7 standard field stereoscopic retinal photos with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)
CPT4 code
Name of the Procedure:
7 Standard Field Stereoscopic Retinal Photos with Interpretation
Common Term: Retinal Imaging with Interpretation
Summary
This procedure involves taking a series of detailed photographs of the retina in both eyes to check for signs of damage or disease, particularly diabetic retinopathy. The images are reviewed and interpreted by an eye specialist, such as an ophthalmologist or optometrist.
Purpose
The procedure helps diagnose, monitor, and manage diabetic retinopathy—damage to the retina caused by diabetes. It aims to detect early signs of retinopathy, prevent vision loss, and guide appropriate treatment plans.
Indications
- Diagnosis and monitoring of diabetic retinopathy.
- Routine screening for diabetic patients.
- Visible signs of retinopathy, such as blurred vision, floaters, or dark areas in vision.
- High-risk patients with uncontrolled diabetes or long history of diabetes.
Preparation
- No fasting or specific preparation required.
- Dilating eye drops may be administered to enlarge the pupils for better imaging.
- Patients should bring sunglasses for comfort post-procedure due to light sensitivity.
Procedure Description
- The patient sits in front of a special retinal camera.
- Dilating drops are applied to the eyes to widen the pupils.
- A series of detailed stereo photographs (7 standard fields) are taken of each retina.
- The images capture different parts of the retina to provide a comprehensive view.
- An ophthalmologist or optometrist reviews and interprets the images for signs of retinopathy.
Duration
The entire procedure, including preparation and image capture, typically takes about 30 to 45 minutes.
Setting
The procedure is usually performed in an outpatient clinic or an eye specialist’s office.
Personnel
- Ophthalmologist or optometrist
- Trained technician or nurse to operate the retinal camera
Risks and Complications
- Mild discomfort from bright lights or dilating drops.
- Temporary blurred vision or light sensitivity post-dilation.
- Rarely, allergic reactions to dilating drops.
Benefits
- Early detection and monitoring of diabetic retinopathy.
- Prevention of vision loss through timely intervention.
- Non-invasive and quick procedure with immediate results for analysis.
Recovery
- Patients may experience blurred vision and light sensitivity for a few hours after the procedure.
- Sunglasses are recommended for comfort.
- No major restrictions; normal activities can be resumed almost immediately.
- Follow-up appointments may be scheduled based on findings.
Alternatives
- Optical coherence tomography (OCT): Provides cross-sectional images of the retina for detailed analysis.
- Fluorescein angiography: Uses a dye and camera to look at blood flow in the retina.
- Pros and cons include varying levels of detail, cost, and invasiveness.
Patient Experience
- Patients may feel brief discomfort from bright flashes.
- The process is painless and non-invasive.
- Post-procedure sensitivity to light is common, managed with sunglasses.
- Most patients experience minimal discomfort and can return to daily activities quickly.
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