Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure
CPT4 code
Name of the Procedure:
Excision of Lesion of Eyelid (Except Chalazion) Without Closure or with Simple Direct Closure
- Common name(s): Eyelid Lesion Removal
Summary
Eyelid lesion removal is a surgical procedure to excise (cut out) abnormal growths or lesions from the eyelid. This can be done with or without simple closure, depending on the size and location of the lesion.
Purpose
Medical Condition: This procedure addresses the presence of benign or malignant lesions on the eyelid that may cause discomfort, vision obstruction, or cosmetic concerns. Goals: The primary goal is to remove the lesion while preserving the healthy tissue around it and maintaining the function and appearance of the eyelid.
Indications
- Presence of growths or lesions on the eyelid (e.g., warts, cysts, tumors)
- Lesions causing discomfort, pain, or obstructed vision
- Cosmetic concern or abnormal appearance of the eyelid
- Suspicion of malignancy based on physical examination or biopsy
Preparation
- Pre-procedure assessment including medical history and physical examination
- May require diagnostic tests such as blood work or imaging studies
- Patients are typically advised to:
- Avoid eating or drinking if sedation or anesthesia is used
- Adjust certain medications as directed by the healthcare provider
Procedure Description
- Anesthesia: Local anesthesia to numb the area; sedation if necessary.
- Incision: A small incision is made around the lesion.
- Excision: The lesion is carefully excised using surgical instruments.
- Closure: The wound may be closed with simple sutures or left to heal naturally, depending on the size and location.
- Dressing: A sterile dressing is applied to protect the site.
Tools/Equipment: Scalpel, forceps, scissors, sutures, sterile dressing
Duration
Typically takes 30 minutes to 1 hour, depending on the complexity of the lesion.
Setting
- Outpatient clinic
- Surgical center
Personnel
- Ophthalmologist or specialized surgeon
- Surgical nurse
- Anesthesiologist (if sedation is used)
Risks and Complications
Common Risks:
- Infection
- Bleeding
- Swelling or bruising
Rare Risks:
- Scarring
- Damage to surrounding tissue
- Asymmetry of the eyelids
- Recurrence of the lesion
Benefits
- Effective removal of the lesion
- Relief from discomfort or vision obstruction
- Improved cosmetic appearance
- Early intervention if the lesion is malignant
Recovery
- Post-procedure care includes keeping the area clean and dry
- Application of prescribed ointments or eye drops
- Follow-up appointments for suture removal if necessary
- Avoid rubbing or applying pressure to the affected eyelid
- Full recovery typically within 1 to 2 weeks
Alternatives
- Observation and regular monitoring for changes in the lesion
- Cryotherapy (freezing the lesion)
- Laser treatment
- Medication (e.g., topical creams for certain types of lesions)
Pros and Cons:
- Observation avoids surgery but may delay treatment if the lesion grows or changes.
- Cryotherapy and laser treatment are less invasive but might not be suitable for all lesion types.
- Medication may be effective for some lesions but not for others.
Patient Experience
- Mild discomfort or pressure during the procedure; pain usually well-managed with local anesthesia.
- Minor pain and swelling after the procedure, which can be managed with over-the-counter pain relievers.
- Most patients experience a smooth recovery with minimal discomfort and return to normal activities shortly after the procedure.