Characterized by spoke-like opacities traveling radially from the edge of the lens toward the center (the closer the spokes are to the visual axis, the more likely they are to affect vision). For example, if you observe cortical spoking and nuclear opacification, your patient likely has both cortical and nuclear sclerotic cataracts! Be sure to catch Part 2 of. common types of cataract are nuclear, cortical, and posterior subcapsular (See Appendix Figure 3 for the ICD-9-CM classification of cataracts). Fifteen months after the addition of quetiapine, an optometry examination revealed lenticular changes in the left eye and grade I cortical spoking in the interior aspect of the lens . 2 OD, 0. There are three primary types of cataracts: nuclear sclerotic, cortical, and posterior subcapsular they also have unique symptoms which are discussed below. To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking. Each affects a different part of the lens and has different symptoms and progression, although the indication for intervention with all types is the same. OD: wavy lines throughout cornea 2+, no staining with fluorescein; 1+ cortical spoking, 2+ nuclear sclerosis; posterior segment unremarkable OS: wavy lines throughout cornea 3+, no staining with fluorescein; 1+ cortical spoking, 2+. 269 may differ. Business, Economics, and Finance. 15 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 366. C-Reactive Prot, Quant - 79. This continuing medical education activity is jointly provided byQuantile-quantile (Q-Q) plot of observed (y-axis) vs. The second type is called nuclear sclerosis and is characterized by a hardening and yellowing of the lens. The oil-drop cataract is a common yet often overlooked cause of progressive vision loss. 269 became effective on October 1, 2023. 51 ). Cortical (outer) zone: Metabolic part of vitreous; Medullary Zone: Cell free & composed of collagen & hyaluronic acid;Other exclusion criteria included a glaucoma diagnosis with intraocular pressure (IOP) of 25 mmHg or more while being treated with an ocular hypotensive drug; nuclear sclerotic cataract, cortical spoking, posterior subcapsular cataract of more than grade 2 per Age-Related Eye Disease Study scale,15 or any other ophthalmologic. 33% was the maximum accuracy. Cortical spoking Clinically significant diabetic macular edema Central serous (chorio) retinopathy: DCR DES DME DR DSAEK: Dacryocystorhinostomy Dry eye. The results of eye examinations at baseline, 6 months, and 12 months were unremarkable. Dr. Comments. This is the American ICD-10-CM version of Z68. SLE: Anterior cortical spoking cataract OS; Optic nerves were normal OU; DFE: Atrophic holes OD, macula striae OS; Palpebral fissure: 10mm OD and OS; Hertel: 92mm base; 17mm OD and 18mm OS; Figure 1: GVF GVF OS with supero-nasal and infero-nasal constriction of all isopters. Add to My Bookmarks. Patients indicated that the Baylor visual function tester most closely. Request a Demo 14 Day Free Trial Buy Now. 6: Artificial lenses Sign in. H25. Share. It means "not coded here". Based on the annual CPT/HCPCS updates, this article was revised to change the long descriptor information for codes 66982, 66983, and 66984. Dark/hypoechoic texture is usually better. The opalescent or milky white appearance of the nucleus with no surrounding brunescence or cortical spoking is pathognomonic. Posterior pole focal chorioretinitis; Posterior pole focal choroiditis; Posterior pole focal retinitis; ICD-10-CM H30. Early cortical cataract development as viewed at the slit lamp using retroillumination. There was no evidence of pseudoexfoliation. peripheral cloudiness, it is known as a cortical spoking cataract (CS). 6. Study iris and lens flashcards. Cateratcts A cataract is an opacity of the natural lens of the eye 90% of cataracts are age related Other causes of cataracts: congenital, metabolic, and traumatic etiologies Excessive exposure to sunlight (ultraviolet B rays) without protective lenses over time In the United States, cataract surgery is the most common surgical procedure. intermittent exotropia. On examination, an anterior subcapsular cataract with cortical spoking, and a well-positioned phakic IOL with potential slight temporal displacement were identified. Four of those were among the surgeon's first 65 DSEK cases, starting in 2003, when aspects of the DSEK technique were still early in development. 