E10.3592 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

ICD10CM code

#### Name of the Condition
- Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye.
- Also referred to as proliferative diabetic retinopathy (PDR) related to Type 1 diabetes.

#### Summary
- This condition involves an advanced stage of diabetic retinopathy where new, abnormal blood vessels grow on the retina of the left eye due to complications from Type 1 diabetes. It occurs without the presence of macular edema (swelling in the central part of the retina).

#### Causes
- Primarily caused by long-term high blood sugar levels associated with uncontrolled Type 1 diabetes, leading to damage in the blood vessels of the retina.

#### Risk Factors
- Poor management of Type 1 diabetes.
- Long duration of diabetes.
- Hypertension (high blood pressure).
- High cholesterol levels.
- Smoking and other unhealthy lifestyle habits.

#### Symptoms
- Vision changes or loss.
- Floaters or spots in the vision.
- Difficulty with night vision.
- In severe cases, sudden loss of vision.

#### Diagnosis
- Comprehensive eye examination by an ophthalmologist.
- Dilated eye exams and imaging tests like fluorescein angiography or optical coherence tomography (OCT).

#### Treatment Options
- Laser surgery (photocoagulation) to seal leaky blood vessels.
- Anti-VEGF injections to slow the growth of new blood vessels.
- Vitrectomy in severe cases where there is bleeding or retinal detachment.

#### Prognosis and Follow-Up
- When managed early, the progression can be slowed, and vision may be preserved.
- Regular ophthalmologic exams are critical to monitor changes and adjust treatment accordingly.

#### Complications
- Retinal detachment.
- Severe vision loss or blindness if left untreated.
- Increased risk of developing similar complications in the right eye.

#### Lifestyle & Prevention
- Strict control of blood sugar levels through diet, insulin therapy, and exercise.
- Regular monitoring of blood pressure and cholesterol levels.
- Smoking cessation.
- Routine eye exams for early detection and management.

#### When to Seek Professional Help
- Sudden changes in vision.
- Persistent floaters or shadows in vision.
- Any other alterations in the field of vision.

#### Additional Resources
- American Diabetes Association (ADA)
- National Eye Institute (NEI)
- JDRF (formerly Juvenile Diabetes Research Foundation).

#### Tips for Medical Coders
- Ensure the specific eye (left) is documented.
- Differentiate between the presence and absence of macular edema.
- Accurate association with Type 1 diabetes is necessary.

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