Epidemiology of Eye-Related Emergency Department Visits

Supplementary Online Content

Channa R, Zafar SN, Canner JK, Haring RS, Schneider EB, Friedman DS. Epidemiology of eye-related emergency department visits. JAMA Ophthalmol. Published online January 28, 2015. doi:10.1001/jamaophthalmol.2015.5778.

eTable 1. Diagnosis Codes in Order of Frequency, Categorized as Likely Emergent, Unlikely to Be Emergent, or Could Not Determine

eTable 2. Most Common Primary Diagnoses for Hospital Admissions Among Children and Adults Presenting to Emergency Departments in the United States With Ophthalmic Conditions Based on The Nationwide Emergency Department Sample (NEDS), 2006-2011

eTable 3. Estimated Annual Rates and Causes of Eye Injuries Presenting to the Emergency Department in the United States, Nationwide Emergency Department Sample, 2006-2011

This supplementary material has been provided by the authors to give readers additional information about their work.

Downloaded From: https://jamanetwork.com/ on 09/27/2021 eTable 1. Diagnosis Codes in Order of Frequency, Categorized as Likely Emergent, Unlikely to Be Emergent, or Could Not Determine

ICD‐9 diagnosis code and diagnosis Likely Percent Emergent? 372.30 Conjunctivitis, unspecified No 19.9 918.1Corneal abrasion Yes 13.7 372.00 Acute conjunctivitis, unspecified No 4.9 930.0 Corneal foreign body Yes 4.4 379.91 Pain in or around eye Could not 4.3 determine 373.11 Hordeolum externum No 3.8 930.9 Foreign body on external eyeExternal eye NOS Yes 3.1 372.72 Conjunctival hemorrhage No 3.0 870.0 Laceration of skin of eyelid and periocular area Yes 2.3 372.14 Other chronic allergic conjunctivitis No 1.9 368.8 Other specified visual disturbances Could not 1.7 Blurred vision NOS determine 921.9 Unspecified contusion of eye Yes 1.6 870.8 Other specified open wounds of ocular adnexa Yes 1.5 802.6 Orbital floor (blow‐out), closed Yes 1.3 372.39 Other and unspecified conjunctivitis No 1.3 921.2 Contusion of orbital tissues Yes 1.2 379.93 Redness or discharge of eye Could not 1.2 determine 379.92 Swelling or mass of eye Could not 1.1 determine 373.13 Abscess of eyelid Yes 1.0 372.01 Serous conjunctivitis, except viral No 1.0 376.01 Orbital cellulitis Yes 0.9 Abscess of orbit 373.00 Blepharitis, unspecified No 0.9 370.00 Corneal ulcer, unspecified Yes 0.9 368.9 Unspecified visual disturbance Could not 0.9 determine 918.0 Eyelids and periocular area Yes 0.8 Abrasion Insect bite Superficial foreign body (splinter) 370.24 Photokeratitis No 0.8 Snow blindness Welders' keratitis 930.1 Foreign body in conjunctival sac Yes 0.7 © 2016 American Medical Association. All rights reserved. 2

Downloaded From: https://jamanetwork.com/ on 09/27/2021 372.03 Other mucopurulent conjunctivitis No 0.7 Catarrhal conjunctivitis Excludes: blennorrhea neonatorum (gonococcal) (098.40) neonatal conjunctivitis (771.6) ophthalmia neonatorum NOS (771.6) 364.3 Unspecified iridocyclitis Could not 0.7 Uveitis NOS determine 371.82 Corneal disorder due to contact lens No 0.7 Excludes: corneal edema due to contact lens 921.3 Contusion of eyeball Yes 0.7 372.05 Acute atopic conjunctivitis No 0.7 918.9 Other and unspecified superficial injuries of eye Yes 0.7 Eye (ball) NOS 918.2 Conjunctiva Yes 0.6 921.1 Contusion of eyelids and periocular area Yes 0.6 373.2 Chalazion No 0.6 Meibomian (gland) cyst Excludes: infected meibomian gland 368.2 Diplopia Could not 0.6 Double vision determine 379.99 Other ill‐defined disorders of eye Could not 0.5 Excludes: determine blurred vision NOS 940.4 Other burn of cornea and conjunctival sac Yes 0.5 930.8 Other and combined sites Yes 0.5 372.06 Disorders of Conjunctiva, acute conjunctivitis No 0.5 370.9 Unspecified keratitis Could not 0.3 determine 364.00 Acute and subacute iridocyclitis, unspecified Yes 0.3 370.8 Other forms of keratitis Could not 0.3 Code first underlying condition, such as: determine Acanthamoeba (136.21) Fusarium (118) 379.24 Other vitreous opacities No 0.3 Vitreous floaters 379.21 Vitreous degeneration No 0.3 369.9 Unspecified visual loss Could not 0.3 determine

Downloaded From: https://jamanetwork.com/ on 09/27/2021 373.12 Hordeolum internum No 0.3 940.9 Unspecified burn of eye and adnexa Yes 0.2 360.00 Purulent endophthalmitis, unspecified Yes 0.2 369.8 Unqualified visual loss, one eye Could not 0.2 determine 368.16 Psychophysical visual disturbances No 0.2 Prosopagnosia Visual: agnosia disorientation syndrome hallucinations object agnosia 379.8 Other specified disorders of eye and adnexa Could not 0.2 determine 375.15 Tear film insufficiency, unspecified No 0.2 Dry eye syndrome 372.73 Conjunctival edema No 0.2 Chemosis of conjunctiva Subconjunctival edema 921.0 Black eye, NOS Yes 0.2 871.9 Unspecified open wound of eyeball Yes 0.2 379.90 Disorder of eye, unspecified Could not 0.2 determine 379.23 Vitreous hemorrhage Yes 0.2 361.9 Unspecified retinal detachment Yes 0.2 365.9 Unspecified glaucoma Could not 0.2 determine 374.82 Edema of eyelid No 0.2 Hyperemia of eyelid 870.1 Laceration of eyelid, full‐thickness, not involving Yes 0.2 lacrimal passages 375.30 Dacryocystitis, unspecified Could not 0.2 determine 379.00 Scleritis, unspecified Could not 0.1 Episcleritis NOS determine 377.30 Optic neuritis, unspecified Could not 0.1 determine 871.0 Ocular laceration without prolapse of intraocular Yes 0.1 tissue 372.40 Pterygium, unspecified No 0.1 373.9 Unspecified inflammation of eyelid No 0.1

Downloaded From: https://jamanetwork.com/ on 09/27/2021 368.12 Transient visual loss Yes 0.1 Concentric fading Scintillating scotoma 366.9 Unspecified cataract No 0.1 871.4 Unspecified laceration of eye Yes 0.1 871.1 Ocular laceration with prolapse or exposure of Yes 0.1 intraocular tissue 379.43 Mydriasis (persistent), not due to mydriatics Could not 0.1 determine 368.13 Visual discomfort No 0.1 Asthenopia Eye strain Photophobia 940.1 Other burns of eyelids and periocular area Yes 0.1 870.3 Penetrating wound of orbit, without mention of Yes 0.1 foreign body 365.22 Acute angle‐closure glaucoma Yes 0.1 376.33 Orbital edema or congestion Could not 0.1 determine 379.41 Anisocoria Could not 0.1 determine 871.6 Penetration of eyeball with (nonmagnetic) foreign Yes 0.1 body Excludes: retained (old) (nonmagnetic) foreign body in globe 370.40 Keratoconjunctivitis, unspecified No 0.1 Superficial keratitis with conjunctivitis NOS 362.34 Transient arterial occlusion Yes 0.1 Amaurosis fugax 940.3 Acid chemical burn of cornea and conjunctival sac Yes 0.1 940.2 Alkaline chemical burn of cornea and conjunctival Yes 0.1 sac 870.9 Unspecified open wound of ocular adnexa Yes 0.1 369.00 Impairment level not further specified Could not 0.1 Blindness: determine NOS according to WHO definition both eyes 375.56 Stenosis of nasolacrimal duct, acquired No 0.1 378.54 Sixth or abducens nerve palsy Yes 0.1 378.51 Third or oculomotor nerve palsy, partial Yes 0.1 364.41 Hyphema Yes 0.1 Hemorrhage of iris or ciliary body

