H31.29 Other hereditary choroidal dystrophy

ICD10CM code

#### Name of the Condition
- Other Hereditary Choroidal Dystrophy (ICD Code: H31.29)

#### Summary
- Other Hereditary Choroidal Dystrophy refers to a group of inherited disorders affecting the choroid, the vascular layer of the eye, leading to progressive vision loss. It typically involves degeneration of the retinal cells and supportive structures.

#### Causes
- The condition is primarily caused by genetic mutations that are passed down through families. Specific genes involved are linked to the development and maintenance of retinal health.

#### Risk Factors
- Family history of choroidal dystrophy.
- Genetic predisposition related to known chromosomal abnormalities.

#### Symptoms
- Gradual loss of peripheral and night vision.
- Decreased visual acuity.
- Difficulties with color perception.

#### Diagnosis
- Comprehensive eye examination.
- Genetic testing to identify specific mutations.
- Optical coherence tomography (OCT) for detailed imaging of the retina and choroid.

#### Treatment Options
- While no cure exists, treatments aim to manage symptoms and may include:
  - Vitamin and antioxidant supplements to slow progression.
  - Low vision aids to assist with daily activities.
  - Potential participation in clinical trials for new therapies.

#### Prognosis and Follow-Up
- Progressive condition, varies individually.
- Regular follow-ups are essential to monitor vision changes and adjust management strategies.

#### Complications
- If untreated, can lead to significant vision impairment or legal blindness.
- Potential for associated psychological impact due to vision loss.

#### Lifestyle & Prevention
- Protective eyewear to shield eyes from UV damage.
- Maintaining a healthy lifestyle with a balanced diet rich in green leafy vegetables and omega-3 fatty acids.

#### When to Seek Professional Help
- Sudden changes in vision, including blurriness or loss of field of vision, warrant immediate medical attention.

#### Additional Resources
- Foundation Fighting Blindness ([www.fightingblindness.org](http://www.fightingblindness.org))
- American Academy of Ophthalmology ([www.aao.org](http://www.aao.org))
- Genetic and Rare Diseases Information Center ([rarediseases.info.nih.gov](https://rarediseases.info.nih.gov))

#### Tips for Medical Coders
- Ensure the code matches the specific hereditary form of choroidal dystrophy not classified elsewhere.
- Double-check family history and genetic testing results in patient records for accurate coding.

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