Excision or transposition of pterygium; without graft
CPT4 code
Name of the Procedure:
Excision or Transposition of Pterygium without Graft
Summary
Excision or transposition of pterygium is a surgical procedure to remove or reposition a fleshy, wing-shaped growth of tissue on the white part of the eye. This growth can extend onto the cornea, potentially obstructing vision.
Purpose
The procedure addresses the presence of a pterygium, which can cause irritation, redness, and vision problems. The goals are to alleviate symptoms, prevent further growth, and improve visual function.
Indications
- Persistent eye irritation or redness
- Progressive growth of the pterygium toward the cornea, affecting vision
- Cosmetic concerns
- Recurrent pterygium after previous treatments
Preparation
- Patients might need to avoid eating or drinking for a few hours before surgery.
- Adjustment or discontinuation of certain medications as advised by the doctor.
- Pre-operative eye examination and assessment.
Procedure Description
- Anesthetic drops are applied to numb the eye.
- A speculum is used to keep the eye open during surgery.
- The surgeon carefully excises the pterygium using surgical tools.
- The area of excision is smoothed, and any necessary repositioning of tissue is done.
- The eye is usually covered with a protective shield post-surgery.
Duration
The procedure typically takes about 30 minutes to 1 hour.
Setting
This procedure is usually performed in an outpatient surgical center or an ophthalmologist's office.
Personnel
- Ophthalmic Surgeon
- Surgical Nurse
- Anesthesiologist (if general anesthesia or sedation is used)
Risks and Complications
- Infection
- Excessive bleeding
- Recurrence of the pterygium
- Scarring or vision problems
- Inflammation or discomfort
Benefits
- Relief from symptoms like irritation and redness
- Prevention of vision obstruction
- Cosmetic improvement
Recovery
- Use prescribed antibiotic and anti-inflammatory eye drops.
- Keep the eye protected and avoid rubbing.
- Follow-up appointments to monitor healing.
- Most patients can resume normal activities within a few days but should avoid swimming and strenuous activities for a few weeks.
Alternatives
- Topical medications to reduce inflammation
- Minimally invasive procedures such as injections
- Observation and regular monitoring if the pterygium is not causing significant symptoms
Patient Experience
During the procedure, patients will typically feel pressure but no pain due to anesthesia. Post-procedure, there might be some discomfort, redness, and blurred vision temporarily. Pain management includes over-the-counter pain relievers and prescribed eye drops to ensure comfort during recovery.