ICD-10: H35.413

Lattice degeneration of the retina is a condition characterized by a thinning of the peripheral retina, which can lead to an increased risk of retinal tears and detachment. The ICD-10-CM code H35.413 specifically refers to bilateral lattice degeneration of the retina, indicating that the condition affects both eyes.

Clinical Description

Definition

Lattice degeneration is a common retinal condition, particularly in individuals who are myopic (nearsighted). It is characterized by a distinctive pattern of retinal thinning and the presence of lattice-like formations in the peripheral retina. These changes can predispose patients to complications such as retinal tears, which may lead to retinal detachment if not monitored and managed appropriately.

Symptoms

Many patients with lattice degeneration may be asymptomatic, meaning they do not experience noticeable symptoms. However, some may report:
- Flashes of light (photopsia)
- Floaters (small specks or clouds that move across the field of vision)
- Distorted vision in advanced cases

Risk Factors

Several factors can increase the likelihood of developing lattice degeneration, including:
- High myopia
- Family history of retinal conditions
- Previous eye trauma
- Age (more common in younger adults)

Diagnosis

Diagnosis typically involves a comprehensive eye examination, including:
- Dilated Fundus Examination: Allows the ophthalmologist to visualize the peripheral retina.
- Optical Coherence Tomography (OCT): Provides detailed images of the retina, helping to assess the extent of degeneration.
- Ultrasound: In some cases, ultrasound may be used to evaluate the retina if there are concerns about detachment.

Management and Treatment

Monitoring

Patients diagnosed with bilateral lattice degeneration are often monitored regularly to detect any changes that may indicate the development of retinal tears or detachment. The frequency of follow-up visits may depend on the severity of the degeneration and the presence of symptoms.

Prophylactic Treatment

In cases where there is a significant risk of retinal tears, prophylactic treatment may be recommended. This can include:
- Laser Photocoagulation: A procedure that uses laser energy to create small burns around the lattice areas, which can help to seal the retina and prevent tears.
- Cryotherapy: In some cases, freezing treatment may be used to create a scar that helps to stabilize the retina.

Surgical Intervention

If a retinal tear or detachment occurs, surgical intervention may be necessary. Options include:
- Scleral Buckling: A procedure that involves placing a silicone band around the eye to support the retina.
- Vitrectomy: Removal of the vitreous gel from the eye, which may be necessary in cases of severe detachment.

Conclusion

ICD-10 code H35.413 denotes bilateral lattice degeneration of the retina, a condition that requires careful monitoring and management to prevent complications such as retinal tears and detachment. Regular eye examinations and appropriate interventions are crucial for maintaining retinal health in affected individuals. If you suspect you have symptoms related to lattice degeneration, it is essential to consult an ophthalmologist for a thorough evaluation and personalized care plan.

Lattice degeneration of the retina is a condition characterized by thinning and weakening of the peripheral retina, which can lead to retinal tears or detachment. The ICD-10 code H35.413 specifically refers to bilateral lattice degeneration of the retina. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is crucial for diagnosis and management.

Clinical Presentation

Signs and Symptoms

Patients with bilateral lattice degeneration may present with a variety of signs and symptoms, although some individuals may be asymptomatic. Common presentations include:

• Visual Disturbances: Patients may report blurred vision or difficulty seeing in low light conditions. Some may experience flashes of light (photopsia) or floaters, which are small specks or lines that drift through the field of vision[1].
• Retinal Tears or Detachment: In more severe cases, lattice degeneration can lead to retinal tears or detachment, which may present with sudden onset of visual changes, such as a curtain-like shadow over the visual field, sudden flashes of light, or a significant increase in floaters[1][2].
• Peripheral Vision Loss: As the condition progresses, patients may experience a gradual loss of peripheral vision, which can affect overall visual function[2].

Patient Characteristics

Certain demographic and clinical characteristics are often associated with lattice degeneration:

• Age: Lattice degeneration is more commonly observed in younger individuals, particularly those between the ages of 20 and 40. However, it can occur at any age[1].
• Myopia: There is a strong association between lattice degeneration and myopia (nearsightedness). Patients with high myopia are at an increased risk for developing this condition[2].
• Family History: A familial tendency has been noted, suggesting a genetic component to the development of lattice degeneration. Patients with a family history of retinal conditions may be at higher risk[1].
• Other Ocular Conditions: Individuals with other retinal conditions, such as retinal holes or tears, may also be more likely to develop lattice degeneration[2].

