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Excision of chalazion; multiple, different lids
CPT4 code
Name of the Procedure:
Excision of Chalazion; Multiple, Different Lids
Summary
In this procedure, a surgeon removes multiple chalazia, which are small, painless lumps on your eyelids caused by blocked oil glands. The surgeon may operate on different eyelids during the same session.
Purpose
A chalazion can cause discomfort, swelling, and sometimes vision problems. The goal of the procedure is to eliminate these lumps, restore comfort, and improve vision if it has been impaired.
Indications
- Persistent chalazia that do not respond to medical treatment (e.g., warm compresses, medication)
- Significant swelling or discomfort
- Visual impairment due to large or strategically located chalazia
- Cosmetic concerns
Preparation
- Fasting may be required if general anesthesia is to be used.
- Adjustments or cessation of certain medications (e.g., blood thinners)
- Pre-procedural evaluation including an eye exam
Procedure Description
- Anesthetic is administered to numb the area or, in some cases, general anesthesia is used.
- The surgeon makes a small incision on the inner side of the eyelid or through the skin if necessary.
- Chalazia are carefully excised and removed.
- The incision is closed, usually with dissolvable stitches.
- Sterile eye ointment is applied to prevent infection.
Duration
The entire procedure typically takes about 30 to 45 minutes.
Setting
This procedure is usually performed in an outpatient clinic or a surgical center.
Personnel
- Ophthalmologist or oculoplastic surgeon
- Surgical nurse or technician
- Anesthesiologist, if general anesthesia is required
Risks and Complications
- Infection
- Bleeding
- Scarring
- Recurrence of chalazion
- Eyelid asymmetry or temporary vision changes
Benefits
- Removal of discomfort and improvement of visual function
- Reduced swelling and better cosmetic appearance
- Quick recovery, with benefits typically realized within a few days
Recovery
- Post-procedure instructions might include application of antibiotic ointment and the use of cold compresses.
- Avoid strenuous activities and eye makeup for about a week.
- Follow-up appointments to monitor healing.
Alternatives
- Warm compresses and eyelid hygiene
- Steroid injections into the lesion
- Oral or topical antibiotics if there is an infection
- Pros: non-surgical, less invasive options
- Cons: may take longer to see results and have lower efficacy in persistent cases
Patient Experience
- Minimal discomfort during the procedure; some soreness and swelling post-procedure
- Pain management typically involves over-the-counter pain relievers
- Supportive care such as cold compresses can enhance comfort during recovery
By understanding this information, patients can gain a clear perspective on what to expect and how to prepare for the excision of multiple chalazia from different lids.