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Astigmatism correcting function of intraocular lens

HCPCS code

Name of the Procedure:

Astigmatism Correcting Function of Intraocular Lens (V2787)

  • Common Names: Toric Intraocular Lens (IOL) Implantation
  • Medical Term: Astigmatic IOL Implantation

Summary

Astigmatism Correcting Function of Intraocular Lens is a surgical procedure to implant a specially designed lens in the eye. This lens corrects astigmatism and other refractive issues, providing clearer vision without the need for glasses or contact lenses.

Purpose

The primary purpose of this procedure is to address refractive errors caused by astigmatism. The goals are:

  • To provide clearer vision
  • To reduce or eliminate the need for corrective eyewear like glasses or contact lenses.

Indications

The procedure is typically indicated for patients who:

  • Have significant astigmatism impacting their vision.
  • Are undergoing cataract surgery and want to correct astigmatism simultaneously.
  • Seek to improve their vision accuracy and quality of life.

Preparation

Patients may need to:

  • Undergo a comprehensive eye examination.
  • Discontinue certain medications that may affect surgery.
  • Fast for several hours before the procedure.

Procedure Description

  1. The eye is numbed with local anesthesia.
  2. A small incision is made in the cornea.
  3. The natural lens is removed, often using phacoemulsification.
  4. The toric intraocular lens is inserted and precisely aligned to correct astigmatism.
  5. The incision is closed, often without sutures.

Duration

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

Setting

This procedure is commonly performed in:

  • Hospital outpatient departments
  • Ambulatory surgical centers

Personnel

  • Ophthalmic Surgeon
  • Surgical Nurses
  • Anesthesiologist (if general anesthesia is used)

Risks and Complications

Common Risks:

  • Mild discomfort or irritation
  • Temporary blurry vision Rare Complications:
  • Infection
  • Dislocation of the lens
  • Over- or under-correction of astigmatism These are typically managed with medication or further corrective surgery.

Benefits

  • Significant improvement in vision quality
  • Reduced dependency on glasses or contact lenses
  • Enhanced overall quality of life, with benefits noticeable shortly after the procedure.

Recovery

Post-procedure care includes:

  • Use of prescribed eye drops to prevent infection and reduce inflammation.
  • Avoiding strenuous activities and not rubbing the eye.
  • Follow-up appointments to monitor healing. Full recovery generally takes several weeks, with most patients resuming normal activities within a few days.

Alternatives

Alternative treatments include:

  • Glasses or contact lenses
    • Pros: Non-invasive, immediate correction
    • Cons: Ongoing cost, maintenance
  • LASIK or PRK surgery
    • Pros: Permanent correction for many
    • Cons: Not suitable for everyone, potential for complications

Patient Experience

During the procedure, patients might feel mild pressure but not pain due to local anesthesia. Post-procedure, slight discomfort and blurred vision are common but manageable with medication. Most patients experience a dramatic improvement in vision within a few days to weeks.

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