Correction of trichiasis; epilation, by forceps only
CPT4 code
Name of the Procedure:
Correction of Trichiasis; Epilation by Forceps Only
Common name(s): Eyelash Removal, Trichiasis Treatment
Summary
Trichiasis correction involves the removal of misdirected eyelashes that grow inward towards the eye using forceps. This simple procedure alleviates irritation and prevents damage to the eye.
Purpose
The procedure addresses trichiasis, a condition where eyelashes grow inwards towards the eye, causing irritation, redness, tearing, and potentially damaging the cornea. The goal is to remove the offending eyelashes, providing relief from symptoms and preventing further eye damage.
Indications
- Persistent eye irritation
- Redness and tearing caused by inward-growing eyelashes
- Discomfort or pain from eyelashes rubbing against the eye
- Evidence of corneal damage or scarring due to misdirected eyelashes
Preparation
- Cleanse the eye area thoroughly.
- No specific fasting or medication adjustments are typically required.
- A routine eye examination to assess the condition.
Procedure Description
- The patient is seated comfortably with their head supported.
- Local anesthetic eye drops may be applied to minimize discomfort.
- Using sterile forceps, the healthcare provider carefully grasps and removes each misdirected eyelash.
- The procedure is repeated until all problematic eyelashes are removed.
Tools: Sterile forceps, local anesthetic eye drops. Anesthesia: Topical anesthesia (eye drops).
Duration
The procedure typically takes about 10-15 minutes, depending on the number of eyelashes to be removed.
Setting
The procedure is performed in an outpatient clinic or an ophthalmologist's office.
Personnel
- Ophthalmologist or trained healthcare professional
- Nurse or medical assistant (optional)
Risks and Complications
- Minor discomfort during the procedure
- Temporary redness or swelling of the eyelid
- Risk of infection (rare and minimized with proper hygiene)
- Temporary blurring of vision due to anesthetic drops
Benefits
- Immediate relief from irritation and discomfort
- Reduced risk of corneal damage
- Improved eye health and comfort
Recovery
- Patients can resume normal activities immediately after the procedure.
- Avoid touching or rubbing the eyes post-procedure.
- Follow-up appointments may be scheduled to monitor the condition.
Alternatives
- Electrolysis: Permanent removal of eyelashes using electrical current.
- Cryotherapy: Freezing and destroying hair follicles.
- Surgical correction for severe cases. Pros and Cons: Alternatives may provide longer-lasting solutions but are typically more invasive and may carry higher risks.
Patient Experience
During the procedure, the patient may feel slight pressure but minimal pain due to the anesthetic drops. Post-procedure, there might be mild irritation or redness, which usually resolves within a few hours. Pain management is generally not necessary, but over-the-counter pain relief can be used if needed.