Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)
CPT4 code
Name of the Procedure:
Suture of Iris, Ciliary Body (Separate Procedure) with Retrieval of Suture through Small Incision (e.g., McCannel Suture)
Summary
The McCannel suture technique involves placing a stitch in the iris or ciliary body within the eye through a small incision. This method helps repair tears or secure positioning issues and is performed under microscopic guidance.
Purpose
This procedure addresses tears or dislocations in the iris or ciliary body, which are critical components of the eye's anatomy. The main goal is to restore proper eye function and improve vision by stabilizing these structures.
Indications
- Iris or ciliary body tears due to trauma
- Dislocation of the iris or ciliary body
- Complications from cataract surgery
- Congenital defects in the iris
Preparation
- Fasting for at least 8 hours prior if general anesthesia is used
- Stopping certain medications as advised by the physician
- Preoperative eye examination and imaging studies
- Discussing allergies and medical history with the healthcare team
Procedure Description
- Anesthesia: Administered either locally or generally.
- Incision: A small incision is made in the cornea.
- Suture Placement: Using a microscope, a suture is placed in the iris or ciliary body.
- Suture Retrieval: The suture is carefully retrieved through the corneal incision using specialized instruments like the McCannel suture technique.
- Closing: The incision is closed with tiny stitches or self-sealing techniques.
Duration
Typically, the procedure takes about 30 minutes to 1 hour.
Setting
Usually performed in a hospital or outpatient surgical center equipped with ophthalmic surgical suites.
Personnel
- Ophthalmic Surgeon
- Surgical nurses
- Anesthesiologist (if general anesthesia is used)
- Ophthalmic technician
Risks and Complications
- Infection
- Bleeding
- Increased intraocular pressure
- Suture-related irritation
- Potential for suture breakage
- Possible need for additional procedures
Benefits
- Improved vision
- Stabilized iris or ciliary body structures
- Reduced risk of further eye complications
- Rapid recovery in most cases
Recovery
- Post-operative medications such as antibiotics and anti-inflammatory eye drops
- Eye patch or shield temporarily
- Avoiding strenuous activities and heavy lifting
- Follow-up appointments for suture assessment and eye examination
- Typical recovery time ranges from a few days to a few weeks
Alternatives
- Observation if the condition is not severe
- Laser treatments for certain dislocations
- Other surgical techniques for iris or ciliary body repair
Each alternative has its own risks and benefits, which should be discussed with the healthcare provider.
Patient Experience
- Minimal discomfort during the procedure due to anesthesia
- Some soreness, redness, and blurred vision immediately after
- Pain managed with prescribed medications
- Gradual improvement in vision as the eye heals
This comprehensive yet concise overview offers patients a clear understanding of what to expect from the McCannel suture procedure aimed at repairing the iris or ciliary body.