65275 Repair of laceration; cornea, nonperforating, with or without removal foreign body

Name of the Procedure:

Repair of Laceration; Cornea, Nonperforating, with or without Removal of Foreign Body

Summary

This procedure involves the repair of a nonperforating laceration (a tear or cut) on the cornea, the clear, protective outer layer of the eye, potentially with the removal of any foreign objects that may be embedded in the cornea.

Purpose

• Medical condition: Corneal lacerations are acute injuries to the eye that, if not treated properly, can lead to infection, impaired vision, or even vision loss.
• Goals: To repair the laceration, remove any foreign bodies if present, and restore the integrity of the cornea to promote healing and maintain or improve vision.

Indications

• Symptoms such as severe eye pain, blurred vision, tearing, and sensitivity to light.
• Visible foreign matter or laceration on the cornea.
• Diagnostic evidence of a nonperforating corneal injury.

Preparation

• Patients may need to fast for a few hours if sedation is planned.
• Prior to the procedure, a complete eye examination is performed.
• Possible administration of prophylactic antibiotic eye drops.

Procedure Description

1. Administer local anesthesia via eye drops to numb the eye.
2. Use of a speculum to keep the eye open.
3. Removal of any visible foreign bodies with fine surgical instruments.
4. Using a fine needle or surgical glue, the edges of the laceration are carefully brought together to facilitate healing.
5. Application of antibiotic ointment to prevent infection.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the severity and complexity of the laceration.

Setting

The procedure is typically performed in an outpatient clinic or a minor procedure room in a hospital.

Personnel

• Ophthalmologist or specialized eye surgeon.
• Supporting nursing staff.

Risks and Complications

• Infection
• Scarring of the cornea
• Incomplete healing or reopening of the laceration
• Vision impairment
• Rarely, a more severe corneal perforation

Benefits

• Relief from pain and discomfort caused by the laceration.
• Prevention of infection and further complications.
• Restoration and preservation of vision.

Recovery

• The patient may be prescribed antibiotic eye drops and pain relief medication.
• An eye patch may be applied to protect the eye while it heals.
• Follow-up appointments to monitor healing.
• Recovery time can range from a few days to several weeks, depending on the extent of the injury.
• Avoidance of activities that could strain the eye during recovery.

Alternatives

• Observation for minor lacerations that may heal on their own.
• Use of protective eyewear and avoiding potential hazards to prevent re-injury.
• Laser surgery or alternative methods for severe or recurring injuries.

Patient Experience

• The patient may feel mild pressure during the procedure but should not feel pain due to local anesthesia.
• Post-procedure discomfort can be managed with pain relievers.
• Vision might be blurry initially but should improve as the cornea heals. Regular follow-ups are crucial to ensure proper healing and to address any complications promptly.