Microphthalmos
ICD-10 Q11.2 is a billable code used to indicate a diagnosis of microphthalmos.
Microphthalmos is a congenital condition characterized by abnormally small eyes, which can occur in one or both eyes. This condition can be isolated or associated with other congenital anomalies, including systemic syndromes. The severity of microphthalmos can vary significantly, with some individuals experiencing minimal visual impairment while others may have severe vision loss or blindness. The condition can arise from genetic factors, environmental influences during pregnancy, or a combination of both. Microphthalmos is often diagnosed through clinical examination and imaging studies, such as ultrasound or MRI, which can help assess the size and structure of the eyes. Associated conditions may include anophthalmia (absence of one or both eyes), coloboma (defect in the eye structure), and other ocular malformations. Early diagnosis and intervention are crucial for managing visual impairment and associated developmental challenges. Treatment may involve corrective lenses, surgical interventions, and supportive therapies to enhance visual function and quality of life.
Pediatric documentation should include detailed ocular examinations, family history of congenital conditions, and developmental assessments.
Common scenarios include newborns presenting with small eyes, referrals for genetic counseling, and assessments for visual impairment.
Considerations include the need for multidisciplinary care involving ophthalmology, genetics, and developmental pediatrics.
Genetic documentation should include family history, results of genetic testing, and any syndromic associations.
Scenarios may involve genetic counseling for families with a history of microphthalmos or related syndromes.
Considerations include the potential for chromosomal abnormalities and the need for comprehensive genetic evaluation.
Used for routine follow-up of patients with microphthalmos.
Documentation of visual acuity, ocular health, and any interventions.
Pediatric ophthalmology may require additional assessments for developmental milestones.
Microphthalmos refers to abnormally small eyes, while anophthalmia is the complete absence of one or both eyes. Accurate coding requires documentation of the presence of ocular tissue.
