Secondary syphilitic oculopathy
ICD-10 A51.43 is a billable code used to indicate a diagnosis of secondary syphilitic oculopathy.
Secondary syphilitic oculopathy is a manifestation of secondary syphilis, which occurs when Treponema pallidum, the bacterium responsible for syphilis, disseminates throughout the body. This condition can lead to various ocular complications, including uveitis, retinitis, and chorioretinitis, which can result in visual impairment or blindness if left untreated. Patients may present with symptoms such as blurred vision, eye pain, and photophobia. Diagnosis typically involves serological testing for syphilis, including non-treponemal tests (e.g., RPR, VDRL) and treponemal tests (e.g., FTA-ABS). Treatment primarily consists of antibiotic therapy, usually with benzathine penicillin G, which is effective in eradicating the infection and preventing further ocular damage. Regular follow-up is essential to monitor visual function and manage any complications that may arise. Contact tracing is crucial in preventing the spread of syphilis, as it is a sexually transmitted infection (STI) that can be transmitted through sexual contact. Education on safe sex practices and the importance of regular STI screenings is vital for at-risk populations.
Detailed ocular examination findings, including visual acuity tests and imaging results.
Patients presenting with unexplained vision changes or eye pain, particularly in those with a history of STIs.
Ensure that the link between syphilis and ocular symptoms is clearly documented to support coding.
Comprehensive patient history, including sexual history and STI screening results.
Patients with confirmed syphilis presenting with systemic symptoms or ocular complaints.
Documentation should include treatment plans and follow-up care to ensure continuity of care.
Used when evaluating a patient with suspected secondary syphilitic oculopathy.
Document visual acuity, ocular health findings, and any relevant history.
Ophthalmologists should ensure thorough documentation of ocular symptoms and their relation to syphilis.
Common symptoms include blurred vision, eye pain, photophobia, and visual disturbances. Patients may also experience systemic symptoms associated with secondary syphilis.
