.2) H52.2 [ 亂 ] H52.2 Astigmatism H52.3 參 不 [ 兩 不 H52.3 Anisometropia and aniseikonia ] H52.4 老 [ 老 ] H52.4 Presbyopia H52.5 H52.5 Disorders of accommodation ()() Internal ophthalmoplegia (complete) (total) Paresis Spasm of accommodation H52.6 H52.6 Other disorders of refraction H52.7 H52.7 Disorder of refraction, unspecified 492

29 ( 力 )( 亂 ) () (H53-H54) Visual disturbances and blindness (H53-H54) H53 ( 力 )( 亂 ) H53 Visual disturbances H53.0 H53.0 Amblyopia ex anopsia ( 列 ) Amblyopia: 參 (( 力 )) anisometropic deprivation strabismic H53.1 ()( 力 )( 亂 ) 勞 () () ( 力 ) 暈 (R44.1) H53.1 Subjective visual disturbances Asthenopia Day blindness Hemeralopia Metamorphopsia Photophobia Scintillating scotoma Sudden visual loss Visual halos Excludes: visual hallucinations (R44.1) H53.2 H53.2 Diplopia Double vision H53.3 ( 力 ) H53.3 Other disorders of binocular vision 異 Abnormal retinal correspondence ( 力 ) Fusion with defective stereopsis ()() Simultaneous visual perception without fusion ( 力 ) Suppression of binocular vision H53.4 () H53.4 Visual field defects () Enlarged blind spot Generalized contraction of visual field ( 異 )()() Hemianop(s)ia (heteronymous) (homonymous) Quadrant anop(s)ia Scotoma: arcuate 493

30 倫 (Bjerrum ()) Bjerrum central ring H53.5 () H53.5 Colour vision deficiencies Achromatopsia Acquired colour vision deficiency Colour blindness 綠 Deuteranomaly 綠 Deuteranopia Protanomaly Protanopia 藍 Tritanomaly 藍 Tritanopia (H53.1) Excludes: day blindness (H53.1) H53.6 H53.6 Night blindness ()A Excludes: due to vitamin A deficiency (E50.5) (E50.5) H53.8 ( 力 )( 亂 ) H53.9 ( 力 )( 亂 ) H53.8 Other visual disturbances H53.9 Visual disturbance, unspecified H54 ()( 力 ) ( 力 )( 不 ) 類 參 ( 495 ) 參 () (G45.3) H54 Blindness and low vision Note: For definition of visual impairment categories see table opposite. Excludes: amaurosis fugax (G45.3) H54.0 () H54.0 Blindness, both eyes ( 力 )( 不 ) 類 Visual impairment categories 3, 4, 5 in both eyes 345 類 H54.1 ()( 力 ) H54.1 Blindness, one eye, low vision other eye ( 力 )( 不 ) 類 Visual impairment categories 3, 4, 5 in one eye, 345 類 類 with categories 1 or 2 in the other eye 1 2 類 494

31 H54.2 ( 力 ) H54.2 Low vision, both eyes ( 力 )( 不 ) 類 1 Visual impairment categories 1 or 2 in both 2 類 eyes. H54.3 ( 力 ) H54.3 Unqualified visual loss, both eyes ( 力 )( 不 ) 類 9 Visual impairment category 9 in both eyes 類 H54.4 () H54.4 Blindness, one eye ( 力 )( 不 ) 類 Visual impairment categories 3, 4, 5 in one eye 345 類 [( 力 ) [normal vision in other eye]. ] H54.5 ( 力 ) H54.5 Low vision, one eye ( 力 )( 不 ) 類 1 Visual impairment categories 1 or 2 in one eye 2[( 力 )] [normal vision in other eye]. H54.6 ( 力 ) H54.6 Unqualified visual loss, one eye ( 力 )( 不 ) 類 9 Visual impairment category 9 in one eye 類 [( 力 )] [normal vision in other eye]. H54.7 ( 力 ) H54.7 Unspecified visual loss ( 力 )( 不 ) 類 9 Visual impairment category 9 NOS. 類 ( 力 )( 不 Note: The table opposite gives a ) 度 類 classification of severity of visual (WHO) impairment recommended by a WHO 1972 年 Study Group on the Prevention of Blindness, Geneva, 6-10 November *WHO 列 # (WHO Technical Report Series, No. 518, 1973.) 類 H54 類 "( 力 )" 類 12"( )"345 類 " ( 力 )" 類 9 The term "low vision" in category H54 comprises categories 1 and 2 of the table, the term "blindness" categories 3, 4 and 5, and the term "unqualified visual loss" category

