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Retinal neovascularization, unspecified, bilateral
ICD10CM code
Name of the Condition
- Retinal Neovascularization, Unspecified, Bilateral
- Also referred to as bilateral retinal neovascularization.
Summary
- Retinal neovascularization involves the formation of abnormal new blood vessels in the retina, occurring in both eyes. This can lead to vision complications if untreated.
Causes
- This condition is frequently associated with retinal ischemia, often caused by diabetic retinopathy, retinal vein occlusion, or other conditions that affect retinal blood supply.
Risk Factors
- Diabetes: Particularly uncontrolled diabetes leading to diabetic retinopathy.
- Hypertension: High blood pressure can contribute to retinal vascular changes.
- Age: Older individuals are at a higher risk due to age-related vascular changes.
- Pre-existing eye conditions: Conditions like retinal vein occlusion elevate risk.
Symptoms
- Visual disturbances: Such as floaters, blurred vision, or patches of vision loss.
- Hemorrhages: May cause sudden significant visual impairment.
- Typically, these symptoms affect both eyes.
Diagnosis
- Ophthalmic Examination: Includes a dilated eye exam by an ophthalmologist.
- Fluorescein Angiography: Helps visualize the retinal blood vessels to identify new growth.
- Optical Coherence Tomography (OCT): Provides detailed images of the retina.
Treatment Options
- Laser Therapy: Panretinal photocoagulation can reduce neovascularization.
- Anti-VEGF Injections: Medications like ranibizumab or bevacizumab can limit blood vessel growth.
- Vitrectomy: Surgery may be necessary if there is significant vitreous hemorrhage.
Prognosis and Follow-Up
- With early treatment, the prognosis is generally good, although regular monitoring is essential to prevent complications.
- Routine follow-ups with an ophthalmologist are crucial to assess treatment response and adjust plans if necessary.
Complications
- Vision Loss: If untreated, can lead to severe or irreversible visual impairment.
- Retinal Detachment: Due to the traction created by new vessels.
- Vitreous Hemorrhage: Bleeding into the eye can obscure vision.
Lifestyle & Prevention
- Diabetes Management: Maintain optimal blood glucose levels.
- Blood Pressure Control: Necessary to reduce the impact on retinal vasculature.
- Regular Eye Examinations: Essential for early detection and management.
When to Seek Professional Help
- Sudden changes in vision, including flashes or floaters, require immediate ophthalmic attention.
- Persistent or worsening vision problems should be promptly evaluated.
Additional Resources
Tips for Medical Coders
- Ensure bilateral nature is coded correctly; do not confuse with unilateral conditions.
- Verify unspecified nature when coding; additional details might specify cause or associate condition which may alter coding.