2025 ICD-10-CM code A51.43
Secondary syphilitic oculopathy.A manifestation of secondary syphilis affecting the eye.
Medical necessity for treating secondary syphilitic oculopathy stems from the potential for serious vision impairment or blindness if the infection is left untreated.Prompt diagnosis and treatment are essential to preserve vision.
Physicians diagnose secondary syphilitic oculopathy based on patient history, physical examination, symptoms, and laboratory tests (blood, ocular fluids, cerebrospinal fluid).Serologic tests for syphilis and dark field microscopy are commonly used. Treatment typically involves penicillin injections, or alternative antibiotics for penicillin allergies. Corticosteroids can reduce inflammation.
- Certain infectious and parasitic diseases (A00-B99)
- Infections with a predominantly sexual mode of transmission (A50-A64)
In simple words: Secondary syphilitic oculopathy is an eye problem that can occur in the second stage of syphilis. It happens when the syphilis infection spreads to the eyes, causing inflammation and potentially affecting vision.
Secondary syphilitic oculopathy is a manifestation of the second stage of syphilis affecting the eyes. It occurs after the spread of the bacterium Treponema pallidum from primary lesions. Symptoms can include inflammation of the eye's external structures, interstitial keratitis (corneal inflammation), intraocular inflammation (affecting the choroid, retina, uvea, iris, and ciliary body), optic nerve damage, vision impairment, and even blindness.
Example 1: A patient presents with blurred vision, eye pain, and redness.Testing reveals a history of syphilis and the presence of Treponema pallidum in ocular fluids, confirming secondary syphilitic oculopathy., A pregnant woman with untreated syphilis develops vision changes.Examination reveals inflammation of the uvea, indicating secondary syphilitic oculopathy, requiring prompt treatment to protect both mother and fetus., A patient with a history of syphilis experiences sudden vision loss. Diagnostic tests reveal optic nerve involvement due to secondary syphilitic oculopathy.
Documentation should include patient history (including history of syphilis), physical examination findings (eye inflammation, vision changes), laboratory test results (serological tests, dark field microscopy), and treatment details (antibiotics, corticosteroids).
- Payment Status: Active
- Specialties:Ophthalmology, Infectious Disease
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital