Absence and agenesis of lacrimal apparatus
ICD-10 Q10.4 is a billable code used to indicate a diagnosis of absence and agenesis of lacrimal apparatus.
Absence and agenesis of the lacrimal apparatus is a congenital condition characterized by the failure of development of the lacrimal glands and ducts, which are essential for tear production and drainage. This condition can lead to significant ocular surface issues, including dryness, irritation, and increased risk of infections. The absence of the lacrimal apparatus may occur in isolation or as part of a syndrome involving other congenital malformations, such as anophthalmia (absence of one or both eyes) or microphthalmia (abnormally small eyes). The condition can be diagnosed through clinical examination and imaging studies, which may reveal the absence of the lacrimal structures. Management often involves supportive care, including artificial tears and, in some cases, surgical intervention to create a functional tear drainage system. Early diagnosis and intervention are crucial to prevent complications associated with ocular surface disease.
Pediatric documentation should include detailed descriptions of the child's ocular health, any associated congenital anomalies, and the impact on daily functioning.
Common scenarios include infants presenting with excessive tearing or eye infections, requiring evaluation for congenital lacrimal duct obstruction or agenesis.
Consideration should be given to the developmental milestones of the child and any potential impact on vision and quality of life.
Genetic documentation should include family history, potential syndromic associations, and results from genetic testing if applicable.
Scenarios may involve genetic counseling for families with a history of congenital eye anomalies or syndromes that include lacrimal apparatus agenesis.
Geneticists should be aware of the potential for chromosomal abnormalities that may present with ocular malformations.
Used in cases where surgical intervention is required for congenital lacrimal duct obstruction.
Documentation must include indications for surgery and pre-operative assessments.
Ophthalmologists should ensure that the surgical necessity is clearly documented.
Common associated conditions include other congenital eye anomalies such as anophthalmia and microphthalmia, as well as syndromic presentations that may involve multiple systems.
