Accommodation disorder
Meaning of accommodation disorder: For the purposes of this Statement of Principles, accommodation disorder means: (a) the inability to adjust the lens of the eye to various distances or an inability to sustain such an adjustment; and (b) excludes processes primarily affecting the lens (presbyopia and cataract) or shape of the eyeball (myopia, hypermetropia, astigmatism), accommodative excess, and reversible paralysis of ciliary muscle function by means of pharmacological agents, except where such agents cannot be ceased or substituted. (3) While accommodation disorder attracts ICD-10-AM code H52.5, in applying this Statement of Principles the meaning of accommodation disorder is that given in subsection (2). (4) For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Ninth Edition, effective date of 1 July 2015, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-020-5.
Reasonable Hypothesis (RH) — Statement of Principles No. 38 of 2017
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting accommodation disorder or death from accommodation disorder with the circumstances of a person's relevant service:
- (1)having an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle of the affected eye, at the time of the clinical onset of accommodation disorder;
Note: an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle is defined in the Schedule 1 - Dictionary.
- (2)having concussion at the time of the clinical onset of accommodation disorder;
- (3)having moderate to severe traumatic brain injury at the time of the clinical onset of accommodation disorder;
- (4)being treated with atropine or an atropine-like drug, where the drug cannot be ceased or substituted, at the time of the clinical onset of accommodation disorder;
Note: atropine-like drug is defined in the Schedule 1 - Dictionary.
- (5)being treated with a drug, or a drug from a class of drugs, from the specified list of drugs, where the drug cannot be ceased or substituted, at the time of the clinical onset of accommodation disorder;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
- (6)having an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle of the affected eye, at the time of the clinical worsening of accommodation disorder;
Note: an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle is defined in the Schedule 1 - Dictionary.
- (7)having concussion at the time of the clinical worsening of accommodation disorder;
- (8)having moderate to severe traumatic brain injury at the time of the clinical worsening of accommodation disorder;
- (9)being treated with atropine or an atropine-like drug, where the drug cannot be ceased or substituted, at the time of the clinical worsening of accommodation disorder;
Note: atropine-like drug is defined in the Schedule 1 - Dictionary.
- (10)being treated with a drug, or a drug from a class of drugs, from the specified list of drugs, where the drug cannot be ceased or substituted, at the time of the clinical worsening of accommodation disorder;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
- (11)inability to obtain appropriate clinical management for accommodation disorder;
Aggravation-only factors: the factors in subsections 9(6) to 9(11) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
Balance of Probabilities (BoP) — Statement of Principles No. 39 of 2017
11 factors
At least one of the following factors must exist before it can be said that, on the balance of probabilities, accommodation disorder or death from accommodation disorder is connected with the circumstances of a person's relevant service:
- (1)having an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle of the affected eye, at the time of the clinical onset of accommodation disorder;
Note: an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle is defined in the Schedule 1 - Dictionary.
- (2)having concussion at the time of the clinical onset of accommodation disorder;
- (3)having moderate to severe traumatic brain injury at the time of the clinical onset of accommodation disorder;
- (4)being treated with atropine or an atropine-like drug, where the drug cannot be ceased or substituted, at the time of the clinical onset of accommodation disorder;
Note: atropine-like drug is defined in the Schedule 1 - Dictionary.
- (5)being treated with a drug, or a drug from a class of drugs, from the specified list of drugs, where the drug cannot be ceased or substituted, at the time of the clinical onset of accommodation disorder;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
- (6)having an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle of the affected eye, at the time of the clinical worsening of accommodation disorder;
Note: an injury or disorder affecting the function of the oculomotor nerve or ciliary muscle is defined in the Schedule 1 - Dictionary.
- (7)having concussion at the time of the clinical worsening of accommodation disorder;
- (8)having moderate to severe traumatic brain injury at the time of the clinical worsening of accommodation disorder;
- (9)being treated with atropine or an atropine-like drug, where the drug cannot be ceased or substituted, at the time of the clinical worsening of accommodation disorder;
Note: atropine-like drug is defined in the Schedule 1 - Dictionary.
- (10)being treated with a drug, or a drug from a class of drugs, from the specified list of drugs, where the drug cannot be ceased or substituted, at the time of the clinical worsening of accommodation disorder;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
- (11)inability to obtain appropriate clinical management for accommodation disorder;
Aggravation-only factors: the factors in subsections 9(6) to 9(11) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
