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Fitting of spectacles, except for aphakia; monofocal

CPT4 code

Name of the Procedure:

Fitting of Spectacles, Except for Aphakia; Monofocal

Summary

This procedure involves selecting and fitting glasses with lenses that have a single focal point, commonly known as monofocal lenses. It’s a straightforward and non-invasive process conducted by an optician or optometrist.

Purpose

The procedure addresses conditions such as nearsightedness, farsightedness, and presbyopia (age-related difficulty in seeing objects up close). The goal is to provide clear vision at one specific distance, improving overall visual acuity and daily functioning.

Indications

  • Symptoms like blurred vision, headaches, and eye strain.
  • Diagnosis of refractive errors such as myopia, hyperopia, or presbyopia.
  • Individuals who experience difficulty in seeing clearly up close or at a distance.

Preparation

  • No specific preparation such as fasting is required.
  • An eye examination, including vision tests and perhaps a prescription update, is necessary to determine the correct lens strength.

Procedure Description

  1. Eye Examination: An optometrist conducts a comprehensive eye examination to determine the patient’s current vision prescription.
  2. Lens Selection: Based on the prescription, suitable monofocal lenses are chosen.
  3. Frame Selection: The patient selects frames that suit their style and fit comfortably.
  4. Fitting: The lenses are fitted into the frames, and the frames are adjusted to sit correctly on the patient's face.
  5. Verification: The optician verifies that the glasses provide the correct vision correction and fit properly.

No anesthesia or sedation is required.

Duration

The entire process typically takes between 30 minutes to an hour.

Setting

It is performed in an outpatient clinic, optical shop, or an optometrist's office.

Personnel

  • Optician
  • Optometrist

Risks and Complications

  • Minor discomfort from improperly fitted frames.
  • Initial adjustment period where vision may feel a bit off. Rarely, there may be:
  • Allergic reactions to frame materials
  • Incorrect prescription due to measurement errors

Benefits

  • Immediate improvement in vision clarity.
  • Reduction in symptoms like eye strain and headaches.
  • Enhanced quality of life through improved visual acuity.

Recovery

  • Little to no recovery time is necessary.
  • Patients may need a brief adjustment period to get used to the new lenses.
  • Follow-up visits might be scheduled to ensure proper fit and satisfaction.

Alternatives

  • Contact lenses can offer similar corrections but require more maintenance.
  • Surgical options like LASIK can provide permanent correction but come with higher risks.
  • Multifocal or bifocal lenses can correct multiple vision issues but may be more complex to adapt to.

Patient Experience

  • Generally pain-free with minimal discomfort confined to the adjustment period.
  • Patients may experience a slight feeling of imbalance initially, which typically resolves within a few days.
  • Instructions on cleaning and caring for the spectacles are provided to ensure longevity and optimal performance.

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