F76 Foreign body in eye (ICD-10:T15)

Introduction

Foreign bodies in the eye can cause discomfort, pain, and potential damage to the eye. It is important to promptly diagnose and treat foreign bodies to prevent complications and promote healing.^[1][2]

Codes

• ICPC-2 Code: F76 Foreign body in eye^[3]
• ICD-10 Code: T15 Foreign body on external eye^[4]

Symptoms

• Eye pain: Patients may experience pain or discomfort in the affected eye.^[5]
• Redness: The eye may appear red or bloodshot.^[6]
• Tearing: Excessive tearing or watery eyes may occur.^[7]
• Sensation of something in the eye: Patients may feel like there is something in their eye, such as a grain of sand or a foreign object.^[8]
• Blurred vision: Vision may be temporarily blurred or affected.^[9]
• Light sensitivity: The eye may be more sensitive to light.^[5]

Causes

• Dust or debris: Small particles of dust or debris can enter the eye and cause irritation.^[10]
• Chemical exposure: Exposure to chemicals or irritants can cause foreign bodies in the eye.
• Foreign objects: Objects such as metal, wood, or glass can accidentally enter the eye and cause injury.

Diagnostic Steps

Medical History

• Gather information about the patient’s symptoms, including the duration and severity of symptoms.
• Ask about any recent activities or exposures that may have led to the foreign body entering the eye.
• Inquire about any previous eye injuries or conditions that may increase the risk of foreign bodies.

Physical Examination

• Inspect the affected eye for redness, swelling, or discharge.
• Assess visual acuity to determine if there is any impairment.
• Use a slit lamp to examine the eye more closely and identify any foreign bodies.

Laboratory Tests

• No specific laboratory tests are typically required for diagnosing a foreign body in the eye.

Diagnostic Imaging

• In most cases, diagnostic imaging is not necessary for diagnosing a foreign body in the eye.
• However, if there is suspicion of a more severe injury or if the foreign body is not visible, imaging modalities such as X-rays or CT scans may be used to locate the foreign body.

Other Tests

• Fluorescein staining: This test involves placing a special dye in the eye to help identify any corneal abrasions or ulcers caused by the foreign body.

Follow-up and Patient Education

• Provide instructions for follow-up care, including any necessary medications or treatments.
• Educate the patient about the importance of avoiding rubbing or touching the affected eye to prevent further injury.
• Advise the patient to seek immediate medical attention if symptoms worsen or if there is no improvement after treatment.

Possible Interventions

Traditional Interventions

Medications:

Top 5 drugs for Foreign body in eye:

1. Artificial tears (e.g., Refresh Tears, Systane):
   • Cost: $5-$15 per bottle.
   • Contraindications: Hypersensitivity to ingredients.
   • Side effects: Temporary blurred vision, eye irritation.
   • Severe side effects: Allergic reactions.
   • Drug interactions: None.
   • Warning: Use as directed and avoid touching the tip of the bottle to prevent contamination.
2. Antibiotic eye drops (e.g., Tobramycin, Ciprofloxacin):
   • Cost: $10-$30 per bottle.
   • Contraindications: Hypersensitivity to ingredients.
   • Side effects: Temporary blurred vision, eye irritation.
   • Severe side effects: Allergic reactions, eye swelling.
   • Drug interactions: None.
   • Warning: Use as directed and complete the full course of treatment.
3. Steroid eye drops (e.g., Prednisolone, Dexamethasone):
   • Cost: $10-$30 per bottle.
   • Contraindications: Active eye infection, glaucoma.
   • Side effects: Temporary blurred vision, increased eye pressure.
   • Severe side effects: Eye infections, cataracts.
   • Drug interactions: None.
   • Warning: Use as directed and do not abruptly stop treatment.
4. Nonsteroidal anti-inflammatory eye drops (e.g., Ketorolac, Bromfenac):
   • Cost: $10-$30 per bottle.
   • Contraindications: Active eye infection, bleeding disorders.
   • Side effects: Temporary blurred vision, eye irritation.
   • Severe side effects: Eye infections, corneal thinning.
   • Drug interactions: None.
   • Warning: Use as directed and avoid prolonged use.
5. Oral analgesics (e.g., Acetaminophen, Ibuprofen):
   • Cost: $5-$15 per bottle.
   • Contraindications: Hypersensitivity to ingredients, certain medical conditions.
   • Side effects: Upset stomach, dizziness.
   • Severe side effects: Liver damage, gastrointestinal bleeding.
   • Drug interactions: Other pain medications, blood thinners.
   • Warning: Use as directed and follow recommended dosage.

