92132 Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateral

Name of the Procedure:

Scanning computerized ophthalmic diagnostic imaging, anterior segment (often referred to as Anterior Segment Optical Coherence Tomography or AS-OCT).

Summary

This procedure uses advanced imaging technology to capture detailed images of the front part of the eye, including structures like the cornea, iris, and lens. These images help doctors diagnose and monitor various eye conditions.

Purpose

• Medical Condition: The procedure addresses conditions affecting the anterior segment of the eye such as glaucoma, corneal diseases, and cataracts.
• Goals: To provide high-resolution images that facilitate accurate diagnosis and effective treatment planning.

Indications

• Symptoms such as blurry vision, eye pain, and abnormal eye pressure.
• Conditions like suspected glaucoma, corneal dystrophies, and anterior uveitis.
• Pre-surgical assessment for cataract or LASIK surgery.

Preparation

• Generally, no special preparation is required.
• Patients should follow their regular medication regimen unless otherwise instructed by their doctor.
• Eye makeup and contact lenses should be avoided on the day of the procedure.

Procedure Description

1. The patient is seated in front of the AS-OCT machine.
2. The chin and forehead are placed on supports to keep the head steady.
3. The device uses light waves to take cross-sectional images of the eye without touching the eye.
4. The patient may need to look at a fixation target while the images are taken.
5. The captured images are then analyzed by an ophthalmologist.

Duration

The procedure typically takes about 10 to 15 minutes.

Setting

It is usually performed in an outpatient clinic or eye specialist's office.

Personnel

• Ophthalmologist or optometrist.
• Ophthalmic technician.

Risks and Complications

• Common Risks: Generally, it is a very safe procedure with minimal risk.
• Rare Risks: Rarely, there might be slight discomfort or a reaction to the light.

Benefits

• Provides a detailed view of eye structures, aiding in accurate diagnosis.
• Non-invasive and painless.
• Helps in early detection and treatment of serious eye conditions.
• Results are immediately available for timely interpretation.

Recovery

• No downtime is associated with the procedure.
• Patients can resume normal activities immediately.
• Follow-up appointments may be scheduled based on results or ongoing treatment plans.

Alternatives

• Slit-lamp biomicroscopy.
• Ultrasound biomicroscopy.
• Each alternative has its own advantages and might be used based on specific conditions and clinical requirements, though they might not offer the same level of detail as AS-OCT.

Patient Experience

• Patients might feel the need to blink occasionally due to the bright light, but there is normally no pain.
• Comfort measures include keeping the eye lubricated if necessary, and reassurance is provided throughout the procedure.