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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

  1. Eye Examination: Conduct a thorough eye exam to obtain the correct prescription.
  2. Lens Selection: Choose the appropriate high-index lens material based on the patient's prescription and preferences.
  3. Lens Fitting: Measure the patient's eyes for precise lens fitting.
  4. Lens Fabrication: Custom-make the lenses according to the measurements and prescription.
  5. 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.

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