H35.3291 Exudative age-related macular degeneration, unspecified eye, with active choroidal neovascularization

ICD10CM code

#### Name of the Condition
- Exudative Age-Related Macular Degeneration (AMD), Unspecified Eye, with Active Choroidal Neovascularization

#### Summary
Exudative age-related macular degeneration is a chronic eye condition that causes loss of vision in the central field due to damage to the retina. This type, also known as wet AMD, is characterized by the growth of abnormal blood vessels underneath the retina that leak fluid or blood, potentially leading to rapid vision loss.

#### Causes
The precise cause of exudative AMD is not completely understood but is believed to involve a combination of genetic and environmental factors. Age is the most significant factor, along with genetic predisposition and possibly oxidative stress impacting retinal cells.

#### Risk Factors
- Age (more common in those over 50)
- Family history of AMD
- Smoking
- Obesity
- Hypertension
- High cholesterol levels
- Light eye color

#### Symptoms
- Blurred or reduced central vision
- Distortion of straight lines
- Difficulty recognizing faces
- Dark, blurry areas in the center of vision

#### Diagnosis
- Comprehensive eye exam
- Optical coherence tomography (OCT) to visualize the retina
- Fluorescein angiography to observe blood vessels in the eye

#### Treatment Options
- Anti-VEGF injections (e.g., ranibizumab, bevacizumab) to halt or reduce growth of abnormal blood vessels
- Photodynamic therapy (PDT) using laser to disrupt abnormal vessels
- Laser surgery to destroy leaky blood vessels

#### Prognosis and Follow-Up
Early detection and treatment can help slow the progression, preserve vision, and improve the quality of life. Continuous follow-ups are critical to monitor and adjust treatments as necessary.

#### Complications
- Untreated AMD can lead to severe and permanent central vision loss.
- Increased risk of depression and social isolation due to visual impairment

#### Lifestyle & Prevention
- Stop smoking
- Maintain a healthy diet rich in leafy greens and fish
- Protect eyes from UV light with sunglasses
- Regular eye examinations, especially if there is a family history

#### When to Seek Professional Help
Prompt medical attention is essential if you notice sudden changes in vision, such as distortion or difficulty seeing in the center of your visual field.

#### Additional Resources
- [American Academy of Ophthalmology](https://www.aao.org)
- [Macular Degeneration Association](https://macularhope.org)
- [National Eye Institute](https://nei.nih.gov)

#### Tips for Medical Coders
- Ensure accuracy by verifying whether the eye is specified or unspecified.
- Be careful not to confuse exudative AMD with non-exudative AMD or other retinal disorders.

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