Other tuberculosis of eye
ICD-10 A18.59 is a billable code used to indicate a diagnosis of other tuberculosis of eye.
Other tuberculosis of the eye refers to a rare manifestation of tuberculosis (TB) that affects ocular structures, including the conjunctiva, cornea, uvea, and retina. This condition can arise from hematogenous spread of Mycobacterium tuberculosis or direct extension from adjacent structures. Symptoms may include blurred vision, redness, pain, and photophobia. Diagnosis typically involves a combination of clinical examination, imaging studies, and microbiological tests, such as PCR or culture of ocular fluids. Treatment often includes a regimen of anti-tuberculous medications, such as isoniazid, rifampicin, ethambutol, and pyrazinamide, tailored to the patient's specific needs and drug susceptibility patterns. Monitoring for drug resistance is crucial, as multi-drug resistant TB can complicate treatment. Public health implications are significant, as TB is a communicable disease; thus, contact tracing and isolation procedures may be necessary to prevent transmission. Regular follow-up is essential to assess treatment efficacy and manage any potential complications.
Detailed clinical notes on ocular examination findings, diagnostic tests performed, and treatment plans.
Patients presenting with unexplained eye symptoms, particularly in areas with high TB prevalence.
Ensure thorough documentation of any systemic TB involvement and coordination with infectious disease specialists.
Comprehensive records of TB testing, treatment regimens, and monitoring for drug resistance.
Patients with known TB history presenting with ocular symptoms or new TB diagnoses.
Collaboration with ophthalmology for integrated care and management of ocular TB.
Used for initial evaluation of a patient suspected of having ocular TB.
Document all findings from the eye examination and any tests performed.
Ophthalmologists should ensure thorough documentation of ocular health and TB history.
Common symptoms include blurred vision, redness, pain, photophobia, and floaters. Patients may also experience systemic symptoms related to tuberculosis.
