Name of the Procedure:

Spherocylinder, Single Vision, Sphere over Plus or Minus 12.00 Diopters (HCPCS Code: V2114)

Summary

This procedure involves crafting specialized eyeglass lenses designed to correct significant refractive errors. These lenses accommodate single vision and have a sphere component of more than ±12.00 diopters.

Purpose

This procedure addresses severe refractive errors such as extreme myopia, hyperopia, and astigmatism. The goal is to provide clear vision by accurately correcting the patient's eye prescription.

Indications

• Patients with extreme nearsightedness (myopia) or farsightedness (hyperopia) beyond ±12.00 diopters.
• Individuals with significant astigmatism who need precise correction to improve visual acuity.
• Situations where standard prescription lenses are insufficient.

Preparation

• A comprehensive eye exam is required to determine the exact prescription.
• Patients should bring their current prescription glasses and a list of any vision-related symptoms.
• No special fasting or medication adjustments are typically needed.

Procedure Description

1. Eye Examination: An optometrist performs a detailed eye exam to ascertain the precise prescription.
2. Lens Crafting: High-precision equipment is used to manufacture the lenses with the specific spherocylinder prescription.
3. Lens Fitting: Once the lenses are ready, they are fitted into frames, ensuring comfort and proper alignment.

Tools and Equipment:

• Refractometers and phoropters for measuring vision.
• Lens grinders and polishers for creating customized lenses.

Anesthesia: Not applicable.

Duration

The eye examination and lens prescription process typically take about 1 hour. The crafting of the lenses can take a few days to a week, depending on lab turnaround times.

Setting

• Eye care clinics or optometry offices.
• Optical labs for lens crafting.

Personnel

• Optometrist for eye examination and prescription.
• Optical lab technicians for lens crafting.

Risks and Complications

• Minor discomfort or initial adjustment issues with new lenses.
• Rarely, visual disturbances if the prescription is not accurate, requiring a re-evaluation.

Benefits

• Significant improvement in vision clarity.
• Enhanced quality of life with corrected refractive errors.
• Benefits can generally be realized as soon as the patient starts wearing the new glasses.

Recovery

• Immediate usage of glasses once lenses are fitted.
• A brief adaptation period of a few days to a week may be needed for the eyes to adjust to the new lenses.

Alternatives

• Contact lenses, though they may not be suitable for all refractive errors of this magnitude.
• Refractive surgery (e.g., LASIK), which carries its own set of risks and requires eligibility assessment.

Patient Experience

• The procedure is non-invasive and comfortable.
• Patients may experience slight discomfort or visual dizziness during the adaptation period.
• Pain management is not typically needed, but follow-up visits ensure proper lens adjustment and patient satisfaction.