Late congenital syphilitic optic nerve atrophy
ICD-10 A50.44 is a billable code used to indicate a diagnosis of late congenital syphilitic optic nerve atrophy.
Late congenital syphilitic optic nerve atrophy is a condition resulting from congenital syphilis, which is an infection caused by the bacterium Treponema pallidum transmitted from mother to fetus during pregnancy. This condition manifests as damage to the optic nerve, leading to visual impairment or blindness. The atrophy of the optic nerve occurs due to the inflammatory processes initiated by the syphilitic infection, which can disrupt normal nerve function and structure. Clinically, patients may present with reduced visual acuity, visual field defects, and other ocular abnormalities. Diagnosis is typically confirmed through a combination of clinical evaluation, serological testing for syphilis, and imaging studies to assess the optic nerve. Treatment focuses on managing the underlying syphilis infection with appropriate antibiotics, primarily penicillin, and addressing any resultant visual impairments. Early detection and treatment are crucial to prevent irreversible damage to the optic nerve and preserve vision.
Detailed maternal history, including syphilis screening results, and child’s visual assessment.
Infants presenting with visual impairment and a history of maternal syphilis.
Ensure that all maternal health records are reviewed and documented.
Comprehensive eye examination findings, including visual acuity and optic nerve assessment.
Children with suspected optic nerve atrophy requiring visual function testing.
Document any imaging studies performed to assess optic nerve integrity.
Used when evaluating a child with suspected optic nerve atrophy.
Document visual acuity tests and findings from the eye examination.
Ophthalmologists should ensure thorough documentation of all findings.
Documenting maternal syphilis history is crucial as it establishes the link between the mother's infection and the child's condition, which is necessary for accurate coding and treatment planning.