Downloaded From: https://jamanetwork.com/ on 09/27/2021 368.44 Other localized visual field defect Could not 0.1 Scotoma: determine NOS ring Visual field defect: nasal step peripheral 370.21 Punctate keratitis Could not 0.1 Thygeson's superficial punctate keratitis determine 374.89 Other disorders of eyelid No 0.1 368.40 Visual field defect, unspecified Could not 0.1 determine 374.30 Ptosis of eyelid, unspecified Could not 0.1 determine 372.20 Blepharoconjunctivitis, unspecified No 0.1 870.2 Laceration of eyelid involving lacrimal passages Yes 0.1 371.89 Other Could not 0.1 determine 360.43 Hemophthalmos, except current injury Could not 0.1 Excludes:traumatic determine 373.32 Contact and allergic dermatitis of eyelid No 0.1 940.0 Chemical burn of eyelids and periocular area Yes 0.1 368.11 Sudden visual loss Yes 0.1 374.84 Cysts of eyelids No 0.1 Sebaceous cyst of eyelid 369.60 Impairment level not further specified Could not 0.1 Blindness, one eye determine 377.00 Papilledema, unspecified Could not 0.1 determine 362.31 Central retinal artery occlusion Yes 0.1 361.00 Retinal detachment with retinal defect, Yes 0.1 unspecified 362.30 Retinal vascular occlusion, unspecified Could not 0.0 determine 362.81 Retinal hemorrhage Could not 0.0 Hemorrhage: determine preretinal retinal (deep) (superficial) subretinal 366.16 Nuclear sclerosis No 0.0 Cataracta brunescens Nuclear cataract

Downloaded From: https://jamanetwork.com/ on 09/27/2021 369.70 Impairment level not further specified Could not 0.0 Low vision, one eye determine 372.89 Other disorders of conjunctiva No 0.0 370.34 Exposure keratoconjunctivitis No 0.0 373.8 Other inflammations of eyelids No 0.0 870.4 Penetrating wound of orbit with foreign body Yes 0.0 Excludes: retained (old) foreign body in orbit 368.15 Other visual distortions and entoptic phenomena No 0.0 Photopsia Refractive: diplopia polyopia Visual halos 375.32 Acute dacryocystitis Yes 0.0 Acute peridacryocystitis 361.89 Other Could not 0.0 determine 371.42 Recurrent erosion of cornea Yes 0.0 Excludes: Mooren's ulcer 361.05 Recent detachment, total or subtotal Yes 0.0 372.51 Pinguecula No 0.0 373.31 Eczematous dermatitis of eyelid No 0.0 372.9 Unspecified disorder of conjunctiva No 0.0 371.20 Corneal edema, unspecified No 0.0 871.5 Penetration of eyeball with magnetic foreign body Yes 0.0 Excludes: retained (old) magnetic foreign body in globe 379.50 Nystagmus, unspecified Could not 0.0 determine 369.3 Unqualified visual loss, both eyes Could not 0.0 Excludes: determine blindness NOS: legal [U.S.A. definition] WHO definition 871.2 Rupture of eye with partial loss of intraocular Yes 0.0 tissue 365.11 Primary open angle glaucoma No 0.0 Chronic simple glaucoma

Downloaded From: https://jamanetwork.com/ on 09/27/2021 368.46 Homonymous bilateral field defects Yes 0.0 Hemianopsia (altitudinal) (homonymous) Quadrant anopia 372.74 Vascular abnormalities of conjunctiva No 0.0 Aneurysm(ata) of conjunctiva 371.00 Corneal opacity, unspecified Could not 0.0 Corneal scar NOS determine 365.89 Other specified glaucoma Could not 0.0 determine 378.9 Unspecified disorder of eye movements Could not 0.0 Ophthalmoplegia NOS determine Strabismus NOS 941.1 Erythema [first degree] Yes 0.0 [0‐9] 370.49 Other No 0.0 Excludes: epidemic keratoconjunctivitis 375.55 Obstruction of nasolacrimal duct, neonatal No 0.0 Excludes: congenital anomaly of nasolacrimal duct 379.19 Other Could not 0.0 determine 366.10 Senile cataract, unspecified No 0.0 377.39 Other Could not 0.0 Excludes: determine ischemic optic neuropathy 376.30 Exophthalmos, unspecified Could not 0.0 determine 365.00 Preglaucoma, unspecified No 0.0 802.7 Orbital floor (blow‐out), open Yes 0.0 871.7 Unspecified ocular penetration Yes 0.0 941.2 Blisters, epidermal loss [second degree] Yes 0.0 [0‐9] 362.35 Central retinal vein occlusion No 0.0 372.10 Chronic conjunctivitis, unspecified No 0.0 367.1 Myopia No 0.0 Near‐sightedness 362.50 Macular degeneration (senile), unspecified No 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 372.02 Acute follicular conjunctivitis No 0.0 Conjunctival folliculosis NOS Excludes: conjunctivitis: adenoviral (acute follicular) (077.3) epidemic hemorrhagic (077.4) inclusion (077.0) Newcastle (077.8) epidemic keratoconjunctivitis (077.1) pharyngoconjunctival fever 375.00 Dacryoadenitis, unspecified Could not 0.0 determine 371.40 Corneal degeneration, unspecified No 0.0 365.20 Primary angle‐closure glaucoma, unspecified No 0.0 365.63 Glaucoma associated with vascular disorders Could not 0.0 determine 377.41 Ischemic optic neuropathy No 0.0 364.01 Primary iridocyclitis Yes 0.0 365.04 Ocular hypertension No 0.0 378.55 External ophthalmoplegia Yes 0.0 361.30 Retinal defect, unspecified: Retinal break(s) NOS Yes 0.0 379.29 Other disorders of vitreous Could not 0.0 Excludes: determine vitreous abscess 360.01 Acute endophthalmitis Yes 0.0 379.09 Other Yes 0.0 Scleral abscess 367.9 Unspecified disorder of refraction and No 0.0 accommodation 374.9 Unspecified disorder of eyelid No 0.0 376.11 Orbital granuloma Yes 0.0 Pseudotumor (inflammatory) of orbit 360.60 Foreign body, intraocular, unspecified Yes 0.0 376.00 Acute inflammation of orbit, unspecified Yes 0.0 376.89 Other Could not 0.0 determine 368.10 Subjective visual disturbance, unspecified No 0.0 362.32 Arterial branch occlusion Yes 0.0 378.52 Third or oculomotor nerve palsy, total Yes 0.0 371.9 Unspecified corneal disorder Could not 0.0 determine

