66680 Repair of iris, ciliary body (as for iridodialysis)

Name of the Procedure:

Repair of Iris, Ciliary Body (as for Iridodialysis)

• Common name: Iris Repair
• Medical terms: Iridoplasty, Ciliary Body Repair, Iridodialysis Repair

Summary

Iris repair is a surgical procedure to fix damage to the iris and ciliary body, commonly caused by trauma. It aims to restore the normal structure and function of the eye's iris, which can improve vision and comfort.

Purpose

This procedure addresses iridodialysis, a condition where the iris becomes detached from its normal position. The goal is to reattach the iris, alleviate symptoms like light sensitivity and blurry vision, and prevent further eye damage.

Indications

• Trauma or injury to the eye causing iridodialysis
• Vision disturbances such as double vision or glare
• Cosmetic concerns due to an abnormal appearance of the iris

Preparation

• Fasting for at least 6 hours prior to surgery
• Adjustment of certain medications as advised by the healthcare provider
• Pre-procedure diagnostic tests, including eye examinations and imaging studies

Procedure Description

1. The patient is given local or general anesthesia.
2. A small incision is made in the cornea or sclera to access the iris.
3. Specialized instruments are used to locate and reposition the detached iris tissue.
4. Sutures or other fixation devices are used to secure the iris back to its normal position.
5. The incision is closed, and an antibiotic ointment is applied to prevent infection.

Duration

The procedure typically takes about 1 to 2 hours.

Setting

This procedure is usually performed in a hospital or a specialized outpatient surgical center.

Personnel

• Ophthalmic surgeon
• Anesthesiologist
• Surgical nurses and OR technicians

Risks and Complications

• Common risks: infection, bleeding, temporary vision changes
• Rare complications: persistent inflammation, glaucoma, retinal detachment
• Management: post-operative antibiotics, anti-inflammatory medications, close monitoring

Benefits

• Improved vision and reduction of symptoms such as glare and double vision
• Enhanced cosmetic appearance of the eye
• Most benefits are realized within a few weeks after surgery

Recovery

• Use of prescribed eye drops to prevent infection and reduce inflammation
• Avoidance of strenuous activities for at least 2 weeks
• Follow-up appointments to monitor healing and check eye pressure
• Full recovery typically occurs within 4 to 6 weeks

Alternatives

• Observation and use of corrective lenses if symptoms are mild
• Laser procedures to manage certain types of iris damage
• Pros of alternatives: less invasive
• Cons of alternatives: may not be as effective for significant iridodialysis

Patient Experience

• Mild to moderate pain post-procedure, typically managed with analgesics
• Possible eye irritation and blurriness in the first few days
• Gradual improvement in vision and comfort during the recovery period
• Emotional support and reassurance from healthcare providers to ease anxiety