Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula
ICD-10 E10.352 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula.
E10.352 refers to a specific complication of Type 1 diabetes mellitus characterized by proliferative diabetic retinopathy (PDR) that has progressed to include traction retinal detachment affecting the macula. PDR is a severe form of diabetic retinopathy where new, abnormal blood vessels grow on the retina, which can lead to bleeding and scarring. When these vessels pull on the retina, it can cause a traction retinal detachment, particularly when the macula, the central part of the retina responsible for sharp vision, is involved. This condition can lead to significant vision loss if not treated promptly. Management typically involves careful monitoring of blood glucose levels, maintaining HbA1c levels below 7% to prevent further complications, and may require surgical intervention such as vitrectomy to repair the detachment. Insulin management is crucial in controlling blood sugar levels to mitigate the risk of further retinal damage.
Comprehensive records of diabetes management, including HbA1c levels and insulin regimen.
Patients with poorly controlled diabetes presenting with eye complications.
Ensure documentation reflects the relationship between diabetes control and retinopathy progression.
Detailed eye examination findings, imaging results, and treatment plans.
Patients presenting with vision changes or retinal findings suggestive of PDR.
Document the extent of retinal detachment and any surgical interventions performed.
Used in cases of traction retinal detachment.
Document the indication for surgery and pre-operative assessments.
Ophthalmology should provide detailed operative notes.
Including HbA1c levels is crucial as it reflects the patient's long-term glucose control and helps in assessing the risk of diabetic complications, including retinopathy.
