Name of the Procedure:

Unlisted procedure, conjunctiva

Summary

An unlisted conjunctival procedure refers to any surgical intervention on the conjunctiva, the clear tissue covering the white part of the eye and the inside of the eyelids, that does not fall under a specific standard category.

Purpose

Unlisted conjunctival procedures aim to address various ocular conditions such as chronic irritation, benign growths, or injuries. The goal is to alleviate symptoms, preserve or improve vision, and prevent further complications.

Indications

• Chronic eye irritation or redness unresponsive to conventional treatments
• Benign or suspicious conjunctival growths
• Conjunctival cysts or scarring
• Persistent conjunctival infections or inflammations

Preparation

• Fasting may be required if general anesthesia is planned.
• Local anesthesia usually does not require fasting.
• Preoperative diagnostic tests may include a comprehensive eye exam, blood work, and imaging studies.
• Patients should avoid wearing contact lenses several days before the procedure.
• Adjustments to certain medications may be necessary as advised by the healthcare provider.

Procedure Description

1. The patient is positioned comfortably, and the eye area is cleaned.
2. Anesthesia is administered (local or general, depending on the complexity).
3. The surgeon makes precise incisions using fine surgical instruments or a laser to address the specific conjunctival issue.
4. Abnormal tissue may be excised, or incisions may be made to relieve tension.
5. The area is sutured if necessary, and antibiotic ointment is applied to prevent infection.
6. An eye patch or bandage may be placed over the eye post-surgery.

Duration

Typically, the procedure takes 30 minutes to 1 hour, depending on the complexity of the condition being treated.

Setting

The procedure is usually performed in an outpatient clinic, surgical center, or hospital.

Personnel

• Ophthalmologist or eye surgeon
• Surgical nurse
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

• Infection
• Bleeding
• Reaction to anesthesia
• Scarring
• Vision changes
• Prolonged redness or irritation

Benefits

• Relief from chronic irritation
• Removal of abnormal tissue that could potentially become harmful
• Improved comfort and eye health
• Prevention of further complications

Recovery

• Post-procedure care includes using prescribed eye drops or ointments.
• Patients are usually advised to avoid strenuous activities and not to rub their eyes.
• Most patients can return to normal activities within a few days to a week.
• Follow-up appointments will be scheduled to monitor healing and address any complications.

Alternatives

• Conservative management with medications such as eye drops or ointments
• Non-surgical treatments like punctal plugs for dry eyes
• Observation and monitoring for benign conditions that do not cause significant symptoms

Patient Experience

During the procedure, under local anesthesia, the patient might feel slight pressure but should not feel pain. Post-procedure, patients may experience mild discomfort, redness, or blurred vision; pain management typically involves over-the-counter pain relievers. Patients are provided with detailed instructions to ensure comfort and facilitate healing.