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U-v lens, per lens

HCPCS code

U-v Lens, Per Lens (V2755)

Name of the Procedure:

Common Name: Ultraviolet (UV) Lens Implantation
Technical Term: UV-absorbing intraocular lens (IOL) placement

Summary

Ultraviolet (UV) lens implantation involves the placement of a specialized intraocular lens that helps block harmful UV light. This is typically done during cataract surgery to replace the eye's natural lens.

Purpose

This procedure is designed to protect the eye from harmful UV rays, which can contribute to various eye diseases such as cataracts and macular degeneration. The goal is to improve vision quality while providing protection against potential UV damage.

Indications

  • Presence of cataracts obstructing vision
  • Increased risk of UV-related eye damage
  • Need for intraocular lens replacement due to lens opacification

Patient criteria:

  • Diagnosed with cataracts
  • Desires improved vision post-surgery
  • No contraindications to intraocular lens implantation

Preparation

  • Comprehensive eye examination and measurements
  • Fasting for at least 6 hours before the procedure
  • Possible temporary discontinuation of certain medications
  • Blood tests or EKG if deemed necessary by the doctor

Procedure Description

  1. Anesthesia: Local or topical anesthesia to numb the eye.
  2. Incision: A small incision is made at the edge of the cornea.
  3. Lens Removal: The cloudy natural lens (cataract) is broken up using ultrasound waves and removed.
  4. Lens Implantation: The UV-absorbing intraocular lens is carefully implanted into the eye.
  5. Closure: The incision may be closed with a few sutures or left to heal naturally.

Tools: Phacoemulsification machine, IOL insertion device.

Duration

The procedure typically takes about 15-30 minutes per eye.

Setting

This procedure is usually performed in an outpatient surgical center or hospital ophthalmology unit.

Personnel

  • Ophthalmic Surgeon
  • Surgical Nurses
  • Anesthesiologist or Nurse Anesthetist

Risks and Complications

Common risks:

  • Infection
  • Inflammation
  • Swelling of the cornea or retina

Rare complications:

  • Dislocation of the lens
  • Damage to the retina or other structures
  • Increased intraocular pressure

Management: Most complications can be managed with medication or additional surgical intervention.

Benefits

  • Improved vision clarity
  • Reduced glare and light sensitivity
  • Protection against UV damage Benefits are typically realized within a few days to weeks after the procedure.

Recovery

  • Postoperative eye drops (antibiotics and anti-inflammatories)
  • Avoiding strenuous activities for about a week
  • Wearing a protective eye shield as instructed
  • Follow-up visits to monitor healing and lens position

Recovery time is generally a few weeks.

Alternatives

  • Traditional cataract surgery with a standard lens implant
  • External UV-blocking eyewear

Pros and cons:

  • Standard lens implant: Less UV protection but similar vision improvement.
  • External eyewear: Non-invasive but less convenient than a permanent UV lens.

Patient Experience

During the procedure:

  • Minimal discomfort due to anesthesia

After the procedure:

  • Mild discomfort or a gritty feeling in the eye
  • Potential for temporary blurred vision Pain Management: Mild pain relievers may be prescribed; comfort measures include rest and protective eyewear.

Overall, the experience is typically positive, with significant vision improvement noted shortly after recovery.

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