The Ophthalmic Office Procedures Handbook

Offering practical guidance to those who are learning or already performing office-based ophthalmic procedures, The Ophthalmic Office Procedures Handbook reviews all current procedural and surgical techniques routinely performed in an office or minor-surgery suite. Written by Leonid Skorin, Nate Lighthizer, Selina McGee, Rich Castillo, and Karl Stonecipher, this unique handbook is an excellent resource for all eye care providers—both those performing the procedures as well as those who are co-managing pre- and post-operative visits.

Walks you through the entire clinical experience—from initial indications to steps in the procedure, potential complications, supplemental reading, and coding and billing information—using an easy-to-follow, heavily templated chapter format

Presents bulleted lists of key information in every chapter for quick reference

Includes multiple full-color photographs of every procedure, as well as corresponding videos of each procedure or surgical technique covered in the book by the author team of renowned ophthalmologists and optometrists

Over 35 videos in the VST ebook correspond to each procedure or surgical technique covered in the book by the author team of renowned ophthalmologists and optometrists

Covers informed consent considerations, preoperative care, anesthesia and instrumentation,  postoperative care/co-management, efficacy, and much more

Provides a portable, easy-to-use resource for everyday clinical use and for the professional development of students, residents, and practitioners

An ideal companion volume to The Ophthalmic Laser Handbook

 

Table of Contents:

 

Section 1 History and Medicolegal Matters

1 History of Ophthalmic Office-Based Procedures

2 Procedures, Liability, and the Doctrine of Informed Consent

THE DOCTRINE OF INFORMED CONSENT

MEDICAL BATTERY

CONSENT: EXPRESS OR IMPLIED

ELEMENTS OF PROPER DISCLOSURE

PATIENT REFUSAL

MEASURING THE STANDARD OF CARE: THE REASONABLE PHYSICIAN VERSUS THE REASONABLE PERSON STANDARD

THE INCOMPETENT PATIENT

WITHHOLDING INFORMATION

THE LIMITS OF LICENSURE AND SCOPE OF PRACTICE

THE INFORMED CONSENT FORM

THE DECISION-MAKING PROCESS

VERBAL CONSENT

ADDITIONAL ELEMENTS OF THE INFORMED CONSENT PROCESS

INFORMED CONSENT IS A PROCESS, NOT JUST A FORM

CONCLUSION

Section 2 Office Procedures Fundamentals

3 Surgical Anatomy of the Eyelids and Periorbita

PERIORBITAL SKIN

ORBICULARIS OCULI

ORBITAL SEPTUM

PREAPONEUROTIC AND PRECAPSULOPALPEBRAL FAT POCKETS

RETRACTORS OF THE EYELIDS

TARSAL PLATES

MEDIAL AND LATERAL CANTHAL TENDONS

CONJUNCTIVA

INNERVATION

BLOOD VESSELS AND LYMPHATICS

EYEBROWS AND FOREHEAD

4 Equipment, Instrument Selection, and Setup

INSTRUMENTS AND SETUP

PROCEDURE ROOM

RESUSCITATION EQUIPMENT

PROCEDURAL LIGHTING

PROCEDURE TABLE OR CHAIR

HEMOSTASIS

ASSISTANTS AND STAFF

HAZARDOUS MATERIALS, SPILLS, AND CONTAMINATION5,6

SHARPS AND BIOLOGICAL HAZARDS7

PREVENTION OF INFECTION

STERILE FIELD

ADDITIONAL PRECAUTIONS

STERILIZATION OF INSTRUMENTS

OPHTHALMIC SURGICAL INSTRUMENTS FOR OFFICE PROCEDURES16,17

SUTURES18-21

5 Local Anesthesia of the Eyelids and Periorbita

INTRODUCTION TO PERIOCULAR LOCAL (INFILTRATIVE) ANESTHESIA AND REGIONAL BLOCKS

INFILTRATIVE ANESTHESIA: MINIMIZING THE PAIN OF INJECTION

PERIOCULAR INFILTRATIVE ANESTHESIA: SAFETY

INFILTRATIVE ANESTHESIA

REGIONAL ANESTHESIA: NERVE BLOCKS

REGIONAL NERVE BLOCKS IN OPHTHALMIC EYELID AND PERIOCULAR PROCEDURES

LOCAL ANESTHETIC AGENTS: DOSE, TOXICITY, EPINEPHRINE AND HYALURONIDASE

Supraorbital Block

Infraorbital Block

Allergies to Local Anesthetics

ALTERNATIVES TO TRADITIONAL ANESTHETIC AGENTS

6 Surgical Pathology: A Visual Guide

Section 3 Lids, Lashes, and Adnexa

7 Eyelid Biopsy

INDICATIONS

CONTRAINDICATIONS

INFORMED CONSENT CONSIDERATIONS

RISKS/BENEFITS

PREOPERATIVE CARE

Supplies (Figures 7-4 and 7-5)

PROCEDURE

Excisional Biopsy: Complete Lesion Removal

Incisional Biopsy: Partial Lesion Removal

Incisional Biopsy: Shave Biopsy (Figure 7-7A and B)

Incisional Biopsy: Punch Biopsy

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING

8 Radiofrequency for Lesion Removal, Trichiasis Ablation, and Punctal Occlusion

BACKGROUND

WAVEFORMS/RADIOFREQUENCY UNIT SETTINGS

Equipment List

Components of the RF Surgical Unit

POWER SETTINGS

ELECTRODE TYPES

SMOKE EVACUATOR

TROUBLESHOOTING

MAGNIFICATION

MOIST WOUND HEALING

RADIOFREQUENCY INDICATIONS

RADIOFREQUENCY CONTRAINDICATIONS

RADIOFREQUENCY FOR LESION REMOVAL

Indications

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

PROCEDURAL TECHNIQUE

CAPILLARY HEMANGIOMA

TROUBLESHOOTING

POSTOPERATIVE CARE

Potential Complications and Management

EFFICACY

CODING/BILLING AND MODIFIERS

Key CPT Codes

TRICHIASIS MANAGEMENT

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Instrumentation (Figure 8-17)

RADIOFREQUENCY SETTINGS

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING

Key CPT Codes

PUNCTAL OCCLUSION

Indications

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

PROCEDURE

POSTOPERATIVE CARE

POTENTIAL COMPLICATIONS AND MANAGEMENT

EFFICACY

CODING/BILLING AND MODIFIERS

Key CPT Codes

9 Cyst Removal

INDICATIONS

Cyst of Moll

Eccrine Hidrocystoma

Cyst of Zeis

Epidermal Inclusion Cyst

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Instrumentation (Figure 9-6)

RADIOFREQUENCY SETTINGS

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING

10 Bichloracetic Acid Treatment

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Instrumentation

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENTS

EFFICACY

CODING/BILLING

11 Chalazion Management

INDICATIONS

Warm Compresses and Doxycycline

Intense Pulsed Light Therapy

Steroid Injection

Incision and Curettage

STEROID INJECTION

Indications

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Instrumentation

PROCEDURE

Procedural Steps

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

INCISION AND CURETTAGE

Indications

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Instrumentation (Figure 11-4)

