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Visual function screening, automated or semi-automated bilateral quantitative determination of visual acuity, ocular alignment, color vision by pseudoisochromatic plates, and field of vision (may include all or some screening of the determination[s] for c

CPT4 code

Name of the Procedure:

Visual Function Screening: Automated or Semi-Automated Bilateral Quantitative Determination of Visual Acuity, Ocular Alignment, Color Vision by Pseudoisochromatic Plates, and Field of Vision

Summary

This procedure involves a series of automated or semi-automated tests to assess various aspects of visual function, including visual acuity, ocular alignment, color vision, and the field of vision. These tests help in determining the overall health and functionality of a person's eyes and vision.

Purpose

Visual function screening is aimed at detecting visual impairments or eye disorders. The procedure helps in diagnosing conditions like refractive errors, strabismus, color blindness, and visual field defects. The primary goal is to ensure optimal visual health and to initiate appropriate interventions if any abnormalities are detected.

Indications

  • Blurred or diminished vision
  • Eye misalignment or strabismus
  • Difficulty distinguishing colors
  • Visual field loss or defects
  • Routine eye examinations for early detection of eye problems

Preparation

  • No specific preparation is generally required
  • Patients are encouraged to bring any corrective lenses or glasses they use
  • It is advisable to inform the clinician of any eye conditions or medications

Procedure Description

  1. Visual Acuity Test: The patient reads letters or symbols from a standardized eye chart, often facilitated by an automated system.
  2. Ocular Alignment Test: Uses devices like the cover-uncover test and Hirschberg test to check for eye alignment issues.
  3. Color Vision Test: Pseudoisochromatic plates (like Ishihara plates) are shown to the patient to detect color vision deficiencies.
  4. Visual Field Test: Automated perimetry devices measure the field of vision and identify any blind spots.

These are typically non-invasive tests performed with automated or semi-automated equipment. Sedation or anesthesia is not required.

Duration

The entire screening process usually takes about 30 to 60 minutes.

Setting

The procedure is typically performed in an eye clinic or an ophthalmologist's office equipped with necessary diagnostic tools.

Personnel

  • Optometrists or ophthalmologists
  • Trained eye technicians

Risks and Complications

  • Generally safe with no significant risks
  • Rarely, patients may experience temporary eye strain or discomfort

Benefits

  • Early detection of visual impairments and eye conditions
  • Enables timely intervention and treatment
  • Improvement in quality of life through appropriate corrective measures

Recovery

  • Immediate return to normal activities
  • Follow-up appointments may be scheduled if abnormalities are detected

Alternatives

  • Manual visual function tests
  • Comprehensive eye examinations for more in-depth analysis
    • Pros: More detailed and may detect underlying conditions
    • Cons: Typically more time-consuming and may require additional visits

Patient Experience

During the procedure, the patient may feel minimal discomfort and is usually seated comfortably. Instructions are provided clearly, and pain management is generally not necessary. Post-procedure, patients can resume daily activities immediately without any restrictions.

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