Excision of chalazion; single
CPT4 code
Name of the Procedure:
Excision of Chalazion; Single
Common name(s): Chalazion Removal Surgery
Summary
A minor surgical procedure to remove a chalazion, which is a small, painless lump or swelling that can develop inside the eyelid due to a blocked oil gland.
Purpose
The procedure addresses a chalazion that does not resolve on its own or causes discomfort, vision problems, or cosmetic concerns. The goal is to remove the growth to restore normal eyelid function and appearance.
Indications
- Persistent chalazion that does not improve with conservative treatment (e.g., warm compresses).
- Large chalazia causing significant discomfort or obstruction of vision.
- Recurrent chalazia.
- Secondary infection or inflammation.
Preparation
- Patients may be asked to stop taking blood-thinning medications a few days before the procedure.
- No fasting is typically required.
- A pre-procedure assessment may include a medical history review and a physical examination of the eye.
Procedure Description
- The procedure typically starts with the application of a local anesthetic to numb the area around the chalazion.
- An eyelid clamp is often used to stabilize the area and control bleeding.
- A small incision is made, usually on the inside of the eyelid.
- The surgical instruments are used to remove the contents of the chalazion.
- The incision may be left open to heal naturally or sometimes closed with small sutures.
- Antibiotic ointment is applied to the affected area to prevent infection.
Duration
The procedure usually takes about 15 to 30 minutes.
Setting
Typically performed in an outpatient clinic or an ophthalmologist's office.
Personnel
Ophthalmologist or trained healthcare professional, with the assistance of a nurse or other medical staff.
Risks and Complications
- Infection
- Bleeding
- Scarring
- Recurrence of the chalazion
- Temporary eyelid deformity or asymmetry
Benefits
- Relief from discomfort and improved vision.
- Cosmetic improvement.
- Prevention of secondary infections.
- A quick and relatively simple procedure with a high success rate.
Recovery
- Post-procedure care includes applying antibiotic ointment and possibly a pressure patch.
- Patients are usually advised to avoid touching the eye or getting it wet for a few days.
- Follow-up appointments may be scheduled to monitor healing.
- Recovery time is typically a few days to one week, with minimal restrictions on activities.
Alternatives
- Conservative management with warm compresses and eyelid cleaning.
- Corticosteroid injections to reduce inflammation.
- Oral or topical antibiotics if secondary infection is present.
- The pros and cons of non-surgical options include potentially longer resolution times and variable effectiveness.
Patient Experience
During the procedure, patients may feel pressure but should not experience pain due to local anesthesia. Post-procedure, there might be mild discomfort or swelling, which can be managed with prescribed medications and cold compresses. Most patients experience quick relief and minimal downtime.