Downloaded From: https://jamanetwork.com/ on 09/27/2021 378.87 Other dissociated deviation of eye movements Yes 0.0 Skew deviation 376.32 Orbital hemorrhage Yes 0.0 362.11 Hypertensive retinopathy No 0.0 364.04 Secondary iridocyclitis, noninfectious Yes 0.0 Aqueous: cells fibrin flare 374.50 Degenerative disorder of eyelid, unspecified No 0.0 362.52 Exudative senile macular degeneration No 0.0 Kuhnt‐Junius degeneration Senile macular degeneration: disciform wet 378.53 Fourth or trochlear nerve palsy Yes 0.0 378.00 Esotropia, unspecified Could not 0.0 determine 372.13 Vernal conjunctivitis No 0.0 362.54 Macular cyst, hole, or pseudohole No 0.0 360.69 Foreign body in other or multiple sites Yes 0.0 377.49 Other Could not 0.0 Compression of optic nerve determine 871.3 Avulsion of eye Yes 0.0 Traumatic enucleation 362.41 Central serous retinopathy No 0.0 362.36 Venous tributary (branch) occlusion No 0.0 365.10 Open‐angle glaucoma, unspecified No 0.0 Wide‐angle glaucoma NOS 950.0 Optic nerve injury Yes 0.0 Second cranial nerve 371.60 Keratoconus, unspecified No 0.0 374.05 Trichiasis without entropion No 0.0 372.75 Conjunctival cysts No 0.0 361.32 Horseshoe tear of retina without Yes 0.0 detachment:Operculum of retina without mention of detachment 363.20 Chorioretinitis, unspecified Could not 0.0 Choroiditis NOS determine Retinitis NOS Uveitis, posterior NOS 360.12 Panuveitis Yes 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 370.01 Marginal corneal ulcer Yes 0.0 377.32 Retrobulbar neuritis (acute) Yes 0.0 Excludes: syphilitic retrobulbar neuritis 370.03 Central corneal ulcer Yes 0.0 370.20 Superficial keratitis, unspecified Could not 0.0 determine 366.53 After‐cataract, obscuring vision No 0.0 360.19 other:Phacoanaphylactic endophthalmitis Yes 0.0 362.56 Macular puckering No 0.0 Preretinal fibrosis 365.23 Chronic angle‐closure glaucoma No 0.0 364.10 Chronic iridocyclitis, unspecified No 0.0 366.17 Total or mature cataract No 0.0 362.83 Retinal edema No 0.0 Retinal: cotton wool spots edema (localized) (macular) (peripheral) 366.8 Other cataract No 0.0 Calcification of lens 371.24 Corneal edema due to wearing of contact lenses No 0.0 367.4 Presbyopia No 0.0 375.89 Other Could not 0.0 determine 371.23 Bullous keratopathy No 0.0 372.71 Hyperemia of conjunctiva No 0.0 364.02 Recurrent iridocyclitis No 0.0 370.06 Perforated corneal ulcer Yes 0.0 368.45 Generalized contraction or constriction Could not 0.0 determine 950.9 Unspecified Yes 0.0 Traumatic blindness NOS 378.86 Internuclear ophthalmoplegia Yes 0.0 368.00 Amblyopia, unspecified No 0.0 362.89 Other retinal disorders No 0.0 379.32 Subluxation of lens No 0.0 379.56 Other forms of nystagmus Could not 0.0 determine 366.19 Other and combined forms of senile cataract No 0.0 374.00 Entropion, unspecified No 0.0 376.9 Unspecified disorder of orbit Could not 0.0 determine

Downloaded From: https://jamanetwork.com/ on 09/27/2021 374.86 Retained foreign body of eyelid Yes 0.0 374.81 Hemorrhage of eyelid Yes 0.0 Excludes: black eye 370.04 Hypopyon ulcer Yes 0.0 Serpiginous ulcer 375.31 Acute canaliculitis, lacrimal Yes 0.0 365.01 Open angle with borderline findings No 0.0 Open angle with: borderline intraocular pressure cupping of optic discs 366.14 Posterior subcapsular polar senile cataract No 0.0 366.20 Traumatic cataract, unspecified Yes 0.0 368.41 Scotoma involving central area Yes 0.0 Scotoma: central centrocecal paracentral 362.10 Background retinopathy, unspecified No 0.0 361.02 Recent detachment, partial, with multiple defects Yes 0.0 360.11 Sympathetic uveitis Yes 0.0 361.01 Recent detachment, partial, with single defect Yes 0.0 375.20 Epiphora, unspecified as to cause No 0.0 374.10 Ectropion, unspecified No 0.0 362.18 Retinal vasculitis:Eales' disease No 0.0 Retinal: arteritis endarteritis perivasculitis phlebitis 377.01 Papilledema associated with increased Yes 0.0 intracranial pressure 360.21 Progressive high (degenerative) myopia No 0.0 362.63 Lattice degeneration No 0.0 Palisade degeneration of retina 375.01 Acute dacryoadenitis Yes 0.0 362.84 Retinal ischemia Yes 0.0 376.10 Chronic inflammation of orbit, unspecified No 0.0 364.05 Hypopyon Yes 0.0 369.20 Impairment level not further specified Could not 0.0 Low vision, both eyes NOS determine

Downloaded From: https://jamanetwork.com/ on 09/27/2021 362.51 Nonexudative senile macular degeneration No 0.0 Senile macular degeneration: atrophic dry 362.53 Cystoid macular degeneration No 0.0 Cystoid macular edema 365.65 Glaucoma associated with ocular trauma Yes 0.0 361.81 Traction detachment of retina: Traction No 0.0 detachment with vitreoretinal organization 371.30 Corneal membrane change, unspecified No 0.0 373.01 Ulcerative blepharitis No 0.0 950.1 Injury to optic chiasm Yes 0.0 376.81 Orbital cysts No 0.0 Encephalocele of orbit 362.9 Unspecified retinal disorder Could not 0.0 determine 362.16 Retinal neovascularization No 0.0 NOS:Neovascularization: choroidal subretinal 368.14 Visual distortions of shape and size No 0.0 Macropsia Metamorphopsia Micropsia 379.60 Inflammation (infection) of postprocedural bleb, Yes 0.0 unspecified 379.03 Anterior scleritis Yes 0.0 372.12 Chronic follicular conjunctivitis No 0.0 377.14 Glaucomatous atrophy [cupping] of optic disc No 0.0 371.57 Endothelial corneal dystrophy No 0.0 Combined corneal dystrophy Cornea guttata Fuchs' endothelial dystrophy 361.03 Recent detachment, partial, with giant tear Yes 0.0 371.62 Keratoconus, acute hydrops Yes 0.0 374.87 Dermatochalasis No 0.0 376.51 Enophthalmos due to atrophy of orbital tissue No 0.0 379.40 Abnormal pupillary function, unspecified Could not 0.0 determine 366.15 Cortical senile cataract No 0.0 379.46 Tonic pupillary reaction No 0.0 Adie's pupil or syndrome

