Late syphilitic oculopathy
ICD-10 A52.71 is a billable code used to indicate a diagnosis of late syphilitic oculopathy.
Late syphilitic oculopathy is a severe manifestation of syphilis that occurs in the tertiary stage of the disease, typically years after the initial infection. This condition is characterized by ocular complications that can lead to significant vision impairment or blindness. The pathophysiology involves the infiltration of Treponema pallidum, the bacterium responsible for syphilis, into ocular tissues, resulting in inflammation and damage to various structures of the eye, including the retina, choroid, and optic nerve. Symptoms may include blurred vision, visual field defects, and ocular pain. Diagnosis is primarily clinical, supported by serological tests for syphilis, such as the RPR (Rapid Plasma Reagin) and FTA-ABS (Fluorescent Treponemal Antibody Absorption) tests. Treatment typically involves high-dose penicillin therapy, which can halt the progression of the disease but may not reverse existing damage. Regular follow-up with an ophthalmologist is essential for monitoring and managing any visual complications.
Detailed ocular examination findings, including visual acuity tests and imaging results.
Patients presenting with vision changes, ocular pain, or retinal findings suggestive of syphilitic involvement.
Ensure that all ocular symptoms are documented and correlate with serological findings.
Comprehensive history of syphilis treatment, including serological test results and treatment response.
Patients with a history of syphilis presenting with new ocular symptoms.
Document the timeline of syphilis treatment and any co-existing conditions that may affect treatment.
Used during follow-up visits for patients with late syphilitic oculopathy.
Document visual acuity, ocular health assessment, and any changes in symptoms.
Ophthalmologists should ensure thorough documentation of ocular findings.
Common symptoms include blurred vision, visual field defects, ocular pain, and signs of inflammation in the eye.
Diagnosis is made through clinical evaluation, serological testing for syphilis, and imaging studies to assess ocular involvement.
