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Temporary, absorbable lacrimal duct implant, each

HCPCS code

Name of the Procedure:

Temporary Absorbable Lacrimal Duct Implant

Summary

A temporary absorbable lacrimal duct implant is a procedure in which a small, dissolvable implant is inserted into the tear ducts. This implant helps to maintain adequate moisture in the eyes by reducing the drainage of tears. After serving its purpose, the implant gradually dissolves and is absorbed by the body.

Purpose

This procedure is commonly used to treat conditions such as dry eye syndrome, which is often caused by insufficient tear production or excessive tear drainage. The primary goal is to provide relief from dry eyes by retaining more tears, thereby improving eye lubrication and comfort.

Indications

  • Persistent dry eye syndrome
  • Symptoms such as dryness, irritation, or a gritty feeling in the eyes
  • Inadequate response to eye drops or other non-invasive treatments
  • Conditions that require temporary but immediate relief from dry eye symptoms

Preparation

  • Likely no extensive preparation is needed.
  • Patients should inform their doctor of any medications or allergies.
  • Diagnostic assessments such as a Schirmer test might be conducted to measure tear production.

Procedure Description

  • The ophthalmologist will place a tiny, absorbable implant into the lacrimal (tear) duct of the eye.
  • Numbing drops are applied to minimize discomfort.
  • Using a small tool, the doctor gently inserts the implant into the tear duct opening.
  • The implant naturally dissolves over weeks or months, providing extended relief from dry eye symptoms.

Duration

The entire procedure typically takes about 10 to 15 minutes.

Setting

The procedure is performed in an outpatient clinic or an ophthalmologist's office.

Personnel

  • Ophthalmologist or specially trained eye healthcare provider
  • Supporting medical staff such as nurses or medical assistants

Risks and Complications

  • Mild discomfort or irritation at the implant site
  • Risk of infection, though this is rare
  • Temporary increase in tearing
  • Possible allergic reactions, albeit uncommon
  • If complications arise, the implant can be easily removed

Benefits

  • Significant relief from dry eye symptoms
  • Improved eye lubrication and comfort
  • Non-invasive and quick procedure
  • The implant dissolves naturally, eliminating the need for removal

Recovery

  • Minimal recovery time is required.
  • Patients can usually resume normal activities immediately.
  • It is advised to avoid rubbing the eyes to prevent dislodging the implant.
  • Follow-up appointments may be scheduled to monitor success and complications.

Alternatives

  • Preservative-free artificial tears
  • Punctal plugs, which are non-absorbable and may need removal or replacement
  • Prescription medications to increase tear production
  • Lifestyle changes like using humidifiers or taking breaks from screen exposure

Patient Experience

Patients might feel slight pressure or discomfort during the insertion. After the procedure, they may experience initial increased tearing or mild irritation, both of which usually subside quickly. Pain management generally isn't necessary beyond what is provided during the procedure, as it is minimally invasive and well-tolerated.

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