32 若 度 量 5 10 類 類 3 5 力 類 類 4 If the extent of the visual field is taken into account, patients with a field no greater then 10 but greater than 5 around central fixation should be placed in category 3 and patients with a field no greater than 5 around central fixation should be placed in category 4, even if the central acuity is not impaired. * 力 不 類 參 力 ( 力 ) 類 力 力 Category of Visual impairment Visual acuity with best possible correction Maximum less than: Minimum equal to or better than: 1 6/18 3/10 (0.3) 20/70 2 6/60 1/10 (0.1) 20/ /60 1/20 (0.05) 20/ /60 ( 1 數 ) 1/50 (0.02) 5/300 6/60 1/10 (0.1) 20/200 3/60 1/20 (0.5) 20/400 1/60 ( 1 數 ) 1/50 (0.02) 5/300 (20/1200) 1 6/18 3/10 (0.3) 20/70 2 6/60 1/10 (0.1) 20/ /60 1/20 (0.05) 20/ /60 (finger counting at 1 metre) 1/50 (0.02) 5/300 6/60 1/10 (0.1) 20/200 3/60 1/20 (0.5) 20/400 1/60 (finger counting at 1 metre) 1/50 (0.02) 5/300 (20/1200) Light perception 5 5 No light perception 9 9 Undetermined or unspecified 496

33 (H55-59) Other disorders of eye and adnexa (H55-H59) H55 不 律 H55 Nystagmus and other irregular eye movements ( 列 ) Nystagmus: NOS congenital (( 力 )) deprivation 離 dissociated latent H57 H57 Other disorders of eye and adnexa H57.0 異 H57.0 Anomalies of pupillary function H57.1 H57.1 Ocular pain H57.8 H57.8 Other specified disorders of eye and adnexa H57.9 H57.9 Disorder of eye and adnexa, unspecified H58* 類 () H58.0* 類 ()() 異 魯 羅 (Argyll Robertson)() (A52.1 ) H58.1* 類 ()( 力 ) ( 亂 ) H58.8* 類 () 類 (A50.0 ) (A50.3 ) () (A51.4 ) (A52.7 ) H58* Other disorders of eye and adnexa in diseases H58.0* Anomalies of pupillary function in diseases Argyll Robertson phenomenon or pupil, syphilitic (A52.1 ) H58.1* Visual disturbances in diseases classified elsewhere H58.8* Other specified disorders of eye and adnexa in diseases Syphilitic oculopathy NEC: congenital: early (A50.0 ) late (A50.3 ) early (secondary) (A51.4 ) late (A52.7 ) 497

34 H59 療 類 ( 列 ) (T85.2) (T85.3) (Z96.1) H59 Postprocedural disorders of eye and adnexa, not elsewhere classified Excludes: mechanical complication of: intraocular lens (T85.2) other ocular prosthetic devices, implants and grafts (T85.3) pseudophakia (Z96.1) H59.0 () H59.0 Vitreous syndrome following cataract surgery H59.8 療 H59.8 Other postprocedural disorders of eye and adnexa 離 () Chorioretinal scars after surgery for detachment ()() H59.9 療 H59.9 Postprocedural disorder of eye and adnexa, unspecified 498