Injection, anterior chamber of eye (separate procedure); medication
CPT4 code
Name of the Procedure:
Injection, anterior chamber of eye; medication
Common Names: Anterior chamber injection, Intracameral injection
Summary
This procedure involves the injection of medication directly into the anterior chamber of the eye. It is performed to treat various eye conditions by delivering drugs right where they are needed.
Purpose
The procedure addresses issues such as infections, inflammation, or other conditions that require direct medication administration to the eye. The goal is to quickly and effectively deliver medication to the eye to achieve optimal therapeutic outcomes.
Indications
- Eye infections (e.g., endophthalmitis)
- Inflammation (e.g., iritis or uveitis)
- Delivery of medications during cataract surgery
- Patients not responding adequately to topical or systemic medications
Preparation
- Patients may be instructed to avoid eating or drinking (fasting) for a specific period.
- Arrange transportation, as vision may be temporarily impaired post-procedure.
- Completing a thorough eye examination and other relevant diagnostic tests.
- Discussing medical history and any allergies with the healthcare provider.
Procedure Description
- The patient is positioned comfortably, and the eye area is cleaned.
- Anesthesia: Local anesthesia is applied to numb the eye.
- Using a fine needle, the physician carefully injects the medication into the anterior chamber of the eye.
- The procedure is performed under sterile conditions to prevent infection.
- The patient's eye is then monitored for any immediate adverse reactions.
Duration
The procedure typically takes about 15 to 30 minutes.
Setting
Performed in an outpatient clinic, hospital, or surgical center.
Personnel
- Ophthalmologist (Eye Surgeon)
- Nurse or ancillary medical staff
- Anesthesiologist (if sedation is required)
Risks and Complications
- Common: Temporary discomfort or redness, increased intraocular pressure
- Rare: Infection, bleeding, damage to the eye structures, severe allergic reactions
- Management: Immediate care and monitoring, antibiotic or anti-inflammatory medications
Benefits
- Rapid and targeted delivery of medication
- Quick relief of symptoms
- Higher effectiveness compared to topical or systemic administration for certain conditions
Recovery
- Apply prescribed eye drops and avoid rubbing the eye.
- Follow-up appointments to monitor healing and effectiveness.
- Temporary vision impairment may occur; avoid driving and operating heavy machinery.
Alternatives
- Topical eye drops
- Oral medications
- Intravitreal injections Pros and cons depend on the condition being treated; discuss with the healthcare provider for tailored recommendations.
Patient Experience
- Mild discomfort or a slight sting during the injection.
- Post-procedure: blurred vision, mild pain, sensitivity to light.
Pain management includes prescribed eye drops or over-the-counter pain relief.
Follow-Up
- Regular check-ups to monitor the eye and effectiveness of the treatment.
- Immediate contact with the healthcare provider if experiencing severe pain, visual loss, or signs of infection.