H44.0
Purulent endophthalmitis
Clinical Classification Guidelines
Use Additional Code
- code to identify organism
Excludes Type 1
- bleb associated endophthalmitis (H59.4-)
Medical Intelligence & Overview
Purulent endophthalmitis is a severe eye condition characterized by a bacterial or fungal infection within the eye's interior, leading to the accumulation of pus. This condition can cause rapid vision loss if not treated promptly. It often occurs after eye surgery, trauma, or due to extensions from nearby infections. Recognizing the symptoms early and seeking medical attention are crucial for preserving sight and preventing complications.
Causes & Symptoms
Clinical Causes: Post-surgical infections, particularly after cataract removal or other intraocular surgeries Eye trauma, including penetrating injuries Spread of nearby infections such as sinusitis or skin infections Contamination during eye procedures Immunocompromised states making the eye more susceptible to infections Presence of intraocular foreign bodies
Key Symptoms: Severe eye pain and tenderness Redness in the affected eye Decreased or blurred vision Swelling around the eye Photophobia (sensitivity to light) Increased tearing or discharge from the eye Sense of a foreign body in the eye Fever or general malaise in some cases Feelings of fullness or pressure inside the eye
Diagnostic & Treatment
Diagnosis Path: Microbiological testing of eye fluids, such as vitreous or aqueous humor samples, to identify the infectious agent B-scan ultrasound imaging to assess intraocular structures when direct visualization is hindered Various imaging techniques to evaluate the extent of infection and rule out other causes Laboratory blood tests may be ordered to check for systemic infection or immune response
Treatment Protocols: Intravitreal injections of antibiotics or antifungal medications directly into the eye Systemic antibiotics or antifungal agents to control the infection Early surgical intervention such as vitrectomy to remove infected tissue and pus Steroid medications to reduce inflammation, used cautiously Supportive care including pain management and ensuring overall health stability
Clinical Advice & FAQs
Billing Guidance
Is H44.0 a billable ICD-10 code?
Yes, H44.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H44.0?
Clinical documentation must specify the nature of Purulent endophthalmitis and any associated comorbidities for accurate reporting.
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