Alternative Drugs:

• Antihistamine eye drops (e.g., Ketotifen): Useful for relieving itching and allergic reactions in the eye.
• Mild steroid ointments (e.g., Hydrocortisone): Can be applied to the eyelids to reduce inflammation and itching.
• Antibiotic ointments (e.g., Erythromycin): Used for preventing or treating bacterial infections in the eye.

Surgical Procedures:

• Foreign body removal: If the foreign body is deeply embedded or cannot be easily removed, a surgical procedure may be necessary to remove it. Cost: $500-$2000.

Alternative Interventions

• Eyewash: Flushing the eye with clean water or saline solution can help remove small foreign bodies. Cost: $5-$10 for a bottle of saline solution.
• Eye patching: Covering the affected eye with a patch can help protect it and prevent further irritation. Cost: $5-$10 for a pack of eye patches.
• Warm compress: Applying a warm compress to the affected eye can help soothe discomfort and promote healing. Cost: $5-$10 for a reusable warm compress.
• Homeopathic eye drops: Some homeopathic eye drops claim to relieve eye irritation and discomfort. Cost: $10-$20 per bottle.
• Acupuncture: May help relieve eye pain and promote healing. Cost: $60-$120 per session.

Lifestyle Interventions

• Avoid rubbing or touching the affected eye: Rubbing or touching the eye can worsen symptoms and potentially cause further injury. Cost: Free.
• Wear protective eyewear: When engaging in activities that may expose the eyes to foreign bodies, such as woodworking or gardening, wearing protective eyewear can help prevent injuries. Cost: $10-$30 for a pair of safety glasses.
• Maintain good eye hygiene: Keeping the eyes clean and free from debris can help prevent foreign bodies from entering the eye. Cost: Free.
• Avoid exposure to irritants: Minimizing exposure to chemicals or irritants can reduce the risk of foreign bodies in the eye. Cost: Free.
• Eat a healthy diet: Consuming a diet rich in vitamins and minerals can promote overall eye health. Cost: Varies depending on food choices.

It is important to note that the cost ranges provided are approximate and may vary depending on the location and availability of the interventions.

Mirari Cold Plasma Alternative Intervention

Understanding Mirari Cold Plasma

• Safe and Non-Invasive Treatment: Mirari Cold Plasma is a safe and non-invasive treatment option for various skin conditions. It does not require incisions, minimizing the risk of scarring, bleeding, or tissue damage.
• Efficient Extraction of Foreign Bodies: Mirari Cold Plasma facilitates the removal of foreign bodies from the skin by degrading and dissociating organic matter, allowing easier access and extraction.
• Pain Reduction and Comfort: Mirari Cold Plasma has a local analgesic effect, providing pain relief during the treatment, making it more comfortable for the patient.
• Reduced Risk of Infection: Mirari Cold Plasma has antimicrobial properties, effectively killing bacteria and reducing the risk of infection.
• Accelerated Healing and Minimal Scarring: Mirari Cold Plasma stimulates wound healing and tissue regeneration, reducing healing time and minimizing the formation of scars.

Mirari Cold Plasma Prescription

Video instructions for using Mirari Cold Plasma Device – F76 Foreign body in eye (ICD-10:T15)

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Use the Mirari Cold Plasma device to treat Foreign body in eye effectively.

WARNING: MIRARI COLD PLASMA IS DESIGNED FOR THE HUMAN BODY WITHOUT ANY ARTIFICIAL OR THIRD PARTY PRODUCTS. USE OF OTHER PRODUCTS IN COMBINATION WITH MIRARI COLD PLASMA MAY CAUSE UNPREDICTABLE EFFECTS, HARM OR INJURY. PLEASE CONSULT A MEDICAL PROFESSIONAL BEFORE COMBINING ANY OTHER PRODUCTS WITH USE OF MIRARI.

Step 1: Cleanse the Skin

• Start by cleaning the affected area of the skin with a gentle cleanser or mild soap and water. Gently pat the area dry with a clean towel.