Downloaded From: https://jamanetwork.com/ on 09/27/2021 369.10 Impairment level not further specified Could not 0.0 Blindness, one eye, low vision other eye determine 372.11 Simple chronic conjunctivitis No 0.0 377.31 Optic papillitis Yes 0.0 375.9 Unspecified disorder of lacrimal system Could not 0.0 determine 363.30 Chorioretinal scar, unspecified No 0.0 375.54 Stenosis of lacrimal sac No 0.0 368.47 Heteronymous bilateral field defects Could not 0.0 Hemianopsia: determine binasal bitemporal 377.10 Optic atrophy, unspecified No 0.0 370.23 Filamentary keratitis No 0.0 372.34 Pingueculitis No 0.0 369.4 Legal blindness, as defined in U.S.A. Could not 0.0 Blindness NOS according to U.S.A. definition determine Excludes: legal blindness with specification of impairment level 370.55 Corneal abscess Yes 0.0 367.0 Hypermetropia No 0.0 Far‐sightedness Hyperopia 379.42 Miosis (persistent), not due to miotics Could not 0.0 determine 364.75 Pupillary abnormalities No 0.0 Deformed pupil Ectopic pupil Rupture of sphincter, pupil 363.61 Choroidal hemorrhage, unspecified Yes 0.0 364.89 Other disorders of iris and ciliary body No 0.0 Prolapse of iris NOS Excludes: prolapse of iris in recent wound (871.1) 372.61 Granuloma of conjunctiva No 0.0 375.69 Other Could not 0.0 determine 378.10 Exotropia, unspecified Could not 0.0 determine 363.8 Other disorders of choroid No 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 376.6 Retained (old) foreign body following penetrating No 0.0 wound of orbit Retrobulbar foreign body 379.59 Other irregularities of eye movements Yes 0.0 Opsoclonus 374.20 Lagophthalmos, unspecified No 0.0 379.49 Other No 0.0 Hippus Pupillary paralysis 366.50 After‐cataract, unspecified No 0.0 Secondary cataract NOS 930.2 Foreign body in lacrimal punctum Yes 0.0 371.41 Senile corneal changes No 0.0 Arcus senilis Hassall‐Henle bodies 378.81 Palsy of conjugate gaze Yes 0.0 376.12 Orbital myositis Yes 0.0 372.04 Pseudomembranous conjunctivitis No 0.0 Membranous conjunctivitis Excludes: diphtheritic conjunctivitis 363.15 Disseminated retinitis and retinochoroiditis, Yes 0.0 pigment epitheliopathy Acute posterior multifocal placoid pigment epitheliopathy 362.74 Pigmentary retinal dystrophy: No 0.0 Retinal dystrophy, albipunctate Retinitis pigmentosa 364.23 Lens‐induced iridocyclitis No 0.0 371.43 Band‐shaped keratopathy No 0.0 365.52 Pseudoexfoliation glaucoma No 0.0 372.53 Conjunctival xerosis No 0.0 Excludes: conjunctival xerosis due to vitamin A deficiency 371.10 Corneal deposit, unspecified No 0.0 369.61 One eye: total impairment; other eye: not Could not 0.0 specified determine 360.59 Foreign body, magnetic, in other or multiple sites Yes 0.0 365.02 Anatomical narrow angle No 0.0 365.60 Glaucoma associated with unspecified ocular No 0.0 disorder 364.76 Iridodialysis No 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 360.30 Hypotony, unspecified Could not 0.0 determine 375.42 Chronic dacryocystitis No 0.0 379.31 Aphakia No 0.0 Excludes: cataract extraction status 379.01 Episcleritis periodica fugax No 0.0 360.41 Blind hypotensive eye: Atrophy of globe ,Phthisis No 0.0 bulbi 368.42 Scotoma of blind spot area Yes 0.0 Enlarged: angioscotoma blind spot Paracecal scotoma 375.53 Stenosis of lacrimal canaliculi No 0.0 370.31 Phlyctenular keratoconjunctivitis No 0.0 Phlyctenulosis Use additional code for any associated tuberculosis 360.63 Foreign body in lens Yes 0.0 371.50 Corneal dystrophy, unspecified No 0.0 372.22 Contact blepharoconjunctivitis No 0.0 379.07 Posterior scleritis Yes 0.0 Sclerotenonitis 361.10 Retinoschisis, unspecified No 0.0 362.21 Retrolental fibroplasia: Cicatricial retinopathy of No 0.0 prematurity 364.74 Pupillary membranes No 0.0 Iris bombé Pupillary: occlusion seclusion 362.33 Partial arterial occlusion:Hollenhorst plaque Yes 0.0 Retinal microembolism 370.33 Keratoconjunctivitis sicca, not specified as No 0.0 Sjögren's Excludes: Sjögren's syndrome 364.11 Chronic iridocyclitis in diseases classified No 0.0 elsewhere Code first underlying disease, as: sarcoidosis tuberculosis Excludes:

Downloaded From: https://jamanetwork.com/ on 09/27/2021 syphilitic iridocyclitis

376.02 Orbital periostitis Yes 0.0 365.12 Low tension glaucoma No 0.0 375.43 Lacrimal mucocele No 0.0 360.61 Foreign body in anterior chamber Yes 0.0 368.30 Binocular vision disorder, unspecified Could not 0.0 determine 361.04 Recent detachment, partial, with retinal Yes 0.0 dialysis:Dialysis (juvenile) of retina (with detachment) 363.05 Focal retinitis and retinochoroiditis, Yes 0.0 juxtapapillary Neuroretinitis 369.74 One eye: moderate impairment; other eye: not Could not 0.0 specified determine 379.63 Inflammation (infection) of postprocedural bleb, Yes 0.0 stage 3 Bleb associated endophthalmitis 360.42 Blind hypertensive eye: No 0.0 378.20 Intermittent heterotropia, unspecified No 0.0 Intermittent: esotropia NOS exotropia NOS 362.42 Serous detachment of retinal pigment epithelium No 0.0 Exudative detachment of retinal pigment epithelium 367.81 Transient refractive change No 0.0 367.51 Paresis of accommodation Could not 0.0 Cycloplegia determine 364.9 Unspecified disorder of iris and ciliary body Could not 0.0 determine 369.76 One eye: moderate impairment; other eye: Could not 0.0 normal vision determine 363.63 Choroidal rupture Yes 0.0 374.41 Lid retraction or lag No 0.0 369.63 One eye: total impairment; other eye: normal Could not 0.0 vision determine 379.02 Nodular episcleritis No 0.0 375.12 Other lacrimal cysts and cystic degeneration No 0.0 379.39 Other disorders of lens Could not 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 determine 377.21 Drusen of optic disc No 0.0 364.42 Rubeosis iridis Yes 0.0 Neovascularization of iris or ciliary body 360.44 Leucocoria No 0.0 362.01 Background diabetic retinopathy:Diabetic retinal No 0.0 microaneurysms,Diabetic retinopathy NOS 364.24 Vogt‐Koyanagi syndrome No 0.0 377.9 Unspecified disorder of optic nerve and visual Could not 0.0 pathways determine 370.50 Interstitial keratitis, unspecified No 0.0 370.62 Pannus (corneal) No 0.0 379.54 Nystagmus associated with disorders of the No 0.0 vestibular system

