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Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple
CPT4 code
Name of the Procedure:
Excision of Chalazion; Commonly known as Chalazion Removal Surgery
Summary
Excision of a chalazion is a surgical procedure to remove a small, benign lump in the eyelid caused by a blocked oil gland. This procedure can be done under general anesthesia and may require hospitalization, particularly if multiple chalazia are present.
Purpose
The procedure addresses the discomfort and potential vision impairment caused by a chalazion. It aims to eliminate the lump, reduce inflammation, and prevent future recurrence.
Indications
- Persistent chalazia unresponsive to conservative treatments (e.g., warm compresses, antibiotics).
- Large chalazia causing vision problems.
- Recurrent chalazia.
- Cosmetic concerns or discomfort.
Preparation
- Patients are typically advised to fast for a certain period before the procedure.
- Medication adjustments may be necessary (e.g., blood thinners may need to be paused).
- Preoperative assessments, such as blood tests or an ophthalmologic examination, may be required.
Procedure Description
- Anesthesia: General anesthesia is administered to ensure the patient is asleep and pain-free.
- Incision: A small incision is made on the inside of the eyelid to access the chalazion.
- Removal: The contents of the chalazion are carefully excised using specialized surgical instruments.
- Closure: The incision is left to heal naturally or is closed with absorbable sutures.
- Post-op Care: An antibiotic ointment is applied, and an eye pad may be used to protect the area.
Duration
The procedure typically takes about 20 to 30 minutes.
Setting
Performed in a hospital operating room or surgical center.
Personnel
- Ophthalmic Surgeon
- Anesthesiologist
- Surgical Nurse
- Support Staff
Risks and Complications
- Common: Swelling, bruising, minor bleeding.
- Rare: Infection, scarring, recurrence of the chalazion, adverse reaction to anesthesia.
- Management: Antibiotics for infection, medication for pain and swelling, follow-up visits to monitor healing.
Benefits
- Rapid relief from symptoms and discomfort.
- Improved vision if previously obstructed by the chalazion.
- Minimal scarring with proper healing.
Recovery
- Patients can usually go home the same day.
- Instructions include keeping the eye clean, using prescribed ointments, and avoiding strenuous activities.
- Follow-up appointment within a week to monitor healing.
- Full recovery often occurs within a few weeks.
Alternatives
- Conservative treatments: Warm compresses, topical or oral antibiotics.
- Steroid injections to reduce inflammation.
- Pros: Non-surgical, fewer risks. Cons: May not be effective for persistent or large chalazia.
Patient Experience
- During: No sensation during the procedure due to anesthesia.
- After: Some discomfort, managed with pain relief medication. Possible swelling and bruising around the eye, which typically resolve within a week.
- Pain management: Over-the-counter pain relievers and cold compresses can help reduce discomfort.