PROCEDURE

Procedural Steps

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING

SUPPLEMENTAL READING

12 Lid-Everting Sutures for Entropion

BACKGROUND

INDICATIONS

CONTRAINDICATIONS

INFORMED CONSENT CONSIDERATIONS

PREOPERATIVE CARE

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR MANAGEMENT

EFFICACY

CODING/BILLING

13 Entropion Repair

CLINICAL FEATURES

Etiology of Involutional Entropion

INDICATIONS

CONTRAINDICATIONS

INFORMED CONSENT CONSIDERATIONS

PREOPERATIVE ASSESSMENT

Preoperative Regimen

PROCEDURE

Surgical Technique

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

Postoperative Instructions

General Postoperative Instructions

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING

14 Ectropion Repair

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Necessary Instrumentation

PROCEDURE

Medial Spindle Procedure

Lateral Canthal Strengthening

Repair of Cicatricial Ectropion with Autologous Graft

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING AND MODIFIERS

15 Blepharoplasty

CAUCASIAN UPPER EYELID

ASIAN UPPER EYELID

LOWER EYELID

INDICATIONS

CONTRAINDICATIONS

INFORMED CONSENT CONSIDERATIONS

Key Informed Consent Adverse Events Listed

PREOPERATIVE ASSESSMENT

PREOPERATIVE REGIMEN

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

Postoperative Instructions

General Postoperative Instructions

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING

16 Ptosis Repair

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

History

Physical Examination

Photography11

Visual Fields

INFORMED CONSENT CONSIDERATIONS

INSTRUMENTATION

External Levator Advancement (Figure 16-1)

Müller’s Muscle Conjunctival Resection (Figure 16-2)

PROCEDURE

External Levator Advancement

Before and after Images of External Levator Advancement (Figures 16-7 to 16-11)

Procedure

Before and after Images of MMCR (Figure 16-17)

POSTOPERATIVE CARE (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

Corneal Abrasion

Overcorrection

Undercorrection

Dry Eyes and Exposure Keratopathy

Hypertrophic Scar, Suture Cyst, or Granuloma

EFFICACY

CODING/BILLING AND MODIFIERS

17 Lid Debridement

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

PROCEDURE

POSTOPERATIVE CARE (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING AND MODIFIERS

18 Maskin Intraductal Meibomian Gland Probing

BACKGROUND

INDICATIONS

MGP for Diagnostic Evaluation

MGP as a Therapeutic Intervention6

INDICATIONS: ADDITIONAL CONSIDERATIONS

Indications for Selecting Glands for Treatment

Indications for Dilating Glands

Indications for Lavage/Rinsing with Therapeutic Agent

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS OR POST-PROCEDURE FINDINGS

EFFICACY

CODING/BILLING AND MODIFIERS

CONCLUSION

19 Radiofrequency in Aesthetics

BACKGROUND

INDICATIONS

CONTRAINDICATIONS AND PRECAUTIONS

PRETREATMENT PREPARATION

Pretreatment Patient Instructions

Informed Consent

Recording Results

Photography

Photography Consent

Equipment Needed/Procedure Checklist

PROCEDURE

Key Procedural Points

PROCEDURE TECHNIQUE FOR EACH AREA

Forehead

Periorbital Area

Midface

POSTTREATMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING AND MODIFIERS

Section 4 Periocular/Orbital Procedures

20 Retrobulbar Injections

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Necessary Instrumentation

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING

21 Canthotomy and Cantholysis

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Instrument Tray

PROCEDURE

Lateral Canthotomy and Cantholysis

SURGICAL STEPS2,6-8

POSTOPERATIVE CARE (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS2,5,7-9,11,14

EFFICACY

CODING AND BILLING

22 Brow Ptosis Repair

INDICATIONS

CONTRAINDICATIONS

INFORMED CONSENT CONSIDERATIONS

PREOPERATIVE PREPARATION

PROCEDURE

Direct Brow Lift

Browpexy

POSTOPERATIVE CARE (FOLLOW-UP SCHEDULE)

