Current RMA Instruments
| Reasonable Hypothesis SOP | 38 of 2017 |
| Balance of Probabilities SOP | 39 of 2017 |
Changes from previous Instruments
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.