2025 ICD-10-CM code A50.3
Late congenital syphilitic oculopathy. This condition refers to eye manifestations of congenital syphilis presenting two or more years after birth.
Medical necessity for treating A50.3 is established by the presence of ocular manifestations of congenital syphilis and confirmed by positive serological tests.The goal of treatment is to prevent further vision loss and manage associated complications.
Physicians diagnosing and treating A50.3 should be proficient in ophthalmological assessment and managing congenital syphilis. This involves performing thorough eye exams, recognizing ocular manifestations of late congenital syphilis, ordering and interpreting serological tests, and prescribing appropriate medications like steroid eye drops, antiglaucoma drugs, and systemic penicillin.
- Certain infectious and parasitic diseases (A00-B99)
- A50-A64: Infections with a predominantly sexual mode of transmission
In simple words: Late congenital syphilitic oculopathy is an eye problem that occurs in children born with syphilis. Symptoms usually appear after age 2 and are caused by the syphilis bacteria.Problems can include eye inflammation, cloudiness, increased pressure, and vision loss.It's diagnosed by an eye exam and blood tests. Treatments include medicated eye drops and antibiotics to fight the infection.
Late congenital syphilitic oculopathy encompasses any ophthalmological manifestation of late congenital syphilis, where symptoms typically appear at least two years after birth. Congenital syphilis is transmitted from mother to child during pregnancy or delivery due to infection with the bacterium Treponema pallidum.Ocular manifestations can include interstitial keratitis, iritis, chorioretinitis, uveitis, glaucoma, and cataracts.Symptoms may include extreme eye pain, redness, reduced vision (potentially to only light perception), and photophobia. Diagnosis involves eye examination and serological tests for syphilis. Treatment comprises steroid eye drops for inflammation, antiglaucoma medications if necessary, and systemic penicillin for syphilis.
Example 1: A 5-year-old child presents with blurred vision, eye pain, and sensitivity to light. Examination reveals interstitial keratitis and chorioretinitis. Serological tests confirm congenital syphilis, leading to a diagnosis of late congenital syphilitic oculopathy., A 10-year-old child with a history of congenital syphilis but no prior eye problems develops glaucoma and cataracts.This is considered a late manifestation of congenital syphilis, specifically late congenital syphilitic oculopathy., A 3-year-old child exhibits progressive vision loss and is found to have optic atrophy. Further investigation reveals a history of untreated congenital syphilis, establishing the diagnosis of late congenital syphilitic oculopathy.
Documentation should include a detailed ophthalmological examination report, results of serological tests for syphilis, history of maternal syphilis infection (if known), and the child's response to treatment.
- Payment Status: Active
- Specialties:Pediatric Ophthalmology, Infectious Disease, Pediatrics
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital