Scleral cover shell
HCPCS code
Name of the Procedure:
Scleral Cover Shell
Common Name: Prosthetic eye cover
Technical or Medical Term: Scleral cover shell (HCPCS Code: V2627)
Summary
A scleral cover shell is a type of prosthetic device used to cover and protect a damaged or missing eye. It is custom-made to fit the patient's eye socket, offering both cosmetic and protective functions.
Purpose
The scleral cover shell addresses issues like anophthalmia (absence of one or both eyes) or severe ocular disfigurement. The primary goals are to improve the aesthetic appearance of the eye area, provide comfort, and protect the ocular tissue.
Indications
- Patients with anophthalmia or severe eye damage
- Individuals seeking to improve cosmetic appearance after ocular trauma or surgery
- Those requiring protection for a sensitive or damaged ocular area
Preparation
- Initial consultation with an ophthalmologist and a specialist in ocular prosthetics.
- Eye socket examination and measurements.
- Photographs may be taken for color matching.
- No special fasting or medication adjustments are typically required.
Procedure Description
- Initial Assessment: The prosthetist evaluates the patient's eye socket.
- Impression Taking: An impression of the eye socket is taken using a mold.
- Customization: The scleral cover shell is custom-made to fit the impression and match the color of the patient's other eye.
- Fitting: The prosthetic is fitted onto the eye socket to ensure comfort and proper alignment.
- Adjustments: Any necessary adjustments are made to optimize fit and appearance.
Duration
The entire process, from initial assessment to final fitting, may take several weeks, though actual fitting appointments are usually around 1-2 hours each.
Setting
The procedure is typically performed in an ophthalmology office or a specialized ocular prosthetics clinic.
Personnel
- Ophthalmologist
- Ocular prosthetist/ocularist
Risks and Complications
- Mild discomfort or irritation
- Potential for infection if not cleaned properly
- Rarely, allergic reaction to materials used
- Need for periodic adjustments or replacements
Benefits
- Improved cosmetic appearance
- Psychological benefits from restored appearance
- Protection for the sensitive ocular tissues
- Immediate visual improvement post installation
Recovery
- Minimal recovery time; patients can usually return to normal activities immediately.
- Regular cleaning and maintenance of the prosthetic are required.
- Follow-up appointments for adjustments and replacements as needed.
Alternatives
- No intervention (only if the patient is comfortable with the appearance and any potential exposure risks)
- Cosmetic contact lenses (less effective for severe cases)
- Surgical reconstruction (more invasive)
Patient Experience
- Mild discomfort or pressure during fitting.
- Minimal pain, usually only mild irritation if improperly fitted.
- Comfort improves with regular use and adjustments.
- Regular cleaning required to maintain hygiene and prevent infection.
- Routine follow-up to ensure proper fit and function.