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Accommodation Disorder F048

Document
Last amended 
4 July 2017
Current RMA Instruments
Reasonable Hypothesis SOP
38 of 2017
Balance of Probabilities SOP
39 of 2017
Changes from previous Instruments

Bulletin 197

ICD Coding
  • ICD-10-AM: H52.5
  • ICD-9-CM: 367.5,367.89
Brief description

In accommodation disorder the function of the oculomotor nerve to the eye or the ciliary body of the eye is impaired, affecting the ability to change the shape of the lens of the eye and to focus on objects at different distances.  The term accommodation disorder, in general usage, may include presbyopia.  Presbyopia is covered by a separate SOP and is excluded from the accommodation disorder SOP.

Confirming the diagnosis

The diagnosis is made on clinical grounds, on examination of the eye.

The relevant medical speciailist is an ophthalmologist.

Additional diagnoses covered by SOP
  • Nil
Conditions not covered by SOP
  • astigmatism*
  • cataract*
  • hypermetropia*
  • myopia*
  • presbyopia*

* another SOP applies

Clinical onset

Symptoms of accommodation disorder (particularly blurred vision) are generally non-specific.  It may be difficult to back date clinical onset to before the time of diagnosis.  However, onset may be at the time of an event (e.g. an injury) and so clinical onset may be able to be dated, on that basis.

Clinical worsening

Worsening may be evidenced by a decline in powers of accommodation beyond that which occurs with age.  Treatment is with corrective lenses.