Scanning computerized ophthalmic diagnostic imaging, posterior segment, (eg, scanning laser) with interpretation and report, unilateral
CPT4 code
Name of the Procedure:
Scanning Computerized Ophthalmic Diagnostic Imaging, Posterior Segment (e.g., Scanning Laser) with Interpretation and Report, Unilateral.
Summary
A scanning computerized ophthalmic diagnostic imaging procedure involves using advanced imaging technology to take detailed pictures of the back portion of one eye. A specialist then interprets these images and provides a report on the findings.
Purpose
This procedure helps diagnose and monitor diseases affecting the posterior segment of the eye, including the retina, macula, and optic nerve. It aims to identify underlying conditions, track disease progression, and guide treatment plans.
Indications
- Blurred or loss of vision
- Diabetic retinopathy
- Age-related macular degeneration
- Retinal detachment
- Glaucoma
- Unexplained eye pain or visual disturbances
Preparation
- No fasting required.
- Continue regular medications unless otherwise instructed.
- Dilating eye drops may be administered to widen the pupil for better imaging.
- A thorough eye examination and medical history review before the procedure.
Procedure Description
- The patient is seated comfortably and asked to keep their head still.
- The affected eye is dilated using special eye drops.
- The imaging device is positioned in front of the eye, and the patient is asked to focus on a target.
- The scanning laser captures high-resolution images of the posterior segment.
- The entire process is painless and does not involve direct contact with the eye.
- The images are then analyzed by an ophthalmologist, who provides a detailed report.
Duration
Approximately 10-20 minutes.
Setting
Typically performed in an ophthalmologist’s office or an outpatient clinic equipped with specialized imaging technology.
Personnel
- Ophthalmologist or optometrist
- Trained ophthalmic technician
Risks and Complications
- Minimal to no risks.
- Rarely, eye irritation from the dilating drops.
- Temporary light sensitivity due to dilation.
Benefits
- Accurate diagnosis of various eye conditions.
- Non-invasive and quick.
- Detailed imaging helps guide effective treatment plans.
- Immediate results and interpretation.
Recovery
- Patients can resume normal activities immediately but may experience temporary blurred vision due to dilating drops.
- Wearing sunglasses might be necessary to reduce light sensitivity.
- Follow-up appointments may be scheduled based on the findings.
Alternatives
- Fundus photography: Produces static images but less detailed.
- Optical Coherence Tomography (OCT): Another imaging technique but uses light waves for cross-sectional images.
- Clinical examination: Basic assessment without advanced imaging technology.
Patient Experience
During the procedure, the patient will likely feel comfortable with no pain. The only discomfort may come from having to sit still and the temporary effect of dilating drops. After the procedure, normal activities can be resumed, though slight vision blurriness and light sensitivity may occur temporarily. Pain management is generally not needed.