368.59 Other color vision deficiencies No 0.0 360.81 Luxation of globe Yes 0.0 379.16 Other degenerative disorders of sclera No 0.0 365.62 Glaucoma associated with ocular inflammations Yes 0.0 379.22 Crystalline deposits in vitreous No 0.0 Asteroid hyalitis Synchysis scintillans 360.02 Panophthalmitis Yes 0.0 379.33 Anterior dislocation of lens Yes 0.0 367.53 Spasm of accommodation No 0.0 374.34 Blepharochalasis No 0.0 Pseudoptosis 365.51 Phacolytic glaucoma Yes 0.0 365.14 Glaucoma of childhood Yes 0.0 Infantile or juvenile glaucoma 374.46 Blepharophimosis No 0.0 Ankyloblepharon 360.89 Other Could not 0.0 determine 362.13 Changes in vascular appearance:Vascular No 0.0 sheathing of retina 365.21 Intermittent angle‐closure glaucoma Yes 0.0 Angle‐closure glaucoma: interval subacute 375.52 Stenosis of lacrimal punctum No 0.0 377.75 Cortical blindness Could not 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 determine 362.07 Diabetic macular edema: Diabetic retinal edema No 0.0 370.02 Ring corneal ulcer Yes 0.0 362.57 Drusen (degenerative) No 0.0 365.83 Aqueous misdirection Yes 0.0 Malignant glaucoma 370.60 Corneal neovascularization, unspecified Could not 0.0 determine 363.21 Pars planitis No 0.0 Posterior cyclitis 360.50 Foreign body, magnetic, intraocular, unspecified Yes 0.0 360.62 Foreign body in iris or ciliary body Yes 0.0 360.9 Unspecified disorder of globe Could not 0.0 determine 369.71 One eye: severe impairment; other eye: not Could not 0.0 specified determine 361.2 Serous retinal detachment Excludes: central No 0.0 serous retinopathy,retinal pigment epithelium detachment 951.0 Injury to oculomotor nerve Yes 0.0 Third cranial nerve 369.73 One eye: severe impairment; other eye: normal Could not 0.0 vision determine 363.70 Choroidal detachment, unspecified Yes 0.0 362.12 Exudative retinopathy: Coats' syndrome No 0.0 379.11 Scleral ectasia No 0.0 Scleral staphyloma NOS 361.06 Old detachment, partial:Delimited old retinal No 0.0 detachment 362.17 Other intraretinal microvascular abnormalities: No 0.0 Retinal varices 375.21 Epiphora due to excess lacrimation No 0.0 379.05 Scleritis with corneal involvement Yes 0.0 Scleroperikeratitis 365.13 Pigmentary glaucoma Yes 0.0 364.8 Other disorders of iris and ciliary body No 0.0 361.07 Old detachment, total or subtotal No 0.0 379.51 Congenital nystagmus No 0.0 367.20 Astigmatism, unspecified No 0.0 372.81 Conjunctivochalasis No 0.0 362.60 Peripheral retinal degeneration, unspecified No 0.0 364.03 Secondary iridocyclitis, infectious Yes 0.0 378.40 Heterophoria, unspecified No 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 368.31 Suppression of binocular vision Could not 0.0 determine 361.31 Round hole of retina without detachment No 0.0 378.41 Esophoria No 0.0 374.14 Cicatricial ectropion No 0.0 371.52 Other anterior corneal dystrophies No 0.0 Corneal dystrophy: microscopic cystic ring‐like 363.22 Harada's disease No 0.0 372.42 Peripheral pterygium, progressive No 0.0 360.03 Chronic endophthalmitis No 0.0 375.03 Chronic enlargement of lacrimal gland No 0.0 372.55 Conjunctival pigmentations No 0.0 Conjunctival argyrosis 375.57 Dacryolith No 0.0 370.52 Diffuse interstitial keratitis No 0.0 Cogan's syndrome 378.31 Hypertropia No 0.0 Vertical heterotropia (constant) (intermittent) 364.53 Pigmentary iris degeneration No 0.0 Acquired heterochromia of iris Pigment dispersion syndrome of iris Translucency of iris 378.01 Monocular esotropia Could not 0.0 determine 378.42 Exophoria No 0.0 362.29 Other nondiabetic proliferative retinopathy No 0.0 366.00 Nonsenile cataract, unspecified No 0.0 374.31 Paralytic ptosis Yes 0.0 376.50 Enophthalmos, unspecified as to cause No 0.0 372.31 Rosacea conjunctivitis No 0.0 Code first underlying rosacea dermatitis 378.73 Strabismus in other neuromuscular disorders Could not 0.0 determine 369.66 One eye: near‐total impairment; other eye: Could not 0.0 normal vision determine 362.82 Retinal exudates and deposits No 0.0 372.50 Conjunctival degeneration, unspecified No 0.0 377.24 Pseudopapilledema No 0.0 371.49 Other No 0.0 Discrete colliquative keratopathy

Downloaded From: https://jamanetwork.com/ on 09/27/2021 371.22 Secondary corneal edema No 0.0 366.12 Incipient cataract No 0.0 Cataract: coronary immature NOS punctate Water clefts 379.34 Posterior dislocation of lens Yes 0.0 377.54 Associated with inflammatory disorders Could not 0.0 determine 377.15 Partial optic atrophy No 0.0 Temporal pallor of optic disc 371.71 Corneal ectasia No 0.0 371.72 Descemetocele Yes 0.0 364.77 Recession of chamber angle No 0.0 372.54 Conjunctival concretions No 0.0 372.44 Double pterygium No 0.0 365.61 Glaucoma associated with pupillary block Yes 0.0 379.25 Vitreous membranes and strands No 0.0 362.55 Toxic maculopathy No 0.0 362.02 Proliferative diabetic retinopathy No 0.0 362.14 Retinal microaneurysms NOS No 0.0 363.32 Other macular scars No 0.0 366.02 Posterior subcapsular polar cataract No 0.0 374.43 Abnormal innervation syndrome No 0.0 Jaw‐blinking Paradoxical facial movements 366.30 Cataracta complicata, unspecified No 0.0 369.67 One eye: profound impairment; other eye: not Could not 0.0 specified determine 379.26 Vitreous prolapse Yes 0.0 363.13 Disseminated choroiditis and chorioretinitis, Could not 0.0 generalized determine 376.03 Orbital osteomyelitis Yes 0.0 362.73 Vitreoretinal dystrophies: No 0.0 Juvenile retinoschisis 369.64 One eye: near‐total impairment; other eye: not Could not 0.0 specified determine 0.0 378.35 Accommodative component in esotropia No 0.0 371.70 Corneal deformity, unspecified No 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 377.34 Toxic optic neuropathy No 0.0 Toxic amblyopia 371.03 Central opacity of cornea No 0.0 Corneal: leucoma interfering with central vision macula interfering with central vision 370.22 Macular keratitis Could not 0.0 Keratitis: determine areolar nummular stellate striate 375.22 Epiphora due to insufficient drainage No 0.0 371.81 Corneal anesthesia and hypoesthesia No 0.0 377.42 Hemorrhage in optic nerve sheaths Yes 0.0 374.85 Vascular anomalies of eyelid No 0.0 378.71 Duane's syndrome No 0.0 365.03 Steroid responders No 0.0 371.01 Minor opacity of cornea No 0.0 Corneal nebula 370.35 Neurotrophic keratoconjunctivitis No 0.0 372.64 Scarring of conjunctiva No 0.0 Contraction of eye socket (after enucleation) 363.40 Choroidal degeneration, unspecified No 0.0 Choroidal sclerosis NOS 374.52 Hyperpigmentation of eyelid No 0.0 Chloasma Dyspigmentation 363.31 Solar retinopathy No 0.0 362.20 Retinopathy of prematurity, No 0.0 unspecified:Retinopathy of prematurity NOS 363.71 Serous choroidal detachment No 0.0 377.51 Associated with pituitary neoplasms and Could not 0.0 disorders determine 372.33 Conjunctivitis in mucocutaneous disease No 0.0 Code first underlying disease as: erythema multiforme (695.10‐695.19) Reiter's disease (099.3) Excludes: ocular pemphigoid 372.41 Peripheral pterygium, stationary No 0.0 360.65 Foreign body in posterior wall Yes 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 374.55 Hypotrichosis of eyelid No 0.0 Madarosis of eyelid 362.15 Retinal telangiectasia No 0.0 370.07 Mooren's ulcer Yes 0.0 374.32 Myogenic ptosis Could not 0.0 determine 378.22 Intermittent esotropia, alternating No 0.0 367.89 Other No 0.0 Drug‐induced disorders of refraction and accommodation Toxic disorders of refraction and accommodation 364.61 Implantation cysts No 0.0 Epithelial down‐growth, anterior chamber Implantation cysts (surgical) (traumatic) 369.69 One eye: profound impairment; other eye: Could not 0.0 normal vision determine 364.70 Adhesions of iris, unspecified No 0.0 Synechiae (iris) NOS 372.45 Recurrent pterygium No 0.0 378.56 Total ophthalmoplegia Yes 0.0 368.03 Refractive amblyopia No 0.0 367.31 Anisometropia No 0.0 363.62 Expulsive choroidal hemorrhage Yes 0.0 364.21 Fuchs' heterochromic cyclitis No 0.0 378.30 Heterotropia, unspecified No 0.0 377.03 Papilledema associated with retinal disorder No 0.0 377.43 Optic nerve hypoplasia No 0.0 378.83 Convergence insufficiency or palsy Could not 0.0 determine 364.51 Essential or progressive iris atrophy No 0.0 369.25 Better eye: moderate impairment; lesser eye: Could not 0.0 moderate impairment determine 363.72 Hemorrhagic choroidal detachment Yes 0.0 366.18 Hypermature cataract No 0.0 Morgagni cataract 940.5 Burn with resulting rupture and destruction of Yes 0.0 eyeball 373.02 Squamous blepharitis No 0.0 364.22 Glaucomatocyclitic crises Yes 0.0 377.33 Nutritional optic neuropathy No 0.0 378.84 Convergence excess or spasm Could not 0.0 determine