5A. 3 OS. The 2024 edition of ICD-10-CM H25. Cortical spoking cataract (CS) - Swelling of the cortex causing spoke/wedge-like peripheral cloudiness. The 2024 edition of ICD-10-CM H25. Cortical Spoking: Posterior Subcapsular: NS tr or 1+: Nucleus clearer than anterior / posterior sections NS 2+: Nucleus equal to the anterior posterior sections (same opacity level throughout) NS 3+/4+: Nucleus. 4: Posterior subcapsular cataracts Sign in. 04 - other international versions of ICD-10 H25. Changes in the water content of the lens fibers create clefts, or fissures, that look like the spokes of a. 6: Artificial lenses Sign in. Nuclear sclerotic cataracts (NS) involve cloudiness in the lens’s nucleus; cortical spoking cataracts (CS), on the other hand, form spoke- or wedge-shaped areas with cloudiness on their outer edges that is cloudy in areas. Allografts for general orthopedic applications include frozen and freeze dried structural grafts such as ilium wedges, segmental grafts of femur, fibula, humerus, tibia etc. Jimmy T. There was. The following code (s) above H25. and the constancy of symptoms support the concept that the pathology is cortical. 61 - other international versions of ICD-10 H47. ; atrophic hole inf/nasal OS: lattice, pigmented superior, inferior, temporal Vitreous: syneresis, PVD OU OD: 30. Scarring: Essentially both findings relate to scarring of part of the kidney, possibly due to an old infection or other prior insult to the kidney. To obtain quality HRT-3 (Heidelberg) and OCT images, the patient was dilated in the usual fashion. white and quiet. There are three types of cataract according to the WHO (nuclear sclerotic, cortical spoking and posterior subcapsular) that are defined and graded by examining the opacities. board-certified doctor by text or video anytime, anywhere. Nuclear sclerosis is a normal aging feature due to the compaction of the nuclear region of the lens. 15 should only be used for claims with a date of service on or before September 30, 2015. Request a Demo 14 Day Free Trial Buy Now. Cataract/Anterior Segment. Understand…Study with Quizlet and memorize flashcards containing terms like A & O (AAOx3), A/P, AAO and more. Produced by: Brandon Pham. A cortical cataract is a cloudy area of the lens that develops on the edge of your eye. In this study, all younger subjects were graded as clear and all older subjects were graded as +1 nuclear sclerosis or better. 03 may differ. 1. To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts in nondiabetic patients <50 years of age after a pars plana vitrectomy. Full-Field ERG E. Pupillary response, extraocular motility, and confrontation visual fields were all normal. Her anterior segments have always been unremarkable, and she has a mild amount of nuclear sclerosis and cortical spoking in each lens. superficial cataract with cortical spoking (arrow, B), nuclear cataract with diffuse lens opacification. IOP was consistently under 18mmHg on every visit. R3. Download Table | Mean refractive values in the nondiabetic retinopathy group from publication: Progression of nuclear sclerosis based on changes in refractive values after lens-sparing vitrectomy. 11 Follow-up of at least 1 year was attempted, but some patients were discharged from care because of transportation difficulties or were lost to follow-up before 1 year. The 2024 edition of ICD-10-CM Z68. The stereo coaxial illumination extends. ICD-9-CM 366. " Platelets - 487. IOP measured 18 mm Hg OU. Learn how we can help. Eyes were graded on a scale of 0 to 4. When considering the grade of lens opacification including severity of nuclear sclerosis, cortical spoking, and posterior subcapsular, as well as the severity of posterior capsule opacification, no significant differences between grades were identified in the variability between Snellen and ETDRS measurements. Posterior segment exam shows no abnormality and the fundus pigmentation is normal OU. 50% APY 30-Month CD Rate Special (AZ) More. superficial cataract with cortical spoking (arrow, B), nuclear cataract with diffuse lens opacification. Central serous (chorio) retinopathy. 04 may differ. Cortical cataracts start in the eye lens cortex (the outside edge of the lens). They may be peripheral only and therefore cause no symptoms. 2024 ICD-10-CM Range H00-H59. cortical spoking. #1. Learn about the causes, symptoms, progression, and complications of cortical cataracts. 