Name of the Procedure:

Anterior chamber intraocular lens (IOL) placement (HCPCS V2630)

Summary

This procedure involves the implantation of an intraocular lens (IOL) in the anterior chamber of the eye, typically to replace a lens that has been removed during cataract surgery or due to other eye conditions.

Purpose

The anterior chamber IOL is used to replace a damaged or removed lens, helping to restore vision. It's primarily aimed at patients who have undergone lens removal, have aphakia (absence of the lens), or need it due to trauma or other eye conditions. The goal is to improve visual clarity and reduce dependency on external visual aids.

Indications

• Cataract removal
• Aphakia with poor visual acuity
• Anterior chamber damage or trauma
• Lens dislocation
• Patients unsuitable for posterior chamber IOL

Preparation

• Pre-procedure fasting, typically for 8-12 hours
• Medication adjustments, especially for blood thinners
• Comprehensive eye examination
• Measurements of eye dimensions (biometry)
• Discussion of medical history and current medications with the surgeon

Procedure Description

1. Prepping the Eye: The eye is prepared with antiseptic and a sterile drape.
2. Anesthesia: Local anesthesia is administered to numb the eye.
3. Incision: A small incision is made in the cornea.
4. Lens Placement: The surgeon inserts the anterior chamber IOL through the incision and positions it properly.
5. Closure: The incision is usually self-sealing but may be closed with sutures.
6. Completion: Antibiotic and anti-inflammatory medications are applied to the eye to prevent infection and reduce inflammation.

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

This procedure is usually performed in an outpatient surgical center or a hospital's ophthalmology department.

Personnel

• Ophthalmic surgeon
• Surgical nurse
• Anesthesiologist or nurse anesthetist

Risks and Complications

• Infection
• Increased intraocular pressure
• Inflammation
• IOL displacement or dislocation
• Glaucoma
• Corneal swelling or damage
• Bleeding

Benefits

• Improved vision clarity
• Reduced dependency on glasses or contact lenses
• Quick recovery, often within a few days to a week

Recovery

• Use prescribed eye drops to prevent infection and reduce inflammation.
• Avoid touching or pressing on the eye.
• Wear an eye shield at night for a few days.
• Refrain from strenuous activities and avoid swimming for at least a week.
• Scheduled follow-up appointments to monitor healing.

Alternatives

• Posterior chamber IOL placement
• Contact lenses or glasses
• Refractive lens exchange
• Pros and Cons: Alternatives may be less invasive but can be less effective in severe lens damage or in patients with specific eye conditions.

Patient Experience

Patients typically experience improved vision shortly after the procedure. Some discomfort, itching, or mild pain is common, which can be managed with prescribed pain medications. Full recovery usually occurs within a couple of weeks, and the patient will have several follow-up appointments to ensure proper healing and positioning of the IOL.