Name of the Procedure:

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens (HCPCS Code V2106)

Common name(s): Prescription Single Vision Lens

Summary

This procedure involves creating a custom-made single vision lens with a specific prescription. These lenses are designed to correct both spherical and cylindrical refractive errors for patients with complex vision needs.

Purpose

The procedure addresses refractive errors such as myopia (nearsightedness) and hyperopia (farsightedness), combined with significant astigmatism (over 6.00 diopters of cylinder). The goal is to provide clearer vision and reduce visual discomfort.

Indications

• Patients with myopia, hyperopia, or significant astigmatism.
• Individuals experiencing headaches, eye strain, or difficulty focusing.
• People with a comprehensive eye exam indicating the need for complex correction.

Preparation

• Have a thorough eye examination from an optometrist or ophthalmologist.
• Ensure accurate measurement of refractive errors.
• No particular fasting or medication adjustments are needed.

Procedure Description

1. Eye Examination: A detailed eye exam is performed to measure the refractive errors—both spherical and cylindrical.
2. Lens Prescription: Based on the measurements, a prescription specifying the necessary correction (plano to ±4.00d sphere, over 6.00d cylinder) is written.
3. Lens Fabrication: The lenses are manufactured to the specified prescription using high-precision equipment.
4. Fitting: The finished lenses are fitted into frames, and adjustments are made to ensure proper fit and comfort.

Duration

The eye exam typically takes about 30 minutes to an hour. Lens fabrication can take anywhere from a few days to a week, depending on the complexity and the provider.

Setting

The procedure is performed in an optometrist’s or ophthalmologist’s office for the eye exam, and the lenses are fabricated at a specialized optical laboratory.

Personnel

• Optometrist or ophthalmologist for the eye exam.
• Optician for the fitting and dispensing of the lenses.
• Technicians at the optical lab for lens fabrication.

Risks and Complications

• Rare risk of incorrect prescription, requiring re-evaluation.
• Potential discomfort during the adjustment period to new lenses.
• Low risk of lens defects or manufacturing errors.

Benefits

• Significantly improved vision due to precise correction.
• Reduction in symptoms such as headaches, eye strain, and blurred vision.
• Enhanced quality of life and ability to perform daily tasks.

Recovery

• Immediate improvement in vision once lenses are properly fitted.
• Short adjustment period where patients may experience slight discomfort as they adapt to new lenses.
• Follow-up appointments if necessary to fine-tune prescription or fit.

Alternatives

• Contact lenses: May offer similar vision correction but come with different maintenance needs.
• Refractive surgery (e.g., LASIK): A permanent correction alternative but with higher risks and costs.
• Progressive or bifocal lenses: For those needing multi-distance vision correction but not necessarily with high cylindrical power.

Patient Experience

• During the eye exam: minimal discomfort; non-invasive procedure.
• After receiving lenses: initial period of adaptation; potential for slight discomfort.
• Pain management includes over-the-counter pain relief if necessary, but usually, discomfort is mild and temporary.

By following these guidelines, patients can understand what to expect and prepare appropriately for the procedure to ensure the best possible outcome for their vision health.