Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited
CPT4 code
Name of the Procedure:
Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited.
Summary
This procedure involves a detailed eye examination performed while the patient is under general anesthesia. It may include moving the eyeball to assess its range of motion and may use specialized instruments to gain a clear view of the eye's internal structures.
Purpose
The procedure is used to diagnose and evaluate various eye conditions that are difficult to assess when a patient is awake and potentially moving. The goal is to obtain a comprehensive understanding of the eye's health and function to guide further treatment.
Indications
- Severe eye trauma
- Neurological conditions affecting vision
- Uncooperative pediatric patients
- Patients with significant discomfort during standard examinations
Preparation
- Fasting for 6-8 hours prior to anesthesia
- Adjusting certain medications as advised by the physician
- Preoperative assessments including blood tests, and possibly imaging studies
Procedure Description
- Anesthesia is administered to put the patient to sleep.
- The eye is gently manipulated using specialized instruments to allow a thorough examination.
- Diagnostic tools like an ophthalmoscope, slit lamp, or ultrasound may be used to inspect various parts of the eye.
- The range of motion of the eyeball may be tested.
- Findings are documented, and any immediate treatment or intervention is done if necessary.
Duration
Approximately 30-60 minutes.
Setting
Typically performed in a hospital operating room or a specialized surgical center.
Personnel
- Ophthalmologist
- Anesthesiologist
- Surgical nurses or ophthalmic technicians
Risks and Complications
- Anesthesia-related complications (e.g., nausea, allergic reactions)
- Eye irritation or infection
- Temporary blurred vision
- Rarely, damage to eye structures
Benefits
- Precise diagnosis leading to targeted treatment
- Avoidance of discomfort and movement for the patient during the examination
- Improved outcomes due to comprehensive evaluation
Recovery
- Patients may feel drowsy and will need someone to drive them home.
- Mild eye irritation or soreness can be expected.
- Follow-up visits will be scheduled to discuss results and further treatment plans.
Alternatives
- Standard ophthalmological exams (limited by discomfort or cooperation issues)
- Sedation without general anesthesia (less deeply anesthetized but may still pose challenges)
Patient Experience
- The patient will not be conscious during the procedure and will not feel any pain.
- Post-procedure, some mild discomfort or soreness in the eye could occur.
- Clear instructions on pain management and care will be provided.
This text aims to offer a comprehensive understanding of the procedure for patients, caregivers, and healthcare providers.