Name of the Procedure:

• Common Name(s): Multifocal lens implantation
• Technical/Medical Term: Specialty occupational multifocal lens, per lens (HCPCS Code V2786)

Summary

The specialty occupational multifocal lens procedure involves implanting a lens that aids in treating vision issues related to presbyopia and other multifocal vision problems. These lenses allow for clear vision at multiple distances, reducing the need for multiple pairs of glasses.

Purpose

• Medical Conditions: Addresses presbyopia, age-related vision changes, and other multifocal vision problems.
• Goals: Provides clear vision at varying distances, enhances visual performance in occupational settings, and improves overall quality of life by minimizing dependence on multiple eyewear.

Indications

• Symptoms/Conditions: Blurred vision at different distances, difficulty in focusing on both near and far objects, and frequent need to change glasses.
• Patient Criteria: Typically suitable for adults experiencing presbyopia or needing multifocal correction for occupational purposes.

Preparation

• Pre-procedure Instructions: No specific fasting requirements. Patients should temporarily stop wearing contact lenses a few days before the procedure.
• Diagnostic Tests: Comprehensive eye examination, measurement of refractive errors, and assessment of ocular health.

Procedure Description

1. Initial Preparation: The patient's eye is numbed with local anesthetic eye drops.
2. Lens Insertion: The existing lens is either removed or reshaped, and the specialty multifocal lens is implanted.
3. Tools/Equipment: Uses a combination of precise surgical instruments and specialized lenses.
4. Anesthesia/Sedation: Local anesthesia is generally used, and sedation may be provided if necessary for patient comfort.

Duration

• Typically takes about 20-30 minutes per eye.

Setting

• Performed in a specialized outpatient clinic or an ambulatory surgical center.

Personnel

• Ophthalmologist or eye surgeon, supported by trained nurses and possibly an anesthesiologist or sedation nurse.

Risks and Complications

• Common Risks: Dry eyes, temporary blurred vision, light sensitivity.
• Rare Risks: Infections, lens dislocation, or persistent vision issues. These are managed by appropriate post-procedure treatment and follow-ups.

Benefits

• Expected Benefits: Improved vision at multiple distances, reducing or eliminating the need for glasses. Better occupational and daily functioning.
• Timeframe: Benefits are usually noticeable within a few days to a few weeks post-procedure.

Recovery

• Post-procedure Care: Use of prescribed eye drops, avoiding strenuous activities.
• Recovery Time: Generally minor discomfort for a few days, with full recovery in a few weeks.
• Follow-up: Scheduled appointments to monitor healing and ensure optimal vision correction.

Alternatives

• Other Options: Bifocal or progressive glasses, contact lenses, monofocal lens implants.
• Pros/Cons: Alternatives like glasses may be less invasive but do not provide as convenient vision at multiple distances. Contact lenses may be less permanent but could be less effective for severe vision issues.

Patient Experience

• During Procedure: Minimal to no pain due to anesthesia, mild pressure sensations possible.
• After Procedure: Some discomfort, sensitivity to light, and mild irritation which typically subsides quickly. Follow-up care and adherence to post-procedural guidelines help manage any discomfort effectively.