Temporary closure of eyelids by suture (eg, Frost suture)
CPT4 code
Name of the Procedure:
Temporary Closure of Eyelids by Suture (e.g., Frost Suture)
Summary
This procedure involves temporarily stitching the eyelids together, commonly known as a Frost suture, to protect the eye and aid in healing. It's often used to treat certain eye conditions and injuries.
Purpose
The procedure is performed to shield the eye from further damage and support healing. It addresses conditions like corneal ulcers, exposure keratitis, and post-surgical recovery.
Indications
- Severe corneal ulcers or abrasions
- Exposure keratitis due to inadequate eyelid closure
- Protection of healing tissues post-eye surgery
- Temporary relief from severe dry eye conditions
Preparation
- Patients may be instructed to stop certain medications that increase bleeding risk.
- Fasting is not typically required.
- An eye examination will be conducted, and relevant medical history reviewed.
Procedure Description
- Preparation and Anesthesia: The eye and surrounding area are cleaned, and local anesthesia is administered.
- Suturing: Special sutures (Frost sutures) are placed through the eyelid margins to close the eyelids temporarily.
- Adjustment and Monitoring: The tension and position of the sutures are adjusted for optimal protection and comfort. The sutures are usually left partially loose to allow some eye movement.
Duration
The procedure typically takes about 30 minutes to 1 hour.
Setting
Usually performed in an outpatient clinic or a hospital setting.
Personnel
- Ophthalmologist or specialized eye surgeon
- Nurse or medical assistant
Risks and Complications
- Infection at the suture sites
- Discomfort or irritation from the sutures
- Potential for temporary vision impairment
- Rare but possible damage to eyelid structures
Benefits
- Immediate protection of the eye
- Promotion of optimal healing for underlying conditions
- Relief from pain and further damage to the cornea
Recovery
- Patients should follow instructions for eye care, including any prescribed eye drops or ointments.
- The sutures are temporary and will be removed once the eye has sufficiently healed, usually within a few days to weeks.
- There may be some initial discomfort, which typically subsides over a few days.
Alternatives
- Moisture chamber goggles for cases of dry eye and exposure keratitis
- Tarsorrhaphy (permanent eyelid closure) for more severe or recurrent cases
- Medical treatment with eye drops or ointments alone, though less effective in severe cases
Patient Experience
Patients can expect mild discomfort and a sensation of tightness in the eyelids. Pain management will typically include over-the-counter pain relievers. Post-procedure, vision may be temporarily blurred until the sutures are removed.