Diagnosis

Diagnosis of bilateral lattice degeneration typically involves a comprehensive eye examination, including:

• Fundoscopy: A detailed examination of the retina using an ophthalmoscope allows the clinician to visualize the characteristic changes associated with lattice degeneration, such as the presence of thin, white, or grayish areas in the peripheral retina[1].
• Optical Coherence Tomography (OCT): This imaging technique can provide cross-sectional images of the retina, helping to assess the extent of degeneration and any associated complications, such as tears or detachment[2].

Conclusion

Bilateral lattice degeneration of the retina (ICD-10 code H35.413) is a significant ocular condition that can lead to serious complications if not monitored and managed appropriately. Understanding the clinical presentation, including the signs and symptoms, as well as the patient characteristics associated with this condition, is essential for timely diagnosis and intervention. Regular eye examinations, especially for individuals at higher risk, are crucial for early detection and management of potential complications.

Lattice degeneration of the retina is a condition characterized by thinning and weakening of the peripheral retina, which can lead to retinal detachment. The ICD-10 code for this condition is H35.413, specifically denoting bilateral involvement. Here are some alternative names and related terms associated with this diagnosis:

Alternative Names

1. Bilateral Lattice Degeneration: This term emphasizes the bilateral nature of the condition, indicating that both eyes are affected.
2. Lattice Retinopathy: A broader term that may be used to describe the retinal changes associated with lattice degeneration.
3. Lattice Degeneration: Often used interchangeably with the full term, focusing on the degeneration aspect without specifying laterality.
4. Peripheral Retinal Degeneration: While not exclusively referring to lattice degeneration, this term encompasses various forms of degeneration occurring in the peripheral retina, including lattice.

Related Terms

1. Retinal Detachment: A potential complication of lattice degeneration, where the retina separates from the underlying tissue, necessitating prompt medical attention.
2. Retinal Tear: A condition that can occur in conjunction with lattice degeneration, where a tear develops in the retina, increasing the risk of detachment.
3. Prophylactic Laser Treatment: A common preventive measure for patients with lattice degeneration to reduce the risk of retinal detachment.
4. Ophthalmic Imaging: Techniques such as scanning computerized ophthalmic imaging may be used to diagnose and monitor lattice degeneration.

Clinical Context

Understanding these terms is crucial for healthcare professionals involved in ophthalmology and billing, as they may encounter various terminologies in clinical documentation and coding. Accurate coding and terminology usage are essential for effective communication and appropriate reimbursement for services rendered related to this condition.

In summary, while H35.413 specifically refers to bilateral lattice degeneration of the retina, the alternative names and related terms provide a broader context for understanding the condition and its implications in clinical practice.

Lattice degeneration of the retina, classified under ICD-10 code H35.413, is a condition characterized by thinning and weakening of the peripheral retina, which can lead to retinal tears or detachment. The diagnosis of this condition typically involves a combination of clinical evaluation, imaging studies, and specific criteria. Below are the key criteria and considerations used for diagnosing bilateral lattice degeneration of the retina.

Clinical Evaluation

1. Patient History:
   - A thorough medical history is essential, including any symptoms such as flashes of light, floaters, or peripheral vision loss. Family history of retinal conditions may also be relevant.

2. Symptoms:
   - Patients may report visual disturbances, particularly in peripheral vision, which can indicate potential retinal issues.

Ophthalmic Examination

1. Fundoscopic Examination:
   - An ophthalmologist will perform a dilated fundoscopic exam to visualize the retina. Lattice degeneration appears as a characteristic pattern of thin, elongated areas in the peripheral retina, often with associated pigment changes.

2. Visual Field Testing:
   - This may be conducted to assess any loss of peripheral vision, which can be indicative of retinal pathology.

Imaging Studies

1. Optical Coherence Tomography (OCT):
   - OCT can provide detailed cross-sectional images of the retina, helping to identify areas of thinning and any associated changes in the retinal structure.