0. Glare and / or difficulty driving at night. Her best-corrected vision was mildly reduced to 20/25- OD, OS due to mild nuclear sclerosis and anterior cortical spoking. Describe different cataract types. The CD ratio was 0. Purpose : To measure the rate of cataract development and progression of nuclear sclerotic (NSC), posterior subcapsular (PSC) and cortical spoking (CS) cataracts in non-diabetic patients younger than 50 years of age following a pars plana vitrectomy. Completely opacified cortex causing the lens to appear white; no red reflex visible from fundus. 011 - other international versions of ICD-10 H26. S. Comments. do_shortcode ( ‘ ‘ ) . D. 013 - other international versions of ICD-10 H25. Symptoms of cortical. This is the American ICD-10-CM version of H25. Dilated examination revealed trace nuclear sclerosis and 1+ anterior cortical spoking outside the visual axis OD/OS. e. Where will they synapse?Age-related cataract typically has three components: nuclear sclerosis, cortical spoking, and posterior subcapsular haze. Jampol, MD, 1855 West Taylor Street, Chicago, Illinois 60612, USA. A cortical cataract is an opacity in the outer layer, or cortex, of the natural lens. Cortical spoking cataract (CS) - Swelling of the cortex causing spoke/wedge-like peripheral cloudiness. Completely opacified cortex causing the lens to appear white; no red. 1. Common symptoms after cataract surgery. The proposed method was successful in accurately classifying the two classes with an accuracy of 85. Nuclear sclerosis is a condition in which the nucleus, or central part of the lens of the eye, hardens or gets cloudy. C, Horizontal optical coherence tomography (OCT) showing retinoschisis extending into the optic nerve. Approximate Synonyms. Subjects: Twenty-six eyes of 26 patients><50 years of age that had. Andrew Dahl answered. Ophthalmology 27 years experience. X (T) exotropia. The posterior segment evaluation after dilation revealed ten punched-out lesions per eye with peripapillary atrophy in both eyes. We review the basics of radiation dose and the potential radiation effects, particularly as they pertain to the operator. Obstetrics and Gynecology 56 years experience. yttrium-aluminum-garnet laser. 35 vertical and horizontal OU. 2: Nuclear sclerotic cataracts. An ocular health evaluation revealed early nuclear sclerosis and cortical spoking O. 2 with collaterals 0. Inferior nasal cortical spoking with early nuclear sclerosis. Purpose: To evaluate objectively intraocular scattering in eyes with nuclear, cortical and posterior subcapsular cataracts by means of an objective scatter index (OSI) obtained from double-pass images. The cataract looks very dense with a brunescent color behind the white cortical spoking. Article Text. U. This is a normal part of the aging process called nuclear sclerosis. To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking. Posterior Subcapsular: The area at the back of the lens develops cloudiness. On exam, her cataracts were graded as 2+ NS (nuclear sclerotic) and 2+ cortical spoking OU. The stereo coaxial illumination extends. With the Lumera, a clearer view of the anterior capsule and red reflex enables me to complete the capsulorrhexis without difficulty (Figure 4). n. 013 ICD-10 code H25. Connect with a U. ICD-10 Diagnosis Codes: H25. Ophthalmoscopic examination was unremarkable in the right eye. CI. Discover the truth about whether you really need cataract surgery. 3: Cortical spoking cataracts Sign in. Coding Information: Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits. Created for people with ongoing healthcare needs but benefits everyone. Various types: Spokes and vacuoles. Similarly, the estimated amount of posterior subcapsular cataract (P) is determined by comparing it to another 5 photographs depicting increasing amounts of posterior subcapsular cataract. The authors found that there was a small, though. What is a nuclear sclerotic cataract? How will it present?. Create flashcards for FREE and quiz yourself with an interactive flipper. 011 is a billable ICD code used to specify a diagnosis of cortical age-related cataract, right eye. 013 - other international versions of ICD-10 H25. Pseudoexfoliation has long been known to be a concern when performing cataract surgery. "Cortical" refers to white opacities, or cloudy areas, that develop in the lens cortex, which is the peripheral (outside) edge of the lens. Fundus examination revealed optic nerves with distinct margins and intact rim tissue with cup-to-disc ratios. To be aware of the risk factors for cataract. Identifying the Severity Cataracts are lens opacities that blur visual images, leading to symptoms like glare, halos, and photosensitivity – one of the leading causes of blindness worldwide. The patient had intraocular