Step 2: Prepare the Mirari Cold Plasma device

• Ensure that the Mirari Cold Plasma device is fully charged or has fresh batteries as per the manufacturer’s instructions. Make sure the device is clean and in good working condition.
• Switch on the Mirari device using the power button or by following the specific instructions provided with the device.
• Some Mirari devices may have adjustable settings for intensity or treatment duration. Follow the manufacturer’s instructions to select the appropriate settings based on your needs and the recommended guidelines.

Step 3: Apply the Device

• Place the Mirari device in direct contact with the affected area of the skin. Gently glide or hold the device over the skin surface, ensuring even coverage of the area experiencing.
• Slowly move the Mirari device in a circular motion or follow a specific pattern as indicated in the user manual. This helps ensure thorough treatment coverage.

Step 4: Monitor and Assess:

• Keep track of your progress and evaluate the effectiveness of the Mirari device in managing your Foreign body in eye. If you have any concerns or notice any adverse reactions, consult with your health care professional.

Note

This guide is for informational purposes only and should not replace the advice of a medical professional. Always consult with your healthcare provider or a qualified medical professional for personal advice, diagnosis, or treatment. Do not solely rely on the information presented here for decisions about your health. Use of this information is at your own risk. The authors of this guide, nor any associated entities or platforms, are not responsible for any potential adverse effects or outcomes based on the content.

Mirari Cold Plasma System Disclaimer

• Purpose: The Mirari Cold Plasma System is a Class 2 medical device designed for use by trained healthcare professionals. It is registered for use in Thailand and Vietnam. It is not intended for use outside of these locations.
• Informational Use: The content and information provided with the device are for educational and informational purposes only. They are not a substitute for professional medical advice or care.
• Variable Outcomes: While the device is approved for specific uses, individual outcomes can differ. We do not assert or guarantee specific medical outcomes.
• Consultation: Prior to utilizing the device or making decisions based on its content, it is essential to consult with a Certified Mirari Tele-Therapist and your medical healthcare provider regarding specific protocols.
• Liability: By using this device, users are acknowledging and accepting all potential risks. Neither the manufacturer nor the distributor will be held accountable for any adverse reactions, injuries, or damages stemming from its use.
• Geographical Availability: This device has received approval for designated purposes by the Thai and Vietnam FDA. As of now, outside of Thailand and Vietnam, the Mirari Cold Plasma System is not available for purchase or use.

References

1. Medscape. (2023). Corneal Foreign Body. Retrieved from https://emedicine.medscape.com/article/1195581-overview
2.  American Academy of Ophthalmology. (2022). Foreign Body in the Eye. Retrieved from https://www.aao.org/eye-health/diseases/foreign-body-eye
3.  RxReasoner. (n.d.). ICPC-2 Code: F76 Foreign body in eye. Retrieved from https://www.rxreasoner.com/icpc2codes/F76
4. AAPC. (n.d.). ICD-10-CM Code for Foreign body on external eye T15. Retrieved from https://www.aapc.com/codes/icd-10-codes/T15
5. eMedicineHealth. (2023). Foreign Body in the Eye: Symptoms, First Aid & Treatment. Retrieved from https://www.emedicinehealth.com/foreign_body_eye/article_em.htm
6. Safer Care Victoria. (2019). Foreign body in the eye. Retrieved from https://www.safercare.vic.gov.au/sites/default/files/2019-07/Foreign%20body%20in%20the%20eye.pdf
7. Medico Hospitals. (n.d.). Foreign Object in the Eye: Causes, Diagnosis and Prevention. Retrieved from https://www.medicoverhospitals.in/symptoms/foreign-objects-in-the-eye
8. Better Health Channel. (2023). Eye injuries – foreign body in the eye. Retrieved from https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/eye-injuries-foreign-body-in-the-eye
9. Harvard Health Publishing. (2023). Foreign Body In Eye. Retrieved from https://www.health.harvard.edu/a_to_z/foreign-body-in-eye-a-to-z
10. Vinmec. (n.d.). How to remove a foreign body in the eye socket? Retrieved from https://www.vinmec.com/vi/news/health-news/general-health-check/how-to-remove-a-foreign-body-in-the-eye-socket/?link_type=related_posts