Presbyopia correcting function of intraocular lens
HCPCS code
Name of the Procedure:
Presbyopia-Correcting Intraocular Lens Implantation (PC-IOL) Medical Term: Presbyopia Correcting Function of Intraocular Lens (HCPCS Code: V2788)
Summary
Presbyopia-correcting intraocular lens (PC-IOL) implantation involves replacing your eye's natural lens with an artificial lens designed to correct presbyopia—a common age-related condition that impairs near vision. This procedure often follows cataract surgery.
Purpose
The primary goal of PC-IOL implantation is to treat presbyopia and restore clear vision at various distances affected by the condition. This procedure can significantly reduce the dependence on glasses or contact lenses for near vision tasks.
Indications
Patients typically considered for PC-IOL implantation exhibit:
- Age-related presbyopia.
- Difficulty focusing on close objects (e.g., reading small print).
- Need for bifocals or reading glasses.
- Eligible for cataract surgery or lens replacement.
Preparation
- Fasting: Patients may be advised to fast for at least 6 hours before the procedure.
- Medications: Certain medications may need to be adjusted or paused before surgery, as instructed by your doctor.
- Diagnostic Tests: Preoperative assessments, including eye measurements and vision tests, will be conducted to plan the surgery.
Procedure Description
- Anesthesia: Local anesthesia is administered to numb the eye.
- Incision: A small incision is made in the cornea.
- Lens Removal: The natural lens is removed through a process called phacoemulsification.
- Lens Implantation: The PC-IOL is carefully inserted into the space where the natural lens was located.
- Closure: The incision may self-seal or be closed with a tiny suture.
Duration
The entire procedure typically takes about 15-30 minutes per eye.
Setting
PC-IOL implantation is usually performed in an outpatient clinic, specialized eye care center, or hospital.
Personnel
- Ophthalmic Surgeon: Performs the procedure.
- Surgical Nurse: Assists the surgeon.
- Anesthesiologist or Nurse Anesthetist: Administers local anesthesia and monitors patient comfort.
Risks and Complications
- Infection
- Intraocular lens dislocation or decentration
- Elevated intraocular pressure
- Glare or halos around lights
- Rare complications may include retinal detachment or prolonged recovery.
Benefits
- Improved near and intermediate vision.
- Reduced dependency on reading glasses or bifocals.
- Enhanced quality of life and visual freedom.
Recovery
- Immediate post-procedure: You may experience slight discomfort or blurred vision.
- Follow-Up: A series of follow-up appointments will be scheduled to monitor healing.
- Restrictions: Avoid driving, strenuous activities, and rubbing the eyes for a few weeks.
- Full Recovery: Most patients achieve stable, improved vision within a few weeks.
Alternatives
- Monofocal Intraocular Lens (IOL): Corrects vision at one distance, typically requiring glasses for near tasks.
- Multifocal Contact Lenses: Non-surgical option but requires consistent usage and maintenance.
- LASIK or PRK Surgery: Corrects vision but may not fully address presbyopia.
- Pros and Cons: PC-IOL offers the most comprehensive correction but involves surgical risks, whereas other options may be less invasive but provide less vision correction versatility.
Patient Experience
- During the Procedure: Mild pressure sensations but no pain due to local anesthesia.
- Immediately After: Vision may be blurry initially; slight discomfort or grittiness in the eye.
- Pain Management: Over-the-counter pain relievers and prescribed eye drops will manage discomfort.
- Comfort Measures: Use of protective eyewear, avoiding bright lights, and following follow-up care instructions will aid in recovery.