Varicella keratitis
ICD-10 B01.81 is a billable code used to indicate a diagnosis of varicella keratitis.
Varicella keratitis is a viral infection of the cornea caused by the varicella-zoster virus (VZV), which is the same virus responsible for chickenpox and shingles. This condition typically occurs in individuals who have had a prior varicella infection or have been vaccinated against it. The keratitis manifests as inflammation of the cornea, leading to symptoms such as redness, pain, photophobia, and blurred vision. In severe cases, it can result in corneal scarring and vision loss. The pathophysiology involves the reactivation of the latent VZV in the sensory ganglia, which can spread to the cornea, causing epithelial and stromal keratitis. Diagnosis is primarily clinical, supported by patient history and, in some cases, laboratory confirmation. Treatment often includes antiviral medications, topical corticosteroids, and supportive care to manage symptoms. Vaccination against varicella is crucial in preventing primary infection and subsequent complications like keratitis.
Detailed clinical notes on symptoms, history of varicella, and treatment plan.
Patients presenting with eye pain, redness, and history of chickenpox.
Ensure documentation reflects the viral etiology and any prior treatments.
Comprehensive history of varicella infection and any immunocompromised status.
Patients with recurrent infections or complications from varicella.
Document any systemic symptoms or complications that may affect treatment.
Used when evaluating a patient with varicella keratitis.
Document the examination findings and treatment plan.
Ophthalmologists should ensure thorough documentation of symptoms and history.
Common symptoms include eye pain, redness, photophobia, and blurred vision. In severe cases, corneal scarring may occur.
Treatment typically involves antiviral medications, topical corticosteroids, and supportive care to manage symptoms.
