Name of the Procedure:

Common Name: Spherocylinder Bifocal Lens Fitting Technical Term: Bifocal Spherocylinder Lens Prescription (HCPCS V2204)

Summary

This procedure involves fitting a bifocal lens with specific power settings to address vision issues. The lens can correct for spherical and cylindrical refractive errors within a specified range.

Purpose

This procedure aims to correct vision problems such as astigmatism and presbyopia. The goal is to enable clear vision at different distances, typically for both near and far vision.

Indications

• Astigmatism where the cylindrical correction needed ranges between 2.12 to 4.00 diopters.
• Presbyopia, or age-related difficulty focusing on near objects.
• Spherical refractive errors ranging from +4.00 to -4.00 diopters.
• Patients experiencing blurred vision, headaches, or eye strain due to refractive errors.

Preparation

• Comprehensive eye exam to determine the exact prescription.
• Possible dilation of pupils to examine the internal structures of the eye.
• No specific fasting or medication adjustments required.

Procedure Description

1. Patient undergoes a comprehensive eye examination, including refraction tests.
2. Eye care professional determines the exact prescription needed for bifocal spherocylinder lenses.
3. Measurements are taken to ensure the lenses will fit correctly within the frames.
4. Lenses are manufactured according to the specific prescription.
5. The patient visits the optometrist to have the lenses fitted into their frames.
6. Final adjustments are made for comfort and optimal vision.

Duration

The initial eye examination and lens fitting take approximately 1 to 2 hours. Manufacture of lenses may take a few days to a week.

Setting

Optometry Clinic or Vision Care Center

Personnel

• Optometrist or Ophthalmologist
• Optician
• Supportive nursing or technical staff

Risks and Complications

• Inaccurate prescription could result in blurred vision or discomfort.
• Lens fitting issues may cause discomfort or additional eye strain.
• Rare risks include allergic reactions to lens materials.

Benefits

• Improved clarity and quality of vision, both near and far.
• Reduction of symptoms such as headaches and eye strain.
• Immediate improvement in vision upon proper fitting of glasses.

Recovery

• Minimal to no recovery time.
• Patients are advised to wear the new lenses regularly to adapt.
• Follow-up visit might be required to ensure proper fit and adjustment.

Alternatives

• Single-vision lenses with separate glasses for different distances.
• Progressive lenses with gradual shifts in prescription.
• Contact lenses or refractive surgery, depending on the patient’s preference and suitability.

Patient Experience

• The fitting process is generally painless.
• Slight discomfort might be experienced during adaptation to new lenses.
• Patients might need a short adaptation period to get used to viewing through bifocal lenses.

Pain management and comfort measures include regular check-ups and adjustments for fit and clarity.