H35.3233 Exudative age-related macular degeneration, bilateral, with inactive scar

ICD10CM code

#### Name of the Condition
- Exudative Age-related Macular Degeneration, Bilateral, with Inactive Scar
- Also known as Wet AMD with scar formation.

#### Summary
Exudative age-related macular degeneration (AMD) is an eye condition that affects the macula, the central part of the retina responsible for sharp vision. This condition, characterized by the growth of abnormal blood vessels leading to fluid leakage, can significantly impact the quality of vision. "Bilateral" indicates it affects both eyes, and "with inactive scar" suggests previous damage that has healed, but may still compromise vision.

#### Causes
- The condition is primarily related to aging and deterioration of the macula.
- Abnormal blood vessel growth under the retina is crucial to its development.

#### Risk Factors
- Age: Primarily affects individuals over 50 years.
- Genetics: Family history of AMD.
- Smoking: Increases likelihood.
- Race: More common in Caucasians.
- Cardiovascular disease.

#### Symptoms
- Blurred or reduced central vision in one or both eyes.
- Dark, blurry areas or whiteout that affects the center of vision.
- A distinct decrease in the brightness of colors.
- Vision changes might be more sudden compared to dry AMD.

#### Diagnosis
- Comprehensive eye exam including a visual acuity test.
- Imaging tests such as Optical Coherence Tomography (OCT).
- Fluorescein angiography to examine blood flow in the retina.

#### Treatment Options
- Anti-VEGF injections to block abnormal blood vessel growth.
- Photodynamic therapy to close abnormal blood vessels.
- While current scars are inactive, ongoing treatment can help prevent further damage.

#### Prognosis and Follow-Up
- While there is no cure, treatments can help prevent severe vision loss.
- Regular follow-up appointments are essential for monitoring and managing the condition effectively.

#### Complications
- Severe vision loss if untreated, potentially leading to legal blindness.
- Risk of development to the more severe fibrotic stage.

#### Lifestyle & Prevention
- Maintain a healthy diet rich in leafy greens, omega-3 fatty acids, and antioxidants.
- Quit smoking.
- Protect eyes from UV light with sunglasses.

#### When to Seek Professional Help
- Sudden changes in vision, including distortion or dark spots.
- Regular eye check-ups are crucial for early detection and treatment.

#### Additional Resources
- American Academy of Ophthalmology: [https://www.aao.org](https://www.aao.org)
- The Macular Society: [https://www.macularsociety.org](https://www.macularsociety.org)

#### Tips for Medical Coders
- Confirm bilateral involvement and inactive scar status in documentation.
- Double-check for laterality and activity status to avoid miscoding.

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