Benign neoplasm of the eye and adnexa
Meaning of benign neoplasm of the eye and adnexa: For the purposes of this Statement of Principles, benign neoplasm of the eye and adnexa means: (a) a non-malignant neoplastic proliferation of the cells of the eye classified according to site as conjunctiva, cornea, retina, choroid, ciliary body, lacrimal gland, lacrimal duct and orbit; and (b) excludes benign neoplasms of eyelids, optic nerve, meninges and orbital bone; lipoma, haemangioma, lymphangioma, melanocytic naevi, neurofibromatosis, retinal vasoproliferative tumour and ocular surface squamous dysplasia. Veterans' Entitlements Act 1986 (3) While benign neoplasm of the eye and adnexa attracts ICD-10-AM code D31, in applying this Statement of Principles the meaning of benign neoplasm of the eye and adnexa 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. 41 of 2016
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 benign neoplasm of the eye and adnexa or death from benign neoplasm of the eye and adnexa with the circumstances of a person's relevant service:
- (1)for keratoacanthoma of the conjunctiva only, having sunlight exposure to the eye for a cumulative period of at least 2 250 hours while in a tropical area, or having equivalent sunlight exposure in other latitude zones, before the clinical onset of benign neoplasm of the eye and adnexa;
Note: equivalent sunlight exposure in other latitude zones and tropical area are defined in the Schedule 1 - Dictionary.
- (2)for papilloma of the conjunctiva only, acquiring persistent infection of the epithelium of the conjunctiva with a strain from the specified list of human papilloma virus (HPV) strains before the clinical onset of benign neoplasm of the eye and adnexa; Veterans' Entitlements Act 1986;
Note: specified list of human papilloma virus (HPV) strains is defined in the Schedule 1 - Dictionary.
- (3)for schwannoma of the eye and adnexa only, having received a cumulative equivalent dose of at least 0.1 sievert of ionising radiation to the eye or orbit at least five years before the clinical onset of benign neoplasm of the eye and adnexa;
Note: cumulative equivalent dose and schwannoma are defined in the Schedule 1 - Dictionary.
- (4)inability to obtain appropriate clinical management for benign neoplasm of the eye and adnexa;
Aggravation-only factors: the factors in subsection 9(4) 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. 42 of 2016
3 factors
At least one of the following factors must exist before it can be said that, on the balance of probabilities, benign neoplasm of the eye and adnexa or death from benign neoplasm of the eye and adnexa is connected with the circumstances of a person's relevant service:
- (1)for papilloma of the conjunctiva only, acquiring persistent infection of the epithelium of the conjunctiva with a strain from the specified list of human papilloma virus (HPV) strains before the clinical onset of benign neoplasm of the eye and adnexa;
Note: specified list of human papilloma virus (HPV) strains is defined in the Schedule 1 - Dictionary.
- (2)for schwannoma of the eye and adnexa only, having received a cumulative equivalent dose of at least 0.5 sievert of ionising radiation to the eye or orbit at least ten years before the clinical onset of benign neoplasm of the eye and adnexa; Veterans' Entitlements Act 1986;
Note: cumulative equivalent dose and schwannoma are defined in the Schedule 1 - Dictionary.
- (3)inability to obtain appropriate clinical management for benign neoplasm of the eye and adnexa;
Aggravation-only factors: the factors in subsection 9(3) 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.
