Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy)
CPT4 code
Name of the Procedure:
Removal of Secondary Membranous Cataract (Opacified Posterior Lens Capsule and/or Anterior Hyaloid) with Corneo-Scleral Section, with or without Iridectomy (Iridocapsulotomy, Iridocapsulectomy)
Summary
This procedure involves removing a cloudy membrane that can form behind the artificial lens implant after cataract surgery, which can cause blurred vision. The removal is performed through a surgical cut in the eye's corneo-scleral area, and it may involve removing parts of the iris.
Purpose
The procedure addresses the issue of a secondary cataract (posterior capsule opacification), which can cause decreased vision after cataract surgery. The goal is to restore clear vision by removing the cloudy membrane.
Indications
- Blurred or hazy vision post-cataract surgery
- Difficulty seeing bright lights or glare
- Reduced vision that interferes with daily activities
- Confirmed diagnosis of posterior capsule opacification
Preparation
- Fasting for a certain period before the procedure might be required.
- Adjusting or stopping certain medications as advised by the doctor.
- Undergoing a comprehensive eye exam and possible imaging tests.
Procedure Description
- The patient is given local anesthesia to numb the eye.
- A small incision is made in the corneo-scleral section of the eye.
- A special instrument is used to remove the cloudy membrane from the posterior lens capsule and/or anterior hyaloid.
- If necessary, part of the iris may be removed (iridectomy).
- The incision may be closed with fine sutures or left to heal on its own.
Duration
The procedure typically takes about 30 to 60 minutes.
Setting
Usually performed in an outpatient clinic or surgical center.
Personnel
- Ophthalmologist (eye surgeon)
- Nurses
- Anesthesiologist (if general anesthesia is used)
Risks and Complications
- Infection
- Bleeding
- Increased intraocular pressure
- Retinal detachment
- Damage to the artificial lens
- Vision changes
Benefits
- Restoration of clear vision
- Improved quality of life
- Relief from glare and hazy vision These benefits can usually be noticed shortly after the procedure.
Recovery
- Post-procedure, the patient will need to use prescribed eye drops.
- Avoid strenuous activities and protect the eye from injury.
- Follow-up appointments are necessary to monitor healing.
- Full recovery typically occurs within a few weeks.
Alternatives
- YAG Laser Capsulotomy: A non-surgical procedure using a laser to create an opening in the cloudy membrane. Pros: Less invasive, quick recovery. Cons: Not suitable for all cases, risk of complications like increased eye pressure.
Patient Experience
- Patients may feel slight pressure but should not feel pain during the procedure.
- Mild discomfort or irritation in the eye post-procedure.
- Pain management with over-the-counter pain relievers if necessary.
- Blurred vision for the first few days as the eye heals.