E10.3543 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

ICD10CM code

#### Name of the Condition
- **Type 1 Diabetes Mellitus with Proliferative Diabetic Retinopathy with Combined Traction Retinal Detachment and Rhegmatogenous Retinal Detachment, Bilateral**  
- Also known as **E10.3543** in the ICD coding system.

#### Summary
- This complex medical condition involves Type 1 Diabetes that has led to proliferative diabetic retinopathy, resulting in combined traction and rhegmatogenous retinal detachment in both eyes. This is a severe eye disorder that can threaten vision.

#### Causes
- **Type 1 Diabetes Mellitus** is an autoimmune disorder where the body's immune system attacks insulin-producing cells in the pancreas.
- **Proliferative diabetic retinopathy** is caused by prolonged high blood sugar levels leading to damage in the retinal blood vessels.
- **Retinal detachment** results from changes in the retinal structure related to poor vascular health in the eyes.

#### Risk Factors
- Lack of blood sugar control.
- Long duration of diabetes.
- Hypertension and hyperlipidemia.
- Genetic predisposition to Type 1 Diabetes.

#### Symptoms
- Blurry or distorted vision.
- Flashes of light or floaters in vision.
- Sudden loss of vision.
- Difficulty with peripheral vision.

#### Diagnosis
- Comprehensive eye examinations including dilated retinal exam.
- Imaging tests such as Optical Coherence Tomography (OCT) or Fundus Photography.
- Fluorescein angiography may be conducted to assess retinal blood vessels.

#### Treatment Options
- **Laser photocoagulation**: To treat abnormal blood vessels.
- **Vitrectomy surgery**: To remove vitreous gel and repair retinal detachment.
- **Anti-VEGF injections**: To reduce swelling and growth of abnormal blood vessels.

#### Prognosis and Follow-Up
- Early intervention can preserve vision, but untreated detachment can lead to blindness.
- Regular follow-up with an ophthalmologist is crucial for ongoing management.

#### Complications
- Permanent vision loss if not treated timely.
- Increased likelihood of future retinal detachments.
- Increased risk of cataracts or glaucoma.

#### Lifestyle & Prevention
- Strict blood sugar control.
- Regular eye exams for early detection.
- Manage blood pressure and cholesterol levels.

#### When to Seek Professional Help
- Sudden changes in vision or appearance of flashes and floaters.
- Any vision loss or eye pain should prompt immediate medical attention.

#### Additional Resources
- **American Diabetes Association** (ADA) - [www.diabetes.org](https://www.diabetes.org)
- **The Retina Society** - [www.retinasociety.org](https://www.retinasociety.org)

#### Tips for Medical Coders
- Ensure bilateral involvement is coded correctly.
- Avoid confusion between types of retinal detachment and document both tractional and rhegmatogenous types.

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