65860 Severing adhesions of anterior segment, laser technique (separate procedure)

Name of the Procedure:

Severing Adhesions of the Anterior Segment, Laser Technique

Summary

This procedure uses a laser to cut or remove adhesions (scar tissue) in the front part of the eye. These adhesions can cause vision problems by preventing normal eye movement or obstructing the eye structures.

Purpose

The goal of this procedure is to restore normal eye function by removing scar tissue. This helps to improve vision and reduce discomfort caused by adhesions in the anterior segment of the eye.

Indications

• Blurred or obstructed vision due to adhesions
• Eye pain or discomfort
• Decreased eye mobility
• Previous eye surgeries or injuries that led to adhesions

Preparation

• Patients may be advised to fast for a few hours before the procedure.
• Medication adjustments might be necessary, particularly blood thinners.
• A thorough eye examination and imaging tests will be conducted to assess the extent of adhesions.

Procedure Description

1. The patient is given local anesthesia to numb the eye.
2. A laser device is positioned in front of the eye.
3. The surgeon carefully directs the laser to cut or vaporize the adhesions without damaging surrounding tissues.
4. The procedure lasts several minutes depending on the extent of the adhesions.

Duration

The procedure typically takes 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or an eye surgery center.

Personnel

• Ophthalmologist (eye surgeon)
• Ophthalmic nurse or technician
• Anesthesiologist (if sedation is required)

Risks and Complications

• Infection
• Bleeding
• Unintended damage to eye structures
• Vision changes
• In rare cases, increased intraocular pressure

Benefits

• Improved vision
• Relief from discomfort or pain
• Restoration of normal eye movement
• Benefits are often seen immediately or within a few days post-procedure

Recovery

• Patients can usually go home the same day.
• Mild discomfort and blurred vision are common for a few days.
• Use of prescribed eye drops to prevent infection and aid healing.
• Follow-up appointments to monitor recovery and ensure adhesions have been completely removed.

Alternatives

• Manual surgical removal of adhesions, which might carry more risk due to its invasive nature.
• Observation and monitoring without immediate intervention if adhesions are not causing significant symptoms.
• Potential use of anti-inflammatory medications to reduce inflammation, which might prevent adhesion formation.

Patient Experience

• The procedure is generally painless due to local anesthesia.
• Patients might experience pressure or slight discomfort during the procedure.
• Post-procedure, slight soreness and blurred vision are common but usually resolve quickly.
• Pain management includes over-the-counter pain relievers and prescribed eye drops for comfort.