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ICD Hub / Injury, poisoning or certain other consequences of external causes (S00–T88) / NA00.11 - Contusion of eyelid or periocular area
ICD-11

ICD-11 Codes
for NA00.11 - Contusion of eyelid or periocular area
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Understanding Contusion of Eyelid or Periocular Area (ICD-11 Code NA00.11)

Contusion of eyelid or periocular area, identified by the ICD-11 code NA00.11, refers to bruising that affects the skin and tissues surrounding the eye. This condition is commonly known by patient-friendly terms such as a black eye, periorbital contusion, or raccoon eyes. It typically results from blunt force trauma to the facial region, causing damage to superficial tissues without necessarily involving the eyeball itself. While often more of a cosmetic concern, it is crucial to recognise that more significant underlying injuries may sometimes accompany this type of trauma.

Recognising the Signs: Symptoms of Eyelid Contusion

The primary indicators of an eyelid contusion include visible bruising, swelling, and discomfort in the affected area. The skin around the eye may appear discoloured, often in shades of blue, purple, or black, and can become significantly swollen. This swelling may sometimes make it difficult to open the eyelid fully. Patients may report a stinging or burning sensation. In some instances, the appearance can resemble dark circles around both eyes, leading to the term 'raccoon eyes'.

Common Causes of Eyelid and Periocular Bruising

Eyelid and periocular contusions commonly arise from direct physical trauma to the face. These injuries can occur through various mechanisms, including sports-related incidents, accidental falls, or collisions with objects. Workplace hazards, such as exposure to flying debris or chemicals, can also lead to such injuries. Household activities, including DIY projects or cooking, and recreational pursuits involving toys or projectiles are other frequent causes. In some situations, violence or assault may also result in this type of injury.

How Periocular Contusions Are Diagnosed

Healthcare professionals diagnose contusion of the eyelid or periocular area (ICD-11 code NA00.11) through a comprehensive evaluation. This typically begins with a detailed patient history, including how the injury occurred and a review of symptoms. A physical examination follows, focusing on the injured eye and surrounding tissues to assess the extent of bruising, swelling, and any signs of bleeding. Visual acuity and eye movements are evaluated. In cases where more serious underlying trauma is suspected, imaging studies such as CT scans or X-rays may be employed to rule out fractures or other internal damage.

Management and Treatment of Eyelid Contusions

Initial management for eyelid contusions often involves applying cold compresses or ice packs wrapped in a cloth to the affected area for 15-20 minutes at a time, particularly during the first 24 to 48 hours, to help reduce swelling and pain. Resting with the head elevated can also aid in managing swelling. Patients are advised to avoid rubbing the injured eye and to limit strenuous activities. Pain relief medication may be recommended. While uncomplicated contusions typically resolve with conservative care, it is essential to ensure no more severe injuries, such as globe trauma, are present.

When to Seek Professional Medical Attention for Eye Injuries

While many eyelid contusions are minor, prompt medical attention is advised if certain warning signs are present. These include vision changes such as blurred or double vision, significant or persistent pain, inability to move the eye, or bleeding within the eye. If swelling does not improve, or if there are symptoms suggestive of a concussion (headache, nausea, dizziness), seeking professional medical advice is crucial. Any injury involving chemicals, a foreign object lodged in the eye, or suspected fracture requires immediate evaluation by a healthcare provider.

Frequently asked questions

What is the ICD-11 classification for 'Contusion of eyelid or periocular area'?
NA00.11 classifies damage inflicted on the surface or shallow tissues of the eyelid or periocular area as the direct or indirect result of an external force.
How is 'Contusion of eyelid or periocular area' categorized within ICD-11?
It is categorized under Chapter 22, 'Injury, poisoning or certain other consequences of external causes', within the block 'Injuries to the head' (NA00-NA0Z) as a superficial injury.
What does the ICD-11 code NA00.11 signify?
NA00.11 signifies a contusion affecting the eyelid or the periocular region, indicating damage to superficial tissues caused by an external force.
Can ICD-11 codes like NA00.11 be further specified?
Yes, ICD-11 supports postcoordination, allowing additional codes to be used to provide more detail for a condition such as NA00.11.
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