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Exudative age-related macular degeneration, right eye, with inactive choroidal neovascularization
ICD10CM code
Name of the Condition
- Exudative Age-Related Macular Degeneration, Right Eye with Inactive Choroidal Neovascularization
- Also known as: Wet AMD, Right Eye
Summary
Exudative age-related macular degeneration (AMD) is an eye condition that affects the central part of the retina (known as the macula), leading to vision loss in the center of the visual field. This specific condition pertains to the right eye and involves inactive choroidal neovascularization (abnormal blood vessel growth under the retina).
Causes
The exact cause of exudative AMD is not fully understood, but it involves the leakage of fluid or blood from the neovasculature under the macula, often triggered by aging processes and possibly influenced by environmental and genetic factors.
Risk Factors
- Age (typically affects those 50 years and older)
- Family history of AMD
- Smoking
- High blood pressure
- High cholesterol
- Caucasian ethnicity
- Poor diet low in fruits and vegetables
Symptoms
- Blurred or reduced central vision in the right eye
- Distortion of straight lines (metamorphopsia)
- Difficulty recognizing faces
- Dark, blurry areas or a whiteout that appears in the center of vision
Diagnosis
- Comprehensive dilated eye exams
- Optical coherence tomography (OCT)
- Fluorescein angiography
- Amsler grid test for detecting visual distortions
Treatment Options
- Anti-VEGF injections (e.g., ranibizumab, aflibercept) to prevent further neovascular growth
- Laser photocoagulation (less common)
- Photodynamic therapy
- Treatment aims to stabilize or prevent further vision loss.
Prognosis and Follow-Up
- Regular monitoring is essential, as wet AMD can lead to significant vision loss if not managed.
- Patients may require ongoing anti-VEGF injections.
- Visual rehabilitation may be recommended to maximize remaining vision.
Complications
- Significant central vision loss
- Potential for geographic atrophy (progression of retinal degeneration)
- Impact on quality of life, given the central vision impairment
Lifestyle & Prevention
- Regular eye check-ups for early detection, especially if at risk
- Healthy diet rich in leafy greens and fish
- Exercising regularly
- Controlling blood pressure and cholesterol
- Avoiding smoking
When to Seek Professional Help
- Sudden changes in vision
- New onset of visual distortions or blind spots
- Rapid progression of visual symptoms
Additional Resources
Tips for Medical Coders
- Ensure accurate laterality; this ICD code specifically pertains to the right eye.
- Verify if neovascularization is inactive, as this influences the correct code.
- Be aware of updated guidelines for AMD coding to avoid inaccuracies.