Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens
HCPCS code
Name of the Procedure:
High-Index Lens Fitting
- Common Name: High-Index Lens
- Technical/Medical Terms: Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate
Summary
High-index lenses are specialized eyewear lenses designed to be thinner and lighter than standard lenses. This procedure involves the fitting and installation of these high-index plastic or glass lenses, which provide clear vision correction while minimizing lens thickness.
Purpose
High-index lenses are used to address vision problems such as nearsightedness (myopia), farsightedness (hyperopia), and astigmatism. The goal is to offer a more cosmetically appealing and comfortable alternative to thicker, heavier lenses, especially for individuals with strong prescriptions.
Indications
- Patients with high prescription strengths who require thinner, lighter lenses
- Individuals seeking more aesthetically pleasing eyewear
- Those who find standard lenses too heavy or uncomfortable
Preparation
- Comprehensive eye exam to determine the exact prescription
- Measurements of the patient's eyes to ensure proper lens fit
- Discuss the patient's lifestyle and visual needs to choose the appropriate lens material
Procedure Description
- Eye Examination: Conduct a thorough eye exam to obtain the correct prescription.
- Lens Selection: Choose the appropriate high-index lens material based on the patient's prescription and preferences.
- Lens Fitting: Measure the patient's eyes for precise lens fitting.
- Lens Fabrication: Custom-make the lenses according to the measurements and prescription.
- Lens Installation: Fit the lenses into the chosen eyewear frames.
Tools and Equipment
- Ophthalmic diagnostic tools (e.g., autorefractors, phoropters)
- Lensometer for prescription verification
- High-index lens blanks and cutting equipment
Anesthesia or Sedation
- Not applicable
Duration
The entire fitting and installation process typically takes 1-2 hours, including the eye exam and any adjustments needed.
Setting
The procedure is performed in an optometry clinic or ophthalmology office.
Personnel
- Optometrist or Ophthalmologist (conducts eye exam and fitting)
- Optical Technician (assists with lens fabrication and installation)
Risks and Complications
- Common Risks: Discomfort or initial adjustment period as the patient adapts to new lenses
- Rare Risks: Incorrect lens prescription or fit, causing vision issues or headaches Management of complications may involve re-evaluation and adjustment of lenses.
Benefits
- Improved visual clarity with lighter, thinner lenses
- Enhanced aesthetic appeal
- Increased comfort due to reduced lens weight
- Benefits are typically realized immediately upon adjustment to the new lenses.
Recovery
- Minimal to no recovery time
- Brief adjustment period to adapt to the new lenses
- Follow-up appointment recommended if issues persist
Alternatives
- Standard plastic or glass lenses (thicker and heavier)
- Polycarbonate lenses (lighter but not as thin as high-index)
- Contact lenses
- Pros and Cons:
- Standard Lenses: More affordable, but thicker and heavier
- Polycarbonate Lenses: Durable and lightweight, but not as thin
- Contact Lenses: No visible lenses, but require more maintenance
Patient Experience
- During the procedure, patients typically experience minimal discomfort.
- After the procedure, an adjustment period is common as eyes adapt to the new lenses.
- Pain is rarely an issue, but any discomfort can be managed with adjustments or by consulting with the optometrist.