pressures (IOP) of 15 mm Hg OD and 12 mm Hg. Cortical Spoking: Posterior Subcapsular: NS tr or 1+: Nucleus clearer than anterior / posterior sections NS 2+: Nucleus equal to the anterior posterior sections (same opacity level throughout) NS 3+/4+: Nucleus denser than anterior / posterior sections Dense white/brunescent: Cataract completely opaque / brown: CS 1+: ⅛ to ¼ of total CS 2. This article contains coding and other guidelines that complement the local coverage determination (LCD) for Cataract Extraction. For example, if you observe cortical spoking and nuclear opacification, your patient likely has both cortical and nuclear sclerotic cataracts! Be sure to catch Part 2 of our Cataracts Awareness series about how to manage cataracts and the different forms of treatment! Cortical age-related cataract, bilateral. PSCs may also be seen with steroid use and diabetes, which can confound assessment of cataract cause . The other source of monocular diplopia is refractile inhomogeneity in the crystalline lens, where cortical spoking makes the image jump a bit as you move back and forth with a monocular ophthalmoscope. Through dilated pupils, her crystalline lenses were characterized by 2+ cortical spoking OU, mostly off the visual axis, as well as 2+ nuclear sclerosis OU and early PSC formation in the right eye more than the left. Eyes Forward – Cataracts – Part 1: Choosing When To Proceed With Surgery – 01. CII cortical spoking that obscures more than 2 full quadrants. Nuclear sclerosis is common in older adults as part of the aging process of the eye and can lead. XT. SLE: Anterior cortical spoking cataract OS; Optic nerves were normal OU; DFE: Atrophic holes OD, macula striae OS; Palpebral fissure: 10mm OD and OS; Hertel: 92mm base; 17mm OD and 18mm. Upon evaluation of the lenses, the patient had grade two nuclear sclerosis in both eyes, along with cortical spoking greater in the right eye than in the left. 85mm OS: 32. cortical cataract. Bressler, MD, James Heyward, BA, Ava K. Figure 8-13 . reveals an anterior subcapsular cataract with cortical spoking. 1: Anatomy of the lens. Her cornea also demonstrated a polygonal pattern of opacities in the posterior stroma with clear intervening spaces, resembling a “crocodile skin. white, wedge-like opacities that start in the periphery of the lens and work their way to the center in a spoke-like fashion LENS. Cortical and posterior subcapsular cataracts are graded instead using retroillumination to evaluate the degree to which the intrapupillary space or posterior. 011 - other international versions of ICD-10 H25. Lens: Trace nuclear sclerosis and cortical spoking OU; Dilated fundus examination (DFE): Vitreous: Normal OU; Disc: Normal, pink optic nerves OU; Cup-to-disc ratio: 0. DIAGNOSIS: Nuclear cataract with cortical spoking, right eye, 366. Move the stage to the right (keeping forward as much as possible without physically contacting the patient), allowing the beam to fall on the patient's face. Optic nerve head,. Purpose: To measure the rate of cataract development and progression of nuclear sclerotic cataracts (NSC), posterior subcapsular cataracts (PSC), and cortical spoking cataracts. In our office, his best-corrected visual acuity measured 20/50 O. The nerve appearances were consistent. cortical cataract. Create flashcards for FREE and quiz yourself with an interactive flipper. If the opacity is in the central portion of the lens (shown in Fig. Yes:. Study Spring 2012 Dis Exam 5 (Last Material for final) flashcards. Mild nuclear sclerotic cataracts are present in both eyes and there is moderate cortical spoking involving the visual axis OS. Article Text. Nuclear Sclerotic Cataracts. It is more common in people with diabetes and hypertension. Often, a shift in nearsightedness is noted, ranging from one to six diopters. Cornea, Cataract, & Refractive (LASIK & PRK) Surgery 20 years experience. Cortical Spoking: Because of swelling in the cortex, spoke-like cloudiness develops on the outer edge of the lens. RA Factor - neg. 50%. 01 became effective on October 1, 2023. Get the Free App for Members. Her BCVA is 20/50 in her right eye and 20/60 in her left eye; her BAT is 20/70 and 20/80 in her right and left eye. Data collected on these patients included age, ethnicity, sex, preoperative best-corrected visual acuity, cataract grade (nuclear sclerosis vs cortical spoking vs posterior subcapsular), lens thickness, first versus second eye, right versus left eye, birth month and insurance status. 