Downloaded From: https://jamanetwork.com/ on 09/27/2021 362.76 Dystrophies primarily involving the retinal No 0.0 pigment epithelium: Fundus flavimaculatus Vitelliform dystrophy 364.71 Posterior synechiae No 0.0 367.32 Aniseikonia Yes 0.0 374.45 Other sensorimotor disorders Could not 0.0 Deficient blink reflex determine 374.12 Mechanical ectropion No 0.0 366.11 Pseudoexfoliation of lens capsule No 0.0 366.22 Total traumatic cataract Yes 0.0 367.52 Total or complete internal ophthalmoplegia No 0.0 373.5 Other infective dermatitis of eyelid No 0.0 Code first underlying disease, as: actinomycosis (039.3) impetigo (684) mycotic dermatitis (110.0‐111.9) vaccinia (051.0) postvaccination (999.0) 372.56 Conjunctival deposits No 0.0 369.22 Better eye: severe impairment; lesser eye: severe Could not 0.0 impairment determine 360.32 Ocular fistula causing hypotony Yes 0.0 365.82 Glaucoma with increased episcleral venous Could not 0.0 pressure determine 375.33 Phlegmonous dacryocystitis Could not 0.0 determine 360.33 Hypotony associated with other ocular disorders Could not 0.0 determine 368.60 Night blindness, unspecified No 0.0 369.01 Better eye: total impairment; lesser eye: total Could not 0.0 impairment determine 363.9 Unspecified disorder of choroid No 0.0 360.64 Foreign body in vitreous Yes 0.0 371.45 Keratomalacia NOS No 0.0 Excludes: that due to vitamin A deficiency 370.05 Mycotic corneal ulcer Yes 0.0 371.48 Peripheral degenerations of cornea No 0.0 Marginal degeneration of cornea [Terrien's] 372.52 Pseudopterygium No 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 377.16 Hereditary optic atrophy No 0.0 Optic atrophy: dominant hereditary Leber's 376.52 Enophthalmos due to trauma or surgery No 0.0 370.32 Limbar and corneal involvement in vernal No 0.0 conjunctivitis 368.43 Sector or arcuate defects Could not 0.0 Scotoma: determine arcuate Bjerrum Seidel 360.51 Foreign body, magnetic, in anterior chamber Yes 0.0 374.53 Hypopigmentation of eyelid No 0.0 Vitiligo of eyelid 372.63 Symblepharon No 0.0 Extensive adhesions of conjunctiva 371.14 Kayser‐Fleischer ring No 0.0 374.83 Elephantiasis of eyelid No 0.0 371.54 Lattice corneal dystrophy No 0.0 375.61 Lacrimal fistula No 0.0 378.61 Brown's (tendon) sheath syndrome No 0.0 362.25 Retinopathy of prematurity, stage 3 No 0.0 374.21 Paralytic lagophthalmos Could not 0.0 determine 374.03 Spastic entropion No 0.0 377.11 Primary optic atrophy No 0.0 Excludes: neurosyphilitic optic atrophy 364.72 Anterior synechiae No 0.0 370.54 Sclerosing keratitis No 0.0 362.43 Hemorrhagic detachment of retinal pigment Yes 0.0 epithelium 371.53 Granular corneal dystrophy No 0.0 365.31 Glaucomatous stage No 0.0 362.37 Venous engorgement No 0.0 Occlusion: of retinal vein incipient of retinal vein partial of retinal vein 378.24 Intermittent exotropia, alternating No 0.0 372.43 Central pterygium No 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 376.42 Exostosis of orbit No 0.0 366.13 Anterior subcapsular polar senile cataract No 0.0 376.47 Deformity due to trauma or surgery Could not 0.0 determine 379.04 Scleromalacia perforans Yes 0.0 378.72 Progressive external ophthalmoplegia Yes 0.0 378.82 Spasm of conjugate gaze No 0.0 362.75 Other dystrophies primarily involving the No 0.0 sensory retina Progressive cone (‐rod) dystrophy Stargardt's disease 378.11 Monocular exotropia Could not 0.0 determine 360.24 Other metallosis: Chalcosis Could not 0.0 determine 378.50 Paralytic strabismus, unspecified No 0.0 361.11 Flat retinoschisis No 0.0 374.04 Cicatricial entropion No 0.0 377.63 Associated with inflammatory disorders Could not 0.0 determine 364.60 Idiopathic cysts No 0.0 378.15 Alternating exotropia No 0.0 375.02 Chronic dacryoadenitis No 0.0 365.81 Hypersecretion glaucoma No 0.0 378.04 Monocular esotropia with other noncomitancies No 0.0 Monocular esotropia with X or Y pattern 379.53 Visual deprivation nystagmus No 0.0 364.81 Floppy iris syndrome No 0.0 Intraoperative floppy iris syndrome (IFIS) 365.41 Glaucoma associated with chamber angle No 0.0 anomalies 368.34 Abnormal retinal correspondence No 0.0 374.56 Other degenerative disorders of skin affecting No 0.0 eyelid 378.60 Mechanical strabismus, unspecified No 0.0 369.21 Better eye: severe impairment; lesser eye: not Could not 0.0 further specified determine 364.59 Other iris atrophy No 0.0 Iris atrophy (generalized) (sector shaped) 378.85 Anomalies of divergence Could not 0.0 determine 369.04 Better eye: near‐total impairment; lesser eye: Could not 0.0 near‐total impairment determine

