Name of the Procedure:

Common Name(s): Prescription Lens Fitting (high-power) Technical Term: Spherocylinder Lens Fitting

Summary

This procedure involves the fitting of high-power single vision lenses that correct severe refractive errors. These lenses address both spherical and cylindrical vision issues, providing patients with enhanced visual clarity.

Purpose

• Medical Conditions: Severe myopia, hyperopia, and astigmatism.
• Goals: To provide patients with clear vision by correcting significant refractive errors, improving overall visual acuity, and enhancing quality of life.

Indications

• Symptoms: Blurred vision, headaches, eye strain, difficulty seeing at various distances.
• Conditions: Presence of severe refractive errors, specifically spherocylinder range from ±7.25D to ±12.00D sphere and 0.25D to 2.25D cylinder.
• Criteria: Patients diagnosed with significant astigmatism combined with either high myopia or hyperopia.

Preparation

• Pre-Procedure Instructions: No special preparation is typically required.
• Assessments: Comprehensive eye examination including refraction tests to determine the exact prescription and eye health evaluations to rule out other ocular conditions.

Procedure Description

1. Eye Examination: Conduct precise refractive testing using a phoropter to determine the prescription.
2. Lens Selection: Choose the appropriate high-power spherocylinder lenses based on the determined prescription.
3. Lens Customization: Order the lenses from a lab, specifying the power requirements.
4. Lens Fitting: Upon receiving the custom lenses, fit them into the patient’s eyeglass frames.
5. Adjustment: Ensure the lenses are correctly positioned and comfortably adjusted for optimal visual performance.
6. Verification: Conduct a final vision test to confirm the effectiveness of the lenses.
   • Technology Used: Phoropter, lensometer.
   • Anesthesia: Not applicable.

Duration

The fitting process typically takes 30 to 60 minutes, though lens production and delivery may take 1-2 weeks.

Setting

This procedure is performed in an optometrist’s or ophthalmologist’s office.

Personnel

• Primary: Optometrist or ophthalmologist.
• Support: Optical technician for lens fitting and frame adjustment.

Risks and Complications

• Common Risks: Temporary discomfort, adjustment period with the new lenses.
• Rare Risks: Incorrect prescription leading to continued vision problems; potential for eye strain if lenses are not properly fitted.
• Management: Prompt follow-up adjustments and re-evaluation.

Benefits

• Expected Benefits: Enhanced visual clarity, improved daily functioning, and reduced eye strain.
• Realization Time: Benefits are typically noticeable immediately upon final fitting.

Recovery

• Post-Procedure Care: Minimal; gradual adjustment to new lenses.
• Recovery Time: Usually immediate, with a short adaptation period.
• Follow-up: Routine follow-ups to ensure lasting fit and effectiveness.

Alternatives

• Other Options: Contact lenses, refractive surgery (e.g., LASIK, PRK).
• Pros and Cons:
  • Contact Lenses: Offer similar vision improvement but require maintenance and can be uncomfortable for some.
  • Refractive Surgery: Permanent correction but involves surgical risks and recovery time.

Patient Experience

• During Procedure: Minimal discomfort, standard eye examination involvement.
• After Procedure: Initial period of adaptation to new lenses; potential for mild headaches or visual distortions that typically resolve within a few days.
• Pain Management: Usually not required, as the procedure is non-invasive.

This markdown-styled text provides a comprehensive overview of the HCPCS procedure for fitting spherocylinder single vision lenses for those with significant refractive errors.