013 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. What is. Yes: Therre are three areas of the lens that mau be affected by acquired cataract: the nucleus, the cortex and the posterior subcapsular region. H25. Of note, there is a prominent gap between her iris and the anterior lens capsule. change in the cortex of the posterior lens of the eye. tous changes. Because the patient’s cortical cataracts affect both eyes, you’ll select H26. Fifteen months after the addition of quetiapine, an optometry examination revealed lenticular changes in the left eye and grade I cortical spoking in the interior aspect of the lens . Scenario: A 72-year-old patient presents to the practice with blurred vision and slight yellow tinting to the left eye. However, cortical changes can begin in younger age groups and may result in difficulty with night driving and glare. reveals an anterior subcapsular cataract with cortical spoking. . true. 011. 013 (Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral). Slit-lamp exam revealed age-related cataracts (2+ nuclear sclerosis, trace posterior subcapsular) and cortical spoking OU. Study with Quizlet and memorize flashcards containing terms like nuclear sclerotic cataract, Blue Scleras, Episcleritis Connective tissue disease Wind, dust, chemicals, sun and more. Cortical opacities were twice as prevalent as Achilles tendon thickening (16. Learn how to grade nuclear sclerosing, cortical spoking, and posterior subcapsular cataracts. This is the most common form of cataract. 35 OD 0. 039 in processing claims,. A 64-year-old white male presents for cataract surgery evaluation with best-corrected visual acuity of 20/60 OD and 20/40 OS. Diagnosis: Cuneiform Cataract: Comment to photo: Peripheral, wedge-shaped cortical opacities and nucleosklerosis nasally inferior. A type 1 excludes note indicates that the code excluded should never be used at the same time as H26. Create flashcards for FREE and quiz yourself with an interactive flipper. Main Outcome Measures. Her cornea also demonstrated a polygonal pattern of opacities in the posterior stroma with clear intervening spaces, resembling a “crocodile. 0. Or, simply reference the most commonly used abbreviations the old fashioned way. 1 If age is the main risk factor for cataract progression, pseudoexfoliation syndrome (PXF) represents an independent additional hazard for the development of nuclear sclerosis. show more content…Study with Quizlet and memorize flashcards containing terms like BLP, BRAO, ARMD and more. Dr. This guide from Harvard Medical School provides evidence-based solutions, tips, and resources for people who want to know more about cataract surgery or who want to delay it. S. Figure 8-13 Mature cataract with white, liquefied cortex. Short description: Infantile and juv cortical/lamellar/zonular cataract, r eye; The 2024 edition of ICD-10-CM H26. Learn how to grade nuclear sclerosing, cortical spoking, and posterior subcapsular cataracts. H25. Participants were included if they had normal age-related lens changes. An examination of the anterior segment of the right eye reveals an anterior subcapsular cataract with cortical spoking. board-certified doctor by text or video anytime, anywhere. It has little or no effect on vision, but the blue-gray appearance of the lens often prompts a misdiagnosis of cataract. Cortical spoking was not routinely recorded, so this cataract variable was not analyzed, but prior reports have shown minimal effects of vitrectomy on cortical cataract. The lack of monocular or homonymous visual field defect makes. As they progress, these streaks gradually move toward the center, taking on an appearance similar to spokes in a bicycle wheel. Prior inflammation/injury of the eyes. Thus white for bone or stone. You may become a victim of cortical cataracts, even if you are young or middle-aged. Vision can be affected in various ways, depending on exact location and prominence of these spokes. There is no phacodonesis evident. 2 Genetic mutations account for the majority of cases of bilateral. Clearing the Fog of Cataracts clears away the confusion and misinformation around cataracts. Created for people with ongoing healthcare needs but benefits everyone. 2: Nuclear sclerotic cataracts. Lens: cortical opacities, 1+cortical spoking OU 2+PSC Disc: staphyloma OU, oblique insertion C/D: 0. 