Downloaded From: https://jamanetwork.com/ on 09/27/2021 365.44 Glaucoma associated with systemic syndromes No 0.0 Code first associated disease, as: neurofibromatosis Sturge‐Weber (‐Dimitri) syndrome 375.41 Chronic canaliculitis No 0.0 378.12 Monocular exotropia with A pattern No 0.0 376.82 Myopathy of extraocular muscles No 0.0 367.22 Irregular astigmatism No 0.0 360.34 Flat anterior chamber Yes 0.0 365.59 Glaucoma associated with other lens disorders Could not 0.0 determine 374.44 Sensory disorders Could not 0.0 determine 371.02 Peripheral opacity of cornea No 0.0 Corneal macula not interfering with central vision 368.54 Achromatopsia No 0.0 Monochromatism (cone) (rod) 373.4 Infective dermatitis of eyelid of types resulting in No 0.0 deformity Code first underlying disease, as: leprosy (030.0‐030.9) lupus vulgaris (tuberculous) yaws 360.29 Other Excludes: xerophthalmia Could not 0.0 determine 373.33 Xeroderma of eyelid No 0.0 371.11 Anterior pigmentations No 0.0 Stähli's lines 374.01 Senile entropion No 0.0 371.61 Keratoconus, stable condition No 0.0 362.77 Dystrophies primarily involving Bruch's No 0.0 membrane Dystrophy: hyaline pseudoinflammatory foveal Hereditary drusen 369.11 Better eye: severe impairment; lesser eye: blind, Could not 0.0 not further specified determine 369.05 Better eye: profound impairment; lesser eye: not Could not 0.0 further specified determine

Downloaded From: https://jamanetwork.com/ on 09/27/2021 372.15 Parasitic conjunctivitis No 0.0 Code first underlying disease as: filariasis (125.0‐125.9) mucocutaneous leishmaniasis 361.33 Multiple defects of retina without detachment Yes 0.0 371.58 Other posterior corneal dystrophies No 0.0 Polymorphous corneal dystrophy 376.04 Tenonitis No 0.0 378.05 Alternating esotropia No 0.0 377.22 Crater‐like holes of optic disc No 0.0 375.11 Dacryops No 0.0 371.32 Folds in Descemet's membrane No 0.0 365.42 Glaucoma associated with anomalies of iris No 0.0 362.85 Retinal nerve fiber bundle defects No 0.0 368.55 Acquired color vision deficiencies No 0.0 371.46 Nodular degeneration of cornea No 0.0 Salzmann's nodular dystrophy 376.46 Enlargement of orbit No 0.0 365.24 Residual stage of angle‐closure glaucoma No 0.0 378.02 Monocular esotropia with A pattern No 0.0 377.04 Foster‐Kennedy syndrome No 0.0 362.22 Retinopathy of prematurity, stage 0 No 0.0 369.23 Better eye: moderate impairment; lesser eye: not Could not 0.0 further specified determine 377.72 Associated with vascular disorders Could not 0.0 determine 366.45 Toxic cataract No 0.0 Drug‐induced cataract 379.52 Latent nystagmus No 0.0 374.11 Senile ectropion No 0.0 369.72 One eye: severe impairment; other eye: near‐ Could not 0.0 normal vision determine 363.43 Angioid streaks of choroid No 0.0 369.15 Better eye: moderate impairment; lesser eye: Could not 0.0 blind, not further specified determine 368.01 Strabismic amblyopia No 0.0 Suppression amblyopia 376.40 Deformity of orbit, unspecified Could not 0.0 determine 369.12 Better eye: severe impairment; lesser eye: total Could not 0.0 impairment determine

Downloaded From: https://jamanetwork.com/ on 09/27/2021 369.75 One eye: moderate impairment; other eye: near‐ Could not 0.0 normal vision determine 363.03 Focal choroiditis and chorioretinitis of other Could not 0.0 posterior pole determine 371.21 Idiopathic corneal edema No 0.0 374.33 Mechanical ptosis No 0.0 360.40 Degenerated globe or eye, unspecified Could not 0.0 determine 360.52 Foreign body, magnetic, in iris or ciliary body Yes 0.0 360.31 Primary hypotony Could not 0.0 determine 950.2 Injury to optic pathways Yes 0.0 374.51 Xanthelasma No 0.0 Xanthoma (planum) (tuberosum) of eyelid 372.62 Localized adhesions and strands of conjunctiva No 0.0 379.57 Deficiencies of saccadic eye movements Could not 0.0 Abnormal optokinetic response determine 377.53 Associated with vascular disorders Could not 0.0 determine 368.62 Acquired night blindness No 0.0 Excludes: that due to vitamin A deficiency 364.54 Degeneration of pupillary margin No 0.0 Atrophy of sphincter of iris Ectropion of pigment epithelium of iris 376.36 Lateral displacement of globe No 0.0 375.51 Eversion of lacrimal punctum No 0.0 369.03 Better eye: near‐total impairment; lesser eye: Could not 0.0 total impairment determine 379.12 Staphyloma posticum No 0.0 363.11 Disseminated choroiditis and chorioretinitis, Could not 0.0 posterior pole determine 360.23 Siderosis Could not 0.0 determine 378.08 Alternating esotropia with other noncomitancies No 0.0 Alternating esotropia with X or Y pattern 366.01 Anterior subcapsular polar cataract No 0.0 379.13 Equatorial staphyloma No 0.0 363.10 Disseminated chorioretinitis, unspecified Could not 0.0 Disseminated: determine choroiditis or chorioretinitis NOS retinitis or retinochoroiditis NOS 372.21 Angular blepharoconjunctivitis No 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 370.59 Other Could not 0.0 Excludes: determine disciform herpes simplex keratitis (054.43) syphilitic keratitis (090.3) 375.81 Granuloma of lacrimal passages No 0.0 362.64 Senile reticular degeneration No 0.0 378.17 Alternating exotropia with V pattern No 0.0 368.02 Deprivation amblyopia No 0.0 369.02 Better eye: near‐total impairment; lesser eye: not Could not 0.0 further specified determine 362.27 Retinopathy of prematurity, stage 5 No 0.0 362.24 Retinopathy of prematurity, stage 2 No 0.0 371.33 Rupture in Descemet's membrane Yes 0.0 377.62 Associated with vascular disorders Could not 0.0 determine 370.44 Keratitis or keratoconjunctivitis in exanthema No 0.0 Code first underlying condition (050.0‐052.9) Excludes: herpes simplex (054.43) herpes zoster (053.21) measles (055.71) 378.62 Mechanical strabismus from other musculofascial No 0.0 disorders 362.70 Hereditary retinal dystrophy, unspecified No 0.0 365.15 Residual stage of open angle glaucoma No 0.0 377.02 Papilledema associated with decreased ocular No 0.0 pressure 950.3 Injury to visual cortex Yes 0.0 378.23 Intermittent exotropia, monocular Could not 0.0 determine 375.16 Dislocation of lacrimal gland Could not 0.0 determine 369.65 One eye: near‐total impairment; other eye: near‐ Could not 0.0 normal vision determine 378.32 Hypotropia Could not 0.0 determine 377.23 Coloboma of optic disc No 0.0 360.53 Foreign body, magnetic, in lens Yes 0.0 375.13 Primary lacrimal atrophy No 0.0 371.13 Posterior pigmentations No 0.0 Krukenberg spindle 369.16 Better eye: moderate impairment; lesser eye: Could not 0.0 total impairment determine

