67825 Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery)

Name of the Procedure:

Correction of Trichiasis; Epilation by Other than Forceps (e.g., Electrosurgery, Cryotherapy, Laser Surgery)

Summary

Trichiasis is a condition where eyelashes grow abnormally and rub against the surface of the eye, causing irritation and potential damage. This procedure involves removing the misdirected eyelashes using methods other than forceps, such as electrosurgery, cryotherapy, or laser surgery.

Purpose

This procedure is performed to alleviate the discomfort caused by lashes rubbing against the eye, which can lead to irritation, corneal abrasions, and even vision loss. The goal is to remove the offending eyelashes and reduce the likelihood of recurrence, thereby improving the patient’s quality of life and eye health.

Indications

• Persistent eye irritation
• Redness or pain in the eyes
• Corneal abrasions or ulcers
• Frequent infections or tearing Patients who have recurrent misdirected eyelashes that cannot be corrected with simpler methods, such as manual plucking, are suitable candidates for this procedure.

Preparation

• Patients may need to discontinue certain medications that thin the blood, as advised by their doctor.
• Pre-procedure assessments such as an eye examination to evaluate the extent of the problem.
• No need for fasting unless otherwise advised.

Procedure Description

1. The patient is positioned comfortably, and local anesthesia is applied to numb the area around the eye.
2. Depending on the chosen method, specialized equipment is used:
   • Electrosurgery: Electrical energy is used to destroy the hair follicles.
   • Cryotherapy: Extremely cold temperatures are applied to freeze and destroy the hair follicles.
   • Laser Surgery: Focused light energy is used to target and remove the follicles.
3. The procedure meticulously targets individual hair follicles to prevent regrowth.

Duration

The procedure typically takes about 15-30 minutes, depending on the extent of the condition.

Setting

This procedure is usually performed in an outpatient clinic or a surgical center.

Personnel

• An ophthalmologist or an eye surgeon performs the procedure.
• A nurse or medical assistant may assist.

Risks and Complications

• Mild discomfort or pain
• Swelling or redness around the treated area
• Possible infection
• Rarely, scarring or changes in skin pigmentation around the eyes

Benefits

• Immediate relief from irritation and discomfort
• Prevention of further eye damage and potential vision loss
• Improvement in overall eye health

Recovery

• Patients are advised to rest and avoid touching or rubbing their eyes.
• Use prescribed eye drops or ointments to reduce swelling and prevent infection.
• Follow-up appointments may be scheduled to monitor healing.
• Most patients resume normal activities within a few days.

Alternatives

• Manual epilation using forceps
• Medical drops to soften and remove eyelashes
• Surgical interventions in severe cases Each alternative has its pros and cons, such as the potential for recurrence with manual epilation or additional risks associated with surgical options.

Patient Experience

During the procedure, patients might feel some pressure but minimal pain due to local anesthesia. Post-procedure, mild discomfort and swelling are common but can be managed with medications and proper care. Most patients report significant improvement in their symptoms shortly after the procedure.