Comprehensive preoperative assessment performed for cataract surgery with intraocular lens (IOL) placement (includes assessment of all of the following components) (EC): Dilated fundus evaluation performed within 12 months prior to cataract surgery (2020F
CPT4 code
Name of the Procedure:
Comprehensive Preoperative Assessment for Cataract Surgery with Intraocular Lens (IOL) Placement
Summary
This is a thorough evaluation performed before cataract surgery to prepare and plan for the placement of an intraocular lens (IOL). It includes a detailed examination of the eye, particularly a dilated fundus evaluation, to ensure everything is in optimal condition for a successful surgery.
Purpose
The primary aim is to ensure the patient is an appropriate candidate for cataract surgery and to detect any coexisting ocular conditions that might affect the surgery or its outcomes. The expected outcome is improved vision following the cataract removal and IOL placement.
Indications
- Blurred or cloudy vision due to cataracts
- Difficulty with daily activities because of impaired vision
- Confirmation of cataract presence affecting the patient's quality of life
Preparation
- Follow any specific instructions provided by the healthcare provider.
- Typically, no fasting is needed, but consult your surgeon.
- Discontinue certain medications if advised.
- Undergo diagnostic tests including visual acuity tests and intraocular pressure measurement.
Procedure Description
- Initial Examination: The patient's medical history and specific symptoms are reviewed.
- Dilated Fundus Evaluation: Performing within 12 months prior to surgery, eye drops are used to dilate the pupil, allowing detailed examination of the internal structures of the eye.
- Additional Tests: Assessment of the cornea, lens, and retina. Ultrasound measurements of the eye may be done to help select the appropriate IOL.
Technology/Tools: Slit lamp, tonometer, ophthalmoscope, ultrasound device. Anesthesia: Typically involves topical drops; in some cases, sedation may be used.
Duration
The assessment typically takes about 1-2 hours.
Setting
This procedure is generally performed in an ophthalmologist's office or an outpatient eye clinic.
Personnel
- Ophthalmologist
- Optical technician or nurse
Risks and Complications
- Common: Mild discomfort, temporary blurred vision due to dilation.
- Rare: Eye infection, allergic reaction to eye drops.
Benefits
- Thorough evaluation ensuring all aspects of eye health are considered.
- Proper preparation reduces the risk of complications during surgery.
- Information to choose the best type of IOL for the patient.
Recovery
- Little to no recovery time is needed after the assessment.
- Temporary sensitivity to light or blurred vision can occur due to pupil dilation.
- Follow any recommendations on follow-up visits or eye care.
Alternatives
- Non-surgical management of cataracts includes stronger glasses or contact lenses, but these only offer temporary relief.
- Early-stage cataracts might be managed with different lifestyle adjustments like better lighting.
Patient Experience
Patients might experience mild discomfort during the dilation process and temporary blurry vision, but it should subside within a few hours. Pain management generally isn’t necessary, and comfort is maintained throughout the assessment.