1. Scenario: A 72-year-old patient presents to the practice with blurred vision and slight yellow tinting to the left eye. 0 using the lens opacities classification system LOCS II before and after pars plana vitrectomy for macular. Senile cataracts are classified into three main types: nuclear cataract, cortical cataract, and posterior subcapsular cataract. Study with Quizlet and memorize flashcards containing terms like Emergent Referral, Urgent Referral, Painless Eye Conditions and more. R3. ICD-10-CM Code for Cortical age-related cataract, bilateral H25. Is cortical spoking a type of cataract? 3 doctor answers • 5 doctors weighed in. The left eye showed an old branch vein occlusion in the superotemporal region, with extensive retinal venous collaterals. Our ASC does a lot of cataract surgeries. The surgeon decided to proceed with cataract surgery in the left eye first, using a basic lens for best distance correction and utilizing LenSx technology. Study Ocular Disease Midterm flashcards. YAG. Moran CORE. Brain problem: Cortical visual impairment is when visual function is affected by changes in the brain rather than changes in the eye. Phacodonesis. Attempts were made to contact referring ophthalmologists in patients who were lost to follow. Author(s): Michelson, Georg, Prof. There was no evident phacodonesis. 039 (unspecified eye) H26. and a mixed cataract with 3+ nuclear sclerosis, cortical spoking, and posterior subcapsular opacities in each eye • Tear break-up time was 5 seconds OU • Tear osmolarity was modestly elevated and asymmetric at 302 mOsm/L OD and 313 mOsm/L OS The Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire (availablecongenital or early in life usually don't interfere with vision Congenital nuclear, Anterior polar (pyramidal), Ubilicated, Axial fusiform, Sutural opacities, Coralliform, Persistent hyperplastic primary vitreous, Luxated lens, Zonular/lamellar, Galactosemia, Spherophakia, LenticonusFigure S4: Quantile-quantile (Q-Q) plot of observed (y-axis) vs. This guide from. Pediatric Ophthalmology 29 years experience. The spokes gradually grow towards the center of the lens and blur vision. The optometrist diagnoses the. 3: Cortical spoking cataracts Sign in. Lens: Trace nuclear sclerosis and cortical spoking OU; Dilated fundus examination (DFE): Vitreous: Normal OU; Disc: Normal, pink optic nerves OU; Cup-to-disc ratio: 0. METHODS —Eight women and 12 men, mean age 73 years, were included in this study, which was carried out from 1 January 1994 to 30 November 1996. Subscribe to Codify by AAPC and get the code details in a flash. 04 : H00-H59. A patient with both OSD and cataracts begs the age-old visual impact question, which came first? Regardless of the answer, the first step is aggressively treating the OSD prior to a cataract consultation. cortical cataract. 01 for Cortical age-related cataract is a medical classification as listed by WHO under the range - Diseases of the eye and adnexa . He presented with visual acuities of 20/40 OD and 20/50 OS, which decreased further with glare simulation. Study with Quizlet and memorize flashcards containing terms like Age, 75, Cataracts and more. Cortical age-related cataract, unspecified eye. ; however, these changes were mild and inconsistent with his reduced vision. 61 became effective on October 1, 2023. Add to My Bookmarks. Talk to a doctor now . D. Retinal evaluation of the right eye was difficult due to the media, however. ICD-10 Diagnosis Codes: H25. An anterior subcapsular cataract is evident, and a Visian ICL is. Please refer to the LCD for reasonable and necessary requirements. The onset of the posterior subcapsular cataracts in the previous six months contributed greatly to her decreased. Cortical Standard. Binocular testing makes no sense in monocular diplopia. intermittent exotropia. Cortical spoking cataract (CS) – Swelling of the cortex causing spoke/wedge-like peripheral cloudiness. The 2024 edition of ICD-10-CM H25. H25. 1. 1. The optic nerve showed a cup-to-disc ratio of 0. This is a normal part of the aging process called nuclear sclerosis. Grading helps to track how severe the cataract is, whether it’s growing or stable. 3 OS. 3 OS Periphery: OD: lattice, pigmented sup. ICD-10-CM Coding Rules. Cataract is simply defined as opacity of the lens and/or its lens capsule (Figs 4. Read More. The optic nerves are composed of what? The axons of retinal ganglion cells. Create flashcards for FREE and quiz yourself with an interactive flipper. The phakic IOL is well positioned but may exhibit slight temporal displacement. intermittent exotropia. With the Lumera, a clearer view of the anterior capsule and red reflex enables me to complete the capsulorhexis without difficulty (Figure 3).