67121 Removal of implanted material, posterior segment; intraocular

Name of the Procedure:

Removal of implanted material, posterior segment; intraocular

Summary

The procedure involves the surgical removal of previously implanted materials from the posterior segment of the eye—an area located at the back of the eye.

Purpose

This procedure addresses issues such as infections, inflammation, or malfunction of previously implanted materials in the eye, such as lenses or other surgical implants. The goal is to restore or maintain vision and eye health by removing problematic or no longer needed implants.

Indications

• Eye infections or inflammation related to the implant.
• Malfunctioning or dislocated implants.
• Allergic reactions or rejection of implanted materials.
• Visual disturbances or pain attributed to the implant.

Preparation

• Patients may be required to fast 8-12 hours before the procedure.
• Medication adjustments, especially blood thinners, as prescribed by the doctor.
• Pre-procedure tests such as ocular imaging or ultrasounds to assess the posterior segment.

Procedure Description

1. Anesthesia: The patient is usually given local anesthesia, although general anesthesia may be used in some cases.
2. Incision: A small incision is made in the eye's sclera (white part of the eye).
3. Accessing the Posterior Segment: Specialized instruments are used to access the implanted material.
4. Removal: The surgeon carefully removes the implant using microsurgical tools, ensuring minimal disruption to surrounding tissues.
5. Closure: The incision is closed with fine sutures or self-sealing techniques.
6. Post-Procedure: Antibiotic and anti-inflammatory eye drops are administered to prevent infection and manage pain.

Duration

The procedure typically takes about 1 to 2 hours, depending on the complexity and specific conditions.

Setting

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

Personnel

• Ophthalmic surgeon
• Anesthesiologist or nurse anesthetist
• Operating room nurses and support staff

Risks and Complications

• Infection
• Bleeding
• Increased intraocular pressure
• Retinal detachment
• Vision changes or loss
• Adverse reactions to anesthesia

Benefits

• Relief from infections and inflammation.
• Improvement or stabilization of vision.
• Elimination of discomfort associated with the implant.
• Correction of implant-related issues.

Recovery

• Patients are monitored for a few hours post-procedure before being discharged.
• Eye drops and/or medications to prevent infection and manage pain.
• Avoid strenuous activities and avoid rubbing the eyes.
• Follow-up appointments to monitor healing and eye health.
• Recovery typically takes a few weeks, with specific activity restrictions during the initial period.

Alternatives

• Medical management with medications (if feasible for the condition).
• Observation and regular monitoring if the implant is not causing severe issues.
• Laser procedures in some cases.

Patient Experience

Patients may experience mild discomfort during the anesthetic injection but usually do not feel pain during the procedure itself. Post-procedure, there may be mild pain, swelling, and temporary visual disturbances. Pain management includes prescribed medications and the application of cool compresses to reduce swelling.

Summary

The removal of intraocular implanted materials from the posterior segment is a specialized procedure aimed at addressing complications related to existing implants. It requires careful preoperative preparation and precise surgical techniques, followed by a structured recovery period to ensure optimal outcomes.