92134 Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina

Name of the Procedure:

Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina (also known as Optical Coherence Tomography or OCT Retina Scan).

Summary

In layman's terms, this procedure uses advanced imaging technology to take detailed pictures of the back part of the eye, specifically the retina. The images help doctors diagnose and manage eye conditions.

Purpose

This procedure is primarily used to:

• Diagnose and monitor diseases of the retina such as macular degeneration, diabetic retinopathy, and retinal detachment.
• Create detailed images of the retina to help in treatment planning.
• Track the progression of retinal diseases and the effectiveness of treatments.

Indications

The procedure may be indicated for:

• Symptoms like blurred vision, floaters, or vision loss.
• Chronic conditions such as diabetes or hypertension that affect the eyes.
• Routine monitoring in patients with known retinal conditions.

Preparation

• No special preparations such as fasting are typically needed.
• It is advisable to bring sunglasses as pupils may be dilated, causing light sensitivity post-procedure.
• Pre-procedure diagnostic assessments or dilating eye drops may be required.

Procedure Description

1. The patient places their chin on a chin rest and forehead against a bar for stabilization.
2. The eye is scanned using a specialized OCT machine.
3. The machine takes cross-sectional images of the retina.
4. The procedure is non-invasive and typically does not require sedation or anesthesia.
5. The images are then reviewed and interpreted by an ophthalmologist.

Duration

The procedure usually takes about 10-20 minutes.

Setting

It is performed in an outpatient clinic or an ophthalmologist's office.

Personnel

The key personnel involved are:

• An ophthalmologist or optometrist to interpret the results.
• Ophthalmic technicians to operate the OCT machine.

Risks and Complications

• The procedure is largely risk-free.
• Some patients might experience mild discomfort or light sensitivity if dilating drops are used.
• Rare risks include allergic reactions to the dilating drops.

Benefits

• Provides detailed images of the retina, aiding in accurate diagnosis and monitoring.
• Non-invasive and painless.
• Quick procedure with immediate results for interpretation.

Recovery

• Minimal recovery time.
• Patients might experience light sensitivity if dilating drops are used; wearing sunglasses can help.
• Follow-up appointments are scheduled based on the findings.

Alternatives

• Fundus photography or fluorescein angiography for retinal imaging.
• Ultrasound of the eye for deeper structural issues.
• Each alternative varies in terms of invasiveness, detail of images, and suitability for different patient conditions.

Patient Experience

• During the procedure, patients might feel minor discomfort from keeping the eyes open.
• After the procedure, if dilating drops were used, patients may experience blurry vision and sensitivity to light, which is temporary.
• No significant pain is involved and normal activities can typically be resumed immediately.