2. Ultrasound:
   - In cases where the view of the retina is obscured (e.g., due to cataracts), ultrasound can be used to assess the retina's condition.

3. Fluorescein Angiography:
   - This imaging technique may be employed to evaluate retinal blood flow and identify any associated vascular changes.

Diagnostic Criteria

1. Presence of Lattice Degeneration:
   - The definitive diagnosis requires the identification of lattice degeneration in both eyes during the examination.

2. Bilateral Involvement:
   - For the specific ICD-10 code H35.413, the degeneration must be present in both eyes, which distinguishes it from unilateral cases.

3. Exclusion of Other Conditions:
   - It is crucial to rule out other retinal conditions that may mimic lattice degeneration, such as retinal tears or other degenerative diseases.

Conclusion

The diagnosis of bilateral lattice degeneration of the retina (ICD-10 code H35.413) relies on a combination of patient history, clinical examination, and imaging studies to confirm the presence of characteristic retinal changes. Early detection and monitoring are essential to prevent complications such as retinal detachment, which can lead to significant vision loss. Regular follow-up with an ophthalmologist is recommended for patients diagnosed with this condition to manage any potential risks effectively.

Lattice degeneration of the retina, particularly when classified under ICD-10 code H35.413, refers to a condition characterized by thinning and weakening of the peripheral retina, which can lead to retinal tears or detachment. This condition is bilateral, meaning it affects both eyes. Understanding the standard treatment approaches for this condition is crucial for preventing complications such as retinal detachment.

Overview of Lattice Degeneration

Lattice degeneration is often asymptomatic but can be identified during routine eye examinations. It is more common in individuals who are myopic (nearsighted) and can be associated with other retinal conditions. The primary concern with lattice degeneration is the risk of retinal tears, which can lead to retinal detachment, a serious condition that requires immediate medical attention.

Standard Treatment Approaches

1. Observation and Monitoring

For many patients with lattice degeneration who are asymptomatic, the standard approach is careful observation. Regular eye examinations are essential to monitor any changes in the retina. This typically involves:

• Routine Eye Exams: Patients are advised to have comprehensive dilated eye exams at least annually or as recommended by their ophthalmologist.
• Patient Education: Patients should be educated about the signs and symptoms of retinal detachment, such as sudden flashes of light, floaters, or a shadow in their peripheral vision, prompting immediate medical evaluation.

2. Laser Photocoagulation

In cases where there is a higher risk of retinal tears or if tears have already developed, laser photocoagulation may be employed. This procedure involves:

• Creating Scar Tissue: The ophthalmologist uses a laser to create small burns around the lattice areas, which helps to seal the retina to the underlying tissue and prevent the progression to retinal detachment.
• Outpatient Procedure: Laser photocoagulation is typically performed in an outpatient setting and does not require general anesthesia.

3. Cryotherapy

Cryotherapy is another treatment option that may be used, particularly if there are existing retinal tears. This involves:

• Freezing Treatment: The ophthalmologist applies a freezing probe to the area around the tear, which helps to create scar tissue and secure the retina.
• Indications: This method is often used when laser treatment is not feasible or if the tear is located in a challenging area.

4. Surgical Intervention

In more severe cases, particularly if a retinal detachment has occurred, surgical intervention may be necessary. Options include:

• Scleral Buckling: This procedure involves placing a silicone band around the eye to help reattach the retina.
• Vitrectomy: In cases where there is significant vitreous traction or hemorrhage, a vitrectomy may be performed to remove the vitreous gel and relieve traction on the retina.

5. Follow-Up Care

Post-treatment follow-up is critical to ensure the retina remains stable and to monitor for any new developments. This may include:

• Regular Check-Ups: Patients should continue to have regular follow-up appointments to monitor the health of the retina.
• Visual Acuity Testing: Assessing vision changes is important to detect any complications early.

Conclusion

Lattice degeneration of the retina, particularly when bilateral, requires careful management to prevent complications such as retinal tears and detachment. Standard treatment approaches include observation, laser photocoagulation, cryotherapy, and surgical interventions when necessary. Regular monitoring and patient education play vital roles in managing this condition effectively. If you or someone you know has been diagnosed with lattice degeneration, it is essential to work closely with an ophthalmologist to determine the best course of action tailored to individual needs.