Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens, both eyes except for aphakia
CPT4 code
Name of the Procedure:
Prescription of Optical and Physical Characteristics of Contact Lens, with Medical Supervision of Adaptation and Direction of Fitting by Independent Technician; Corneal Lens, Both Eyes Except for Aphakia.
Summary
This procedure involves prescribing contact lenses for both eyes (excluding patients without a natural lens, known as aphakia). It includes medical supervision to ensure proper adaptation and fitting by a trained technician.
Purpose
The procedure aims to address vision problems by providing contact lenses tailored to the patient's unique optical and physical eye characteristics. The goal is to improve visual acuity and comfort while wearing contact lenses.
Indications
- Myopia (nearsightedness)
- Hyperopia (farsightedness)
- Astigmatism
- Presbyopia
- Patients experiencing discomfort or vision issues with their current contact lenses
Preparation
- Comprehensive eye examination
- Current prescription review
- Discussion of lens options and care instructions
- No specific fasting or medication adjustments are generally needed
Procedure Description
- Initial Assessment: An eye care professional conducts a thorough eye examination and discusses contact lens options.
- Prescription: The optometrist prescribes lenses based on the patient's vision needs and eye health.
- Medical Supervision: A licensed eye doctor oversees the adaptation process.
- Fitting by Technician: An independent contact lens technician fits the lenses, ensuring proper alignment and comfort.
- Follow-up: The patient is instructed on how to insert, remove, and care for the lenses, and a follow-up appointment is scheduled to monitor adaptation.
Duration
The fitting process typically takes about 1 to 2 hours, including examination, fitting, and instructions.
Setting
The procedure is usually performed in an optometrist’s office or a specialized eye care clinic.
Personnel
- Optometrist or Ophthalmologist for medical supervision
- Independent Contact Lens Technician for fitting
- Support staff for administrative and follow-up tasks
Risks and Complications
- Eye irritation or discomfort
- Dry eyes
- Infection (rare, usually due to improper lens care)
- Lens intolerance
Benefits
- Improved vision clarity
- Enhanced comfort for daily wear
- Customized fit for individual eye needs
- Better visual acuity compared to standard lenses
Recovery
- Minimal recovery time
- Patients typically adapt to lenses within a few days to weeks
- Follow-up visits to ensure proper fit and address any concerns
Alternatives
- Glasses
- Laser eye surgery (e.g., LASIK)
- Other types of contact lenses (e.g., scleral lenses)
- Pros and cons should be discussed with the eye care professional to determine the best option.
Patient Experience
Patients might experience slight discomfort or dryness initially. Proper care and hygiene practices are crucial to avoid complications. Regular follow-ups help ensure a comfortable and effective use of the contact lenses.