Name of the Procedure:

Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited.

Summary

This procedure involves a detailed eye examination performed while the patient is under general anesthesia. It may include moving the eyeball to assess its range of motion and may use specialized instruments to gain a clear view of the eye's internal structures.

Purpose

The procedure is used to diagnose and evaluate various eye conditions that are difficult to assess when a patient is awake and potentially moving. The goal is to obtain a comprehensive understanding of the eye's health and function to guide further treatment.

Indications

• Severe eye trauma
• Neurological conditions affecting vision
• Uncooperative pediatric patients
• Patients with significant discomfort during standard examinations

Preparation

• Fasting for 6-8 hours prior to anesthesia
• Adjusting certain medications as advised by the physician
• Preoperative assessments including blood tests, and possibly imaging studies

Procedure Description

1. Anesthesia is administered to put the patient to sleep.
2. The eye is gently manipulated using specialized instruments to allow a thorough examination.
3. Diagnostic tools like an ophthalmoscope, slit lamp, or ultrasound may be used to inspect various parts of the eye.
4. The range of motion of the eyeball may be tested.
5. Findings are documented, and any immediate treatment or intervention is done if necessary.

Duration

Approximately 30-60 minutes.

Setting

Typically performed in a hospital operating room or a specialized surgical center.

Personnel

• Ophthalmologist
• Anesthesiologist
• Surgical nurses or ophthalmic technicians

Risks and Complications

• Anesthesia-related complications (e.g., nausea, allergic reactions)
• Eye irritation or infection
• Temporary blurred vision
• Rarely, damage to eye structures

Benefits

• Precise diagnosis leading to targeted treatment
• Avoidance of discomfort and movement for the patient during the examination
• Improved outcomes due to comprehensive evaluation

Recovery

• Patients may feel drowsy and will need someone to drive them home.
• Mild eye irritation or soreness can be expected.
• Follow-up visits will be scheduled to discuss results and further treatment plans.

Alternatives

• Standard ophthalmological exams (limited by discomfort or cooperation issues)
• Sedation without general anesthesia (less deeply anesthetized but may still pose challenges)

Patient Experience

• The patient will not be conscious during the procedure and will not feel any pain.
• Post-procedure, some mild discomfort or soreness in the eye could occur.
• Clear instructions on pain management and care will be provided.

This text aims to offer a comprehensive understanding of the procedure for patients, caregivers, and healthcare providers.