Gonococcal infection of eye, unspecified
ICD-10 A54.30 is a billable code used to indicate a diagnosis of gonococcal infection of eye, unspecified.
Gonococcal infection of the eye, also known as gonococcal conjunctivitis, is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. This condition primarily affects the conjunctiva, leading to symptoms such as redness, swelling, and discharge from the eye. In neonates, it can result from vertical transmission during childbirth, leading to severe complications if not treated promptly. Adults may acquire the infection through direct contact with infected genital secretions. The infection can lead to keratitis, corneal ulceration, and even blindness if left untreated. Diagnosis is typically made through culture or nucleic acid amplification tests (NAATs) of conjunctival swabs. Treatment involves the administration of appropriate antibiotics, with ceftriaxone being the first-line therapy. Prompt identification and treatment are crucial to prevent complications and transmission to others.
Detailed examination findings, including visual acuity and discharge characteristics.
Patients presenting with conjunctival redness and purulent discharge, especially in sexually active individuals.
Consideration of potential complications such as corneal involvement and the need for referral to infectious disease specialists.
Comprehensive patient history, including sexual history and any co-existing STIs.
Patients with systemic symptoms or those requiring treatment for multiple STIs.
Coordination with ophthalmology for cases with ocular involvement.
Used when a patient presents with symptoms of gonococcal conjunctivitis for evaluation.
Document the examination findings, including visual acuity and discharge characteristics.
Ophthalmologists should ensure thorough documentation to support the diagnosis and treatment plan.
Common symptoms include redness of the eye, purulent discharge, swelling of the eyelids, and discomfort. In severe cases, it can lead to vision loss.
Treatment typically involves antibiotics, with ceftriaxone being the first-line option. It's important to treat any underlying gonococcal infection as well.
Preventive measures include practicing safe sex, regular STI screenings, and prompt treatment of any infections to reduce transmission risk.
