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Injection, anterior chamber of eye (separate procedure); air or liquid

CPT4 code

Name of the Procedure:

Injection, anterior chamber of eye (separate procedure); air or liquid

Summary

The procedure involves the injection of air or liquid into the anterior chamber of the eye, the fluid-filled space between the cornea and the iris, in order to treat or manage certain eye conditions.

Purpose

This procedure is primarily used to manage conditions such as eye infections, glaucoma, or to perform certain surgical maneuvers during cataract surgery. The goal is to treat, drain, or stabilize eye problems by introducing air or liquid.

Indications

  • Severe eye infection
  • Pressure-related issues such as glaucoma
  • Management during or after cataract surgery
  • Repair of a detached retina
  • Other intraocular surgeries requiring additional interventions

Preparation

  • Patients may be asked to fast for a few hours prior.
  • Adjustments to certain medications may be necessary.
  • Pre-procedure diagnostic tests such as an eye examination or imaging studies may be performed.

Procedure Description

  1. The patient is positioned in a comfortable, reclining chair.
  2. Numbing eye drops or local anesthesia is administered to minimize discomfort.
  3. A fine needle or cannula is used to inject a controlled amount of sterile air or liquid into the anterior chamber.
  4. The injection is administered under careful monitoring through a microscope to ensure precision.
  5. The procedure concludes with additional medications if needed and protective eye cover.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

The procedure is usually performed in an outpatient clinic, surgical center, or hospital.

Personnel

  • Ophthalmologist (Eye Surgeon)
  • Nursing staff
  • Anesthesiologist (if deep sedation is required)

Risks and Complications

  • Minor discomfort or irritation
  • Temporary increase in intraocular pressure
  • Infection
  • Rarely, damage to the eye structures
  • Loss of vision (very rare)

Benefits

  • Potentially resolves or manages the underlying eye condition
  • Stabilizes intraocular structures during or after surgery
  • Improves vision clarity post-treatment in many cases

Recovery

  • Patients may need to use prescribed eye drops to aid in healing and prevent infection.
  • Avoid strenuous activities and keep the treated eye protected.
  • Follow-up appointments are required to monitor recovery and eye pressure.

Alternatives

  • Medication management for less severe cases
  • Laser treatment for certain types of glaucoma
  • Other surgical interventions if appropriate based on the condition

Patient Experience

  • Minimal discomfort due to local anesthesia
  • Temporary visual disturbances post-procedure
  • Slight soreness or irritation after the anesthesia wears off
  • Pain management through prescribed medications if needed

The procedure aims to improve the patient’s quality of life by effectively managing the underlying eye condition and promoting better ocular health.

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