Downloaded From: https://jamanetwork.com/ on 09/27/2021 364.63 Primary cyst of pars plana No 0.0 361.12 Bullous retinoschisis No 0.0 366.04 Nuclear cataract No 0.0 378.06 Alternating esotropia with A pattern No 0.0 377.73 Associated with inflammatory disorders Could not 0.0 determine 369.14 Better eye: severe impairment; lesser eye: Could not 0.0 profound impairment determine 365.64 Glaucoma associated with tumors or cysts Could not 0.0 determine 379.2 is for disorders of the vitreous body Could not 0.0 determine 364.82 Plateau iris syndrome No 0.0 374.13 Spastic ectropion No 0.0 376.31 Constant exophthalmos No 0.0 369.08 Better eye: profound impairment; lesser eye: Could not 0.0 profound impairment determine 362.04 Mild nonproliferative diabetic retinopathy No 0.0 379.15 Ring staphyloma No 0.0 361.19 Other: Pseudocyst of retina No 0.0 364.52 Iridoschisis No 0.0 371.55 Macular corneal dystrophy No 0.0 376.34 Intermittent exophthalmos No 0.0 376.35 Pulsating exophthalmos Yes 0.0 376.44 Orbital deformities associated with craniofacial No 0.0 deformities 366.21 Localized traumatic opacities No 0.0 Vossius' ring 367.21 Regular astigmatism No 0.0 371.15 Other deposits associated with metabolic No 0.0 disorders 369.17 Better eye: moderate impairment; lesser eye: Could not 0.0 near‐total impairment determine 366.23 Partially resolved traumatic cataract No 0.0 364.73 Goniosynechiae No 0.0 Peripheral anterior synechiae 362.26 Retinopathy of prematurity, stage 4 No 0.0 363.00 Focal chorioretinitis, unspecified No 0.0 Focal: choroiditis or chorioretinitis NOS retinitis or retinochoroiditis NOS 379.62 Inflammation (infection) of postprocedural bleb, Yes 0.0

Downloaded From: https://jamanetwork.com/ on 09/27/2021 stage 2 379.14 Anterior staphyloma, localized No 0.0 373.34 Discoid lupus erythematosus of eyelid No 0.0 377.12 Postinflammatory optic atrophy No 0.0 368.32 Simultaneous visual perception without fusion Could not 0.0 determine 370.61 Localized vascularization of cornea Could not 0.0 determine 366.52 Other after‐cataract, not obscuring vision No 0.0 379.06 Brawny scleritis No 0.0 375.14 Secondary lacrimal atrophy No 0.0 362.03 Nonproliferative diabetic retinopathy NOS No 0.0 362.06 Severe nonproliferative diabetic retinopathy No 0.0 374.23 Cicatricial lagophthalmos No 0.0 377.52 Associated with other neoplasms Could not 0.0 determine 376.45 Atrophy of orbit No 0.0 378.63 Limited duction associated with other conditions No 0.0 376.21 Thyrotoxic exophthalmos Could not 0.0 determine 364.55 Miotic cysts of pupillary margin No 0.0 366.46 Cataract associated with radiation and other No 0.0 physical influences 378.43 Vertical heterophoria Could not 0.0 determine 378.21 Intermittent esotropia, monocular No 0.0 366.31 Glaucomatous flecks (subcapsular) No 0.0 Code first underlying glaucoma 378.13 Monocular exotropia with V pattern No 0.0 371.73 Corneal staphyloma No 0.0 379.61 Inflammation (infection) of postprocedural bleb, Yes 0.0 stage 1 363.42 Diffuse secondary atrophy of choroid No 0.0 371.51 Juvenile epithelial corneal dystrophy No 0.0 363.07 Focal retinitis and retinochoroiditis of other Yes 0.0 posterior pole 371.12 Stromal pigmentations No 0.0 Hematocornea 360.55 Foreign body, magnetic, in posterior wall Yes 0.0 365 glaucoma Could not 0.0 determine

Downloaded From: https://jamanetwork.com/ on 09/27/2021 eTable 2. Most Common Primary Diagnoses for Hospital Admissions Among Children and Adults Presenting to Emergency Departments in the United States With Ophthalmic Conditions Based on The Nationwide Emergency Department Sample (NEDS), 2006-2011 Diagnoses Frequency Percentage Leading diagnoses overall among all age groups Orbital cellulitis 31, 099 16 Orbital floor (blow-out), closed 25,119 13 Abscess of eyelid 13,899 7 Diplopia 8,969 7 Ocular laceration with prolapse or exposure of intraocular tissue 7,660 4 Leading diagnoses by age categories 0-5 years Orbital cellulitis 6,779 35 Abscess of eyelid 4,642 24 Ocular laceration with prolapse or exposure of intraocular tissue 587 3 Conjunctivitis, unspecified 582 3 Laceration of eyelid involving lacrimal passages 439 2 6-12 years Orbital cellulitis 3,897 36 Abscess of eyelid 1,420 13 Orbital floor (blow-out), closed 752 7 Contusion of eyeball 578 5 Ocular laceration with prolapse or exposure of intraocular tissue 553 5 13-18 years Orbital cellulitis 1,845 20 Orbital floor (blow-out), closed 1,718 18 Abscess of eyelid 935 10 Ocular laceration with prolapse or exposure of intraocular tissue 543 6 Optic neuritis, unspecified 355 4 19-64 years Orbital floor (blow-out), closed 16,243 15 Orbital cellulitis 14,652 14 Abscess of eyelid 6,176 6 Optic neuritis, unspecified 5,419 5 Diplopia 4,952 5 65 years and above Orbital floor (blow-out), closed 6,081 11 Orbital cellulitis 3,925 7 Diplopia 3,898 7 Psychophysical visual disturbancesa 2,967 5 Amaurosis fugax 2,861 5 a= includes Prosopagnosia, Visual agnosia, disorientation syndrome, hallucinations object agnosia

Downloaded From: https://jamanetwork.com/ on 09/27/2021 eTable 3. Estimated Annual Rates and Causes of Eye Injuries Presenting to the Emergency Department in the United States, Nationwide Emergency Department Sample, 2006-2011

Average Annual Rate per Rate per Rate per Change, Classification of 100,000 100,000 100,000 2006-11 Eye Injury in 2006 in 2008 in 2011 (%) Leading Cause Orbital floor fractures (blow-out) 7.8 8.8 9.0 2.5 Unarmed fight or brawl Open wounds in Striking against or struck accidentally by objects or persons ocular adnexa 31.5 28.8 25.2 ‐3.4 with or without subsequent fall

Open wounds in the Striking against or struck accidentally by objects or persons eyeball 5.9 4.6 4.1 ‐5.1 with or without subsequent fall

Superficial injury of Striking against or struck accidentally by objects or persons eye and adnexa 120.4 100.8 95.6 ‐3.4 with or without subsequent fall

Contusion of eye Striking against or struck accidentally by objects or persons and adnexa 32.8 27.3 25.3 ‐3.8 with or without subsequent fall

FB on external eye 72.5 56.1 47.6 ‐5.7 Foreign body accidentally entering eye and adnexa Burn confined to eye and adnexa 9.0 7.2 5.5 ‐6.6 Caustic and corrosive substance Injury to optic nerve and pathways of the oculomotor nerve 0.1 0.1 0.1 0.2 Striking against with or without subsequent fall

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