Name of the Procedure:

Scleral Lens, Liquid Bandage Device, per lens (HCPCS Code: S0515) Common Names: Scleral Lens, Liquid Bandage Technical Term: Scleral Lens with Liquid Bandage Device

Summary

A scleral lens with a liquid bandage device is a specialized contact lens designed to cover the entire cornea and rest on the sclera (the white part of the eye). This lens forms a liquid bandage over the eye's surface, providing therapeutic benefits to patients with specific eye conditions.

Purpose

This procedure aims to address eye conditions such as severe dry eye, corneal abnormalities, or eye injuries. The primary goals are to protect the eye's surface, maintain moisture, and promote healing.

Indications

• Severe dry eye conditions
• Corneal abnormalities (e.g., keratoconus)
• Eye injuries
• Post-surgical recovery of the cornea
• Conditions where conventional contact lenses are unsuitable

Preparation

• The patient may need to undergo a comprehensive eye exam before the fitting of the scleral lens.
• Diagnostic tests such as corneal topography may be required to assess the shape and surface of the cornea.
• There are typically no specific fasting or medication adjustments required.

Procedure Description

1. The eye care professional conducts a detailed eye examination to determine the appropriate scleral lens size.
2. The patient is instructed to wash their hands thoroughly before handling the lens.
3. Using a plunger device or their fingers, the patient or the provider fills the scleral lens with a preservative-free saline solution.
4. The lens is then carefully placed on the sclera of the eye, ensuring it is correctly centered.
5. The liquid bandage device component is activated upon contact with the eye, forming a therapeutic layer over the cornea.

Tools/Equipment: Scleral lens, preservative-free saline solution, placement plunger, diagnostic instruments Anesthesia/Sedation: Not required

Duration

The fitting and application process typically takes about 30 minutes to an hour.

Setting

The procedure is performed in an eye care clinic, optometrist's office, or ophthalmologist's office.

Personnel

• Optometrist or Ophthalmologist
• Optometric Technician (optional)

Risks and Complications

• Infection if the lens is not properly cleaned
• Corneal abrasions if the lens is not fitted correctly
• Discomfort or irritation
• Visual disturbances
• Managing complications involves removing the lens, treating underlying issues, and refitting if necessary.

Benefits

• Alleviation of dry eye symptoms
• Protection and healing of the cornea
• Improved visual acuity in patients with corneal abnormalities
• Benefits can often be realized within days to weeks.

Recovery

• The patient may need to wear the scleral lenses daily, removing and cleaning them each night.
• Follow-up appointments are crucial to monitor eye health and lens fit.
• The recovery is generally straightforward, with minimal downtime.

Alternatives

• Standard contact lenses (soft or rigid gas permeable lenses)
• Therapeutic soft lenses
• Eyedrops or ointments
• Surgical interventions (e.g., corneal transplant) Pros and Cons: Alternatives may not provide the same level of comfort or therapeutic benefit, especially for severe conditions.

Patient Experience

The patient might experience initial discomfort as they get accustomed to the scleral lenses. Throughout the procedure and recovery, pain management is generally minimal, with saline solution providing comfort. Follow-up visits will ensure the best therapeutic outcomes and address any concerns.