Phenylephrine 10.16 mg/ml and Ketorolac 2.88 mg/ml Ophthalmic Irrigation Solution, 1 ml (HCPCS Code J1097)

Name of the Procedure:

• Common Name: Irrigation with Phenylephrine and Ketorolac solution
• Medical Term: Phenylephrine 10.16 mg/ml and Ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml

Summary

Ophthalmic irrigation with a combination of Phenylephrine and Ketorolac is a procedure used to cleanse and provide therapeutic effects in the eye during various eye surgeries. The solution helps in reducing inflammation and providing adequate pupil dilation.

Purpose

• Medical Conditions: Inflammation, pain, and inadequate pupil dilation during ocular surgeries.
• Goals and Outcomes: To decrease inflammation, manage pain, and maintain pupil dilation for a clearer surgical field.

Indications

• Symptoms/Conditions: Persistent eye inflammation, inadequate pupil dilation, or pain.
• Patient Criteria: Appropriate for patients undergoing ocular surgeries such as cataract surgery or other intraocular procedures.

Preparation

• Pre-procedure Instructions: Patients may need to discontinue certain medications and adhere to fasting guidelines if general anesthesia is required.
• Diagnostic Tests: Baseline ocular assessments and tests to determine eye health.

Procedure Description

1. Step-by-Step:
   • The patient is prepared and positioned for the surgery.
   • After administering local anesthesia, the surgical team will apply the Phenylephrine and Ketorolac solution to the eyes.
   • The solution will be used throughout the procedure to maintain a therapeutic environment.
2. Tools/Equipment: Surgical instruments for ophthalmic surgery, ophthalmic irrigation system.
3. Anesthesia: Local anesthesia is commonly used, although general anesthesia may be required depending on the specific surgical procedure and patient needs.

Duration

Typically, the process of using the irrigation solution during surgery lasts throughout the surgical procedure, which can range from 30 minutes to several hours depending on the complexity of the surgery.

Setting

The procedure is conducted in a sterile environment such as a hospital operating room, outpatient clinic, or a specialized surgical center.

Personnel

• Healthcare Professionals: Ophthalmic surgeons, surgical nurses, anesthesiologists, and other supporting medical staff.

Risks and Complications

• Common Risks: Mild irritation, temporary discomfort.
• Rare Risks: Allergic reactions, vision changes, infection.
• Complications Management: Immediate medical attention to address severe allergic reactions or infections, and prompt management of any vision changes.

Benefits

• Expected Benefits: Reduced inflammation, pain control, and sustained pupil dilation during surgery.
• Realization Time: Benefits are generally realized immediately post-surgery, improving surgical outcomes and recovery experience.

Recovery

• Post-procedure Care: Follow-up care including prescription of anti-inflammatory and antibiotic eye drops.
• Recovery Time: Varies depending on the specific surgery; generally, normal activities can resume within a few days.
• Restrictions/Follow-ups: Regular follow-up appointments to monitor eye health and recovery progress.

Alternatives

• Other Options: Use of separate anti-inflammatory and mydriatic medications pre and post-surgery.
• Pros and Cons: Alternatives may not offer the same immediate combined benefits of reducing inflammation and maintaining pupil dilation during surgery.

Patient Experience

• During Procedure: Minimal discomfort due to local anesthesia; procedure is generally well-tolerated.
• After Procedure: Some patients may experience mild discomfort and irritation. Pain management strategies include prescribed eye drops and cold compresses for comfort.