Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy)
CPT4 code
Name of the Procedure:
Repair of retinal detachment; by injection of air or other gas (Pneumatic Retinopexy)
Summary
Pneumatic retinopexy is a medical procedure used to repair a detached retina in the eye. It involves injecting a small bubble of air or gas into the eye, which then expands and helps reattach the retina to its proper position.
Purpose
Retinal detachment is a serious condition where the retina peels away from its underlying layer. Pneumatic retinopexy aims to reattach the retina, preserving or restoring vision and preventing blindness.
Indications
- Sudden appearance of floaters or flashes of light
- A shadow or curtain over a part of your visual field
- Severe myopia (nearsightedness)
- Retinal tears or holes identified during an eye exam
Preparation
- Patients may be instructed to fast for a few hours before the procedure.
- Avoid use of certain medications as advised by the doctor.
- Diagnostic tests like a detailed eye exam and imaging tests (e.g., ultrasound) to assess the retina.
Procedure Description
- Local anesthesia is administered to numb the eye.
- The eye surgeon injects a small bubble of air or gas into the vitreous cavity (the main gel-filled area of the eye).
- The bubble presses against the detached retina, helping it reattach to the eye wall.
- The surgeon may use a freezing probe (cryotherapy) or laser to seal any retinal tears.
- Patients are usually instructed to maintain a certain head position to keep the bubble in place.
Duration
The pneumatic retinopexy procedure typically takes about 15-30 minutes.
Setting
This procedure is performed in an outpatient clinic or eye care center, allowing patients to go home the same day.
Personnel
- Ophthalmologist or retinal specialist
- Assisting nurses or technicians
Risks and Complications
- Re-detachment of the retina
- Infection
- Increased intraocular pressure
- Cataract formation
- Bleeding inside the eye
Benefits
The procedure can effectively reattach the retina, preserving vision. Many patients experience improvement in vision within a few days, with full benefits typically realized after several weeks.
Recovery
- Patients may need to maintain specific head positions for several days.
- Avoiding certain activities like flying or high altitudes until the gas bubble dissipates.
- Follow-up appointments are required to monitor the eye’s healing.
- Use of prescribed eye drops to prevent infection and control inflammation.
Alternatives
- Scleral buckle surgery: Involves placing a silicone band around the eye.
- Vitrectomy: Surgical removal of the vitreous gel to repair the retina.
- Pros and cons vary; alternatives may involve more invasive approaches and longer recovery times.
Patient Experience
- The procedure is generally well-tolerated with local anesthesia.
- Some discomfort or pressure may be felt during the injection.
- Post-procedure, patients might experience blurred vision and are often required to maintain a specific posture.
- Pain is usually minimal but can be managed with over-the-counter pain relief if needed.
Patients are encouraged to discuss all concerns and queries with their healthcare provider for a clear understanding and personalized advice.