Macrophthalmos
ICD-10 Q11.3 is a billable code used to indicate a diagnosis of macrophthalmos.
Macrophthalmos, also known as megalocornea, is a congenital condition characterized by an abnormal enlargement of one or both eyes. This condition can be associated with various syndromes and may lead to complications such as glaucoma, corneal opacities, and amblyopia. The etiology of macrophthalmos can be multifactorial, including genetic predispositions and environmental factors. It is essential to differentiate macrophthalmos from other ocular conditions such as microphthalmia and anophthalmia, which involve underdevelopment or absence of the eye, respectively. Clinical evaluation typically includes a comprehensive ophthalmologic examination, imaging studies, and genetic testing when syndromic associations are suspected. Management may involve surgical interventions to address complications and supportive therapies to enhance visual outcomes. Early diagnosis and intervention are crucial to prevent long-term visual impairment and to provide appropriate genetic counseling for affected families.
Pediatric documentation should include growth parameters, developmental milestones, and detailed ocular assessments.
Common scenarios include referrals for visual impairment, routine pediatric examinations revealing ocular anomalies, and follow-up visits post-surgery.
Considerations include the age of the child, potential for developmental delays, and the need for multidisciplinary care.
Genetic documentation should encompass family history, results of genetic testing, and any syndromic associations.
Scenarios may involve genetic counseling sessions for families with a history of congenital eye anomalies and discussions regarding recurrence risks.
Genetic considerations include the identification of chromosomal abnormalities and syndromes associated with macrophthalmos.
Used when a patient with macrophthalmos develops cataracts requiring surgical intervention.
Document the indication for surgery, pre-operative assessments, and post-operative care.
Ophthalmology specialists should provide detailed operative notes and follow-up evaluations.
The primary concern is ensuring accurate differentiation from other congenital eye conditions, such as microphthalmia and anophthalmia, as well as documenting any associated syndromic features that may impact management and care.
