Zoster conjunctivitis
ICD-10 B02.31 is a billable code used to indicate a diagnosis of zoster conjunctivitis.
Zoster conjunctivitis is an ocular manifestation of varicella-zoster virus (VZV) reactivation, commonly known as shingles. This condition occurs when the virus, which remains dormant in the sensory ganglia after a primary infection (chickenpox), reactivates and spreads to the ophthalmic branch of the trigeminal nerve. Clinically, zoster conjunctivitis presents with symptoms such as redness, tearing, photophobia, and potential vision changes. The conjunctiva may exhibit vesicular lesions, and there may be associated keratitis or uveitis. Diagnosis is primarily clinical, supported by the patient's history of varicella infection and the characteristic rash. Prompt recognition and treatment are crucial to prevent complications such as postherpetic neuralgia or vision loss. Antiviral therapy, such as acyclovir, is typically initiated to reduce the severity and duration of the symptoms. Vaccination against VZV, particularly with the shingles vaccine, is recommended for older adults to reduce the risk of reactivation and subsequent complications.
Detailed ocular examination findings, including visual acuity and presence of vesicular lesions.
Patients presenting with eye pain, redness, and a history of shingles.
Ensure documentation includes the extent of ocular involvement and any associated complications.
History of varicella infection, current symptoms, and treatment plan.
Patients with shingles experiencing ocular symptoms.
Document the rationale for antiviral therapy and any follow-up plans.
Used when a new patient presents with zoster conjunctivitis for evaluation.
Complete eye examination findings and history.
Ophthalmologists should document the extent of ocular involvement.
Symptoms include redness of the eye, tearing, photophobia, and possible vision changes, often accompanied by a vesicular rash.
Treatment typically involves antiviral medications such as acyclovir, along with symptomatic relief for eye discomfort.
