Name of the Procedure:

Contact Lens, Hydrophilic, Bifocal, per Lens
Common name(s): Bifocal contact lenses, Hydrophilic bifocal lenses
Technical/medical term: HCPCS Procedure Code V2522

Summary

Bifocal contact lenses are a type of corrective lens made of hydrophilic (water-containing) materials. These lenses are designed to help people see clearly at different distances, addressing both near and farsightedness in one lens. They provide a convenient solution for people who might otherwise need separate reading and distance glasses.

Purpose

Medical Conditions Addressed:

• Presbyopia (age-related difficulty in seeing close objects)
• Other conditions causing difficulty with near and far vision

Goals/Expected Outcomes:

• Improved visual acuity at multiple distances
• Enhanced quality of life by reducing the need for multiple pairs of glasses

Indications

Symptoms/Conditions Warranting the Procedure:

• Difficulty focusing on close-up objects
• Frequent switching between different pairs of glasses
• Blurry vision

Patient Criteria:

• Adult patients diagnosed with presbyopia
• Individuals seeking a convenient alternative to bifocal or multi-focal glasses
• Patients without severe dry eye, keratoconus, or other contraindications to contact lens wear

Preparation

Pre-Procedure Instructions:

• Schedule an eye exam to determine the correct prescription
• Discuss lifestyle and vision needs with the optometrist
• Refrain from wearing contact lenses for a period prior to the exam as advised by the doctor

Diagnostic Tests:

• Comprehensive eye examination
• Measurement of corneal curvature
• Tear film evaluation to ensure suitability for contact lenses

Procedure Description

Step-by-Step Explanation:

1. Perform a thorough eye exam to determine bifocal contact lens prescription.
2. Select and trial different lens brands and types for best fit and comfort.
3. Ensure proper hygiene: wash hands thoroughly before handling lenses.
4. Insert contact lenses by placing them on the eye's surface.
5. Provide patient with instructions on insertion, removal, and care of lenses.

Tools and Equipment Used:

• Various trial contact lenses
• Lens insertion and removal tools if necessary
• Contact lens solution

Anesthesia or Sedation Details:

• Not applicable; procedure is non-invasive and performed with patient awake.

Duration

The fitting and assessment process typically takes about 1-2 hours, including instruction and trial periods.

Setting

Typically performed at an optometrist's office or an outpatient eye clinic.

Personnel

Healthcare Professionals Involved:

• Optometrist or ophthalmologist
• Optician (to assist with fitting and instruction)

Risks and Complications

Common Risks:

• Mild discomfort or irritation
• Initial difficulty adjusting to bifocal vision
• Dry eyes

Rare Risks:

• Eye infections
• Corneal abrasions Management of Complications:
• Proper lens care and hygiene
• Follow-up visits for adjustment
• Discontinue use and consult physician if severe discomfort or redness occurs

Benefits

Expected Benefits:

• Clear vision at multiple distances
• Increased convenience and less reliance on multiple pairs of glasses Realization Timeline:
• Immediate improvement in vision
• Full adjustment may take a few days to a few weeks

Recovery

Post-Procedure Care:

• Follow lens care and cleaning instructions
• Attend follow-up appointments to ensure proper fit and comfort
• Report any severe discomfort or visual disturbances to the optometrist

Recovery Time:

• No significant downtime; patients can resume normal activities immediately
• Full comfort and adaptation typically within a few weeks

Restrictions:

• Avoid swimming or sleeping in lenses unless specified by the optometrist
• Ensure regular handwashing and lens care

Alternatives

Other Treatment Options:

• Bifocal or progressive glasses
• Monovision contact lenses
• Refractive surgery (e.g., LASIK)

Pros and Cons of Alternatives:

• Glasses: Easier to manage but less convenient for active lifestyles.
• Monovision lenses: Simpler but some may not adapt well.
• Refractive surgery: Long-term solution but invasive and costlier.

Patient Experience

During the fitting process, patients may feel initial mild discomfort or irritation. Over the following days to weeks, they may experience some period of adjustment as their eyes adapt to the bifocal lenses. Comfort measures include proper lens hygiene, using lubricating eye drops if needed, and gradually increasing lens-wearing time. Regular follow-up visits will help ensure optimal vision and comfort. Pain is usually minimal and well-managed with proper lens care.