67343 Release of extensive scar tissue without detaching extraocular muscle (separate procedure)

Name of the Procedure:

Release of Extensive Scar Tissue Without Detaching Extraocular Muscle (also known as Scar Tissue Release in the Eye)

Summary

This procedure involves the careful removal of extensive scar tissue in the eye without detaching the muscles that control eye movement. It is a targeted surgery performed to improve eye function and comfort.

Purpose

The primary goal is to address issues caused by scar tissue, such as limited eye mobility or discomfort. The procedure aims to restore better function and ease any discomfort while preserving eye muscle attachments.

Indications

• Limited eye movement due to scar tissue
• Eye discomfort or pain linked to scarring
• Visual disturbances caused by scar tissue interference
• Patients who have undergone previous eye surgeries or trauma leading to scar formation

Preparation

• Fasting for a specified period before the surgery
• Discontinuation or adjustment of certain medications as directed by the physician
• Pre-surgical eye examination and imaging to assess the extent of scar tissue

Procedure Description

1. The patient receives local anesthesia to numb the eye area.
2. The surgeon makes a small incision to access the scar tissue.
3. Specialized instruments are used to carefully release the scar tissue without detaching the extraocular muscles.
4. Any detached tissue is meticulously repositioned and secured.
5. The incision is closed with fine sutures.

Duration

The procedure generally takes about 1-2 hours, depending on the complexity and extent of the scar tissue.

Setting

This procedure is typically performed in a hospital operating room or an outpatient surgical center equipped for eye surgeries.

Personnel

• Ophthalmic surgeon
• Anesthesiologist
• Surgical nurses and technicians

Risks and Complications

• Infection at the surgical site
• Bleeding
• Incomplete release of scar tissue
• Temporary or permanent changes in vision
• Risks related to anesthesia
• Rarely, damage to extraocular muscles or surrounding structures

Benefits

• Improved eye movement and function
• Alleviation of discomfort and pain
• Potentially better visual outcomes
• Preservation of extraocular muscle attachment for natural eye movement

Recovery

• Post-procedure instructions will include the use of eye drops to prevent infection and reduce inflammation.
• Avoid strenuous activities and protect the eye from injury.
• Follow-up appointments to monitor healing and progress.
• Full recovery and return to normal activities typically range from a few days to a few weeks.

Alternatives

• Non-surgical treatments such as medication or physical therapy for eye muscles
• More invasive surgical options that may involve detaching and reattaching extraocular muscles
• The option of doing nothing, which may result in ongoing symptoms

Patient Experience

Patients may experience some discomfort and swelling immediately after the procedure, which can be managed with prescribed pain medications. Vision may be blurry initially but should improve as healing progresses. The healthcare team will provide specific measures to ensure comfort and successful recovery.