Removal of implanted material, anterior segment of eye
CPT4 code
Name of the Procedure:
Removal of Implanted Material, Anterior Segment of Eye (Lens Extraction, Intraocular Implant Removal)
Summary
This procedure involves the surgical removal of implanted material, such as an intraocular lens or other device, from the front part of the eye. It is typically performed to address complications or failures of the implant.
Purpose
The procedure addresses complications such as implant dislocation, infection, inflammatory response, or mechanical failure. The goal is to alleviate symptoms, prevent further damage to the eye, and improve visual function.
Indications
- Implant dislocation or subluxation
- Persistent inflammation or infection
- Mechanical failure of the implanted device
- Patient discomfort or visual disturbances associated with the implant
Preparation
- Patients may need to fast for a few hours prior to the procedure.
- Blood tests and other diagnostic assessments might be required to ensure patient readiness.
- Adjustments to current medications, especially anticoagulants, may be necessary.
Procedure Description
- The patient is given local anesthesia or sedation to ensure comfort.
- A small incision is made in the cornea to access the anterior segment.
- Specialized surgical instruments are used to carefully remove the implanted material.
- If necessary, a new implant may be inserted.
- The incision is closed, usually with very fine sutures or self-sealing techniques.
Duration
Typically, the procedure takes about 30 minutes to an hour.
Setting
The procedure is usually performed in a hospital operating room or an outpatient surgical center.
Personnel
- Ophthalmic surgeon
- Anesthesiologist or nurse anesthetist
- Surgical nurse
- Operating room technician
Risks and Complications
- Infection
- Bleeding
- Corneal damage
- Increased intraocular pressure
- Retinal detachment
- Vision loss or decreased vision
Benefits
The expected benefits include relief from symptoms caused by the problematic implant, prevention of further eye damage, and potential improvement in visual acuity. These benefits can often be realized within days to weeks post-procedure.
Recovery
- Patients may go home the same day but will need someone to drive them.
- Eye drops to prevent infection and reduce inflammation.
- Avoid strenuous activities and protect the eye from injury.
- A follow-up appointment will typically occur within a week to monitor healing.
Alternatives
- Observation with regular monitoring if symptoms are mild.
- Non-surgical treatments such as medications to manage inflammation or infection.
- Laser procedures to correct specific issues without full explantation.
Patient Experience
Patients may feel mild discomfort or pressure during the procedure but should not experience pain due to anesthesia. Post-procedure, mild pain or irritation is common and can be managed with prescribed medications. Blurred vision and sensitivity to light may occur temporarily.