Excision of chalazion; multiple, same lid
CPT4 code
Name of the Procedure:
Excision of chalazion; multiple, same lid
Common Names: Chalazion removal, Eyelid cyst excision
Summary
Excision of chalazion involves the surgical removal of multiple chalazia (small lumps) from the same eyelid. A chalazion is a localized swelling on the eyelid that typically results from blocked meibomian glands.
Purpose
Medical Condition or Problem Addressed: Chalazion (blocked eyelid glands causing lumps) Goals or Expected Outcomes: Reduce discomfort and swelling, improve eyelid appearance, and prevent potential infection.
Indications
Symptoms or Conditions: Persistent eyelid lumps, swelling, discomfort, and visual impairment caused by multiple chalazia. Patient Criteria: Patients who do not respond to conservative treatments like warm compresses or medication.
Preparation
Pre-procedure Instructions:
- Follow fasting guidelines if general anesthesia is required (typically, no food/drink after midnight before the procedure).
- Adjust medications as directed by your doctor (may need to stop blood thinners or anti-inflammatory drugs). Diagnostic Tests or Assessments: Eye examination and possibly imaging studies.
Procedure Description
- The patient is positioned comfortably, and the eyelid is cleaned.
- Local anesthesia is administered to numb the eyelid, or general anesthesia is given if necessary.
- A small incision is made on the inside or outside of the eyelid.
- The chalazia are carefully excised using surgical instruments.
- The incision may be closed with small sutures or left to heal naturally.
- Antibiotic ointment is applied to prevent infection.
Tools, Equipment, Technology: Sterilized surgical instruments, local or general anesthesia. Anesthesia: Local anesthesia for numbing the eyelid; general anesthesia in specific cases.
Duration
Typically takes about 15 to 30 minutes.
Setting
Performed in an outpatient clinic, surgical center, or hospital.
Personnel
Healthcare Professionals Involved: Ophthalmologist or oculoplastic surgeon, nurses, and anesthesiologist (if general anesthesia is used).
Risks and Complications
Common Risks: Swelling, bruising, tenderness at the surgical site. Rare Complications: Infection, scarring, bleeding, changes in eyelid shape.
Management: Most complications are managed with medications and follow-up visits.
Benefits
Expected Benefits: Relief from discomfort, improved eyelid appearance and function, reduced risk of secondary infection. Realization: Benefits are typically noticed within a few days to weeks post-procedure.
Recovery
Post-Procedure Care:
- Apply prescribed antibiotic ointment.
- Use warm compresses to aid healing.
- Avoid rubbing or touching the area.
Expected Recovery Time: 1 to 2 weeks. Restrictions: Avoid strenuous activities, swimming, and eye makeup until advised by your doctor. Follow-up Appointments: Usually within a week to monitor healing.
Alternatives
Other Treatment Options: Warm compresses, steroid injections, oral antibiotics. Pros and Cons:
- Warm Compresses: Non-invasive but slower and less effective.
- Steroid Injections: Minimally invasive but may require multiple treatments.
- Oral Antibiotics: Non-invasive but often less effective alone.
Patient Experience
During Procedure: Minimal pain due to local anesthesia; slight pressure or tugging may be felt. After Procedure: Some discomfort, swelling, and bruising; managed with pain relievers and cold compresses. Pain Management: Over-the-counter pain relievers, prescribed medications.
This concise description provides a comprehensive overview of the excision of a chalazion procedure tailored for patients and their caregivers.