Follow-Up

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING AND MODIFIERS

23 Neurotoxin Injections

INDICATIONS

CONTRAINDICATIONS AND PRECAUTIONS

PRETREATMENT CONSIDERATIONS

PRETREATMENT PATIENT INSTRUCTIONS

Informed Consent

CONSENT TO BOTULINUM TOXIN “A” TREATMENT

RISKS AND COMPLICATIONS

PREGNANCY, ALLERGIES, AND NEUROLOGIC DISEASE

RESULTS

Documentation

Photography

Photography Consent

Equipment Needed

Reconstitution and Storage

Storage

Anatomy Review

PROCEDURE

Glabella

Frontalis

Lateral Canthal Rhytids

Benign Essential Blepharospasm and Benign Hemifacial Spasm

Other Uses in Eye care for Neurotoxin

POSTTREATMENT CARE AND FOLLOW-UP SCHEDULE

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

Forehead complications

Lateral canthal rhytids complications

EFFICACY

Section 5 Cornea and Conjunctiva

24 Corneal and Conjunctival Foreign Body Removal

INDICATIONS

CONTRAINDICATIONS

INFORMED CONSENT CONSIDERATIONS

PREOPERATIVE EVALUATION

PROCEDURE

POSTOPERATIVE CARE (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING AND MODIFIERS

25 Corneal Debridement

BACKGROUND

INDICATIONS

Epithelial Basement Membrane Dystrophy

Recurrent Corneal Erosions

Salzmann Nodular Degeneration

Infectious Keratitis

Band Keratopathy

Suspected Ocular Surface Neoplasia

CONTRAINDICATIONS

Pterygium

Bullous Keratopathy

Other Corneal Dystrophies and Scarring

PREOPERATIVE PREPARATION

Equipment Required2-4 (Figure 25-1)

THE PROCEDURE1,2,4,7,11,12

FOCAL DEBRIDEMENT (WHEN TREATING A PORTION OR SECTION OF THE CORNEA)

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENTS

EFFICACY

CODING AND BILLING

ACKNOWLEDGMENT

26 Anterior Stromal Puncture

BACKGROUND

INDICATIONS

Epithelial Basement Membrane Dystrophy

Recurrent Corneal Erosions

Recalcitrant Bullous Keratopathy and Chronic Microcystic Edema

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Equipment Required2,4,5,7 (Figure 26-1)

THE PROCEDURE2,4,5,7

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENTS

EFFICACY

SPECIAL CONSIDERATIONS

Advantages over Other Procedures2

Disadvantages over Other Procedures2

Alternative Procedure Using an Nd:YAG Laser3

CODING AND BILLING

ACKNOWLEDGMENT

27 Amniotic Membrane Placement

BACKGROUND

Sutureless Cryopreserved Amniotic Membrane

Dehydrated Amniotic Membrane

Amniotic Membrane Extract Eye Drop

INDICATIONS

Corneal Erosions

Persistent Epithelial Defects

Neurotrophic Keratitis

Severe or Recalcitrant Corneal Inflammation

Partial Limbal Stem Cell Deficiency

Preoperative Care: Prior to Corneal-Based Refractive Surgery (i.e., Photorefractive Keratectomy (PRK), Laser-Assisted in Situ Keratomileusis (LASIK)) and Elective Cataract Surgery for Optimize Intraocular Lens (IOL) Selection

Postoperative Care: Superficial Keratectomy and/or Corneal Debridement

CONTRAINDICATIONS

Relative

Absolute

PREOPERATIVE PREPARATION

Equipment Required: Sutureless Cryopreserved Amniotic Membrane (Figure 27-1)

Dehydrated amniotic membrane (Figure 27-2)

THE PROCEDURE

Amniotic Membrane Insertion: Sutureless Cryopreserved Amniotic Membrane5,13,14

Dehydrated Amniotic Membrane: Method 1: Direct Amniotic Membrane Disc Application to the Cornea (Figure 27-7)

Method 2: Combining Amniotic Membrane Disc with a BCL Prior to Application to the Ocular Surface* (Figure 27-9)

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

Sutureless Cryopreserved Amniotic Membrane

Dehydrated Amniotic Membrane

Amniotic Membrane Removal: Sutureless Cryopreserved Amniotic Membrane (Figure 27-14)

Dehydrated Amniotic Membrane (Figure 27-15)

POTENTIAL COMPLICATIONS AND THEIR TREATMENTS

EFFICACY

CODING AND BILLING

SPECIAL CONSIDERATIONS: CHOOSING THE ORIENTATION OF THE AMNIOTIC MEMBRANE

28 Autologous Serum

BACKGROUND

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Venipuncture Setup (Figure 28-1)

Autologous Serum Tears Preparation Setup (Figure 28-2)

PROCEDURE

Venipuncture Procedure

Centrifuge Setup

Centrifugation

Postcentrifugation

Autologous Serum Tears Preparation Step-by-Step Instructions

Use and Storage

POSTPROCEDURE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

Keratoconjunctivitis Sicca/Dry Eye Disease

Graft-versus-Host Disease

Superior Limbic Keratoconjunctivitis

Recurrent Corneal Erosions

Sjögren’s Syndrome

CODING/BILLING

CPT Code

Important to Note

ALTERNATIVE OPTIONS

Platelet-Rich Plasma Tears

29 Conjunctivochalasis Repair

BACKGROUND

INDICATIONS FOR TREATMENT

CONTRAINDICATIONS

INFORMED CONSENT CONSIDERATIONS

PREOPERATIVE CARE

PREOPERATIVE PREPARATION

PROCEDURE AND SETTINGS

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING

30 Concretion Removal

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Necessary Instrumentation for Superficial Concretion Removal

PROCEDURE

Key Procedural Steps

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING

31 Pterygium Removal

DIFFERENTIAL DIAGNOSIS

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Instrumentation

PROCEDURE

Anesthesia

Treatments

Bare Scleral Technique with Adjuvants

Pterygium Excision With Preservation of Conjunctiva With Injection of Adjuvant

Amniotic Membrane Grafting

Conjunctival Autograft or Rotational Autograft Technique

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

Adjuvants

Comanagement

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING

32 Subconjunctival and Sub-Tenon’s Injections

INDICATIONS

Subconjunctival Injection Indications

Sub-Tenon’s Injection Indications

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

PROCEDURE

Subconjunctival Injection

Sub-Tenon’s Injection

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

Subconjunctival Injection Postoperative and Comanagement Care

Sub-Tenon’s Injection Postoperative and Comanagement Care

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

Subconjunctival Injections

Sub-Tenon’s Injections

EFFICACY

CODING/BILLING AND MODIFIERS

Section 6 Lacrimal Procedures

33 Lacrimal Dilation and Irrigation

INDICATIONS

CONTRAINDICATION

INFORMED CONSENT

PREOPERATIVE CARE

PROCEDURE

POSTOPERATIVE CARE (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

BILLING/CODING AND MODIFIERS

34 Punctal Plug Insertion

BACKGROUND

Intracanalicular Plugs

Punctal Plugs

INDICATIONS

CONTRAINDICATIONS

PROCEDURE

COLLAGEN INTRACANALICULAR PLUG PROCEDURE13

Required Instruments

SILICONE PUNCTAL PLUG PROCEDURE14

Required Instruments

POTENTIAL COMPLICATIONS

Removal

EFFICACY

CODING/BILLING

Key Coding/Billing Information

35 Thermal Punctoplasty for Involutional Punctal Eversion

INDICATIONS

CONTRAINDICATIONS1,3-6,8

PREOPERATIVE PREPARATION

Instrument Tray

PROCEDURE

Thermal Punctoplasty

POSTOPERATIVE CARE (FOLLOW-UP SCHEDULE)3,6,8-10

POTENTIAL COMPLICATIONS AND THEIR TREATMENT3,9,10

EFFICACY

CODING/BILLING

36 Three-Snip Punctoplasty for Punctal Stenosis

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

PROCEDURE

POSTOPERATIVE CARE (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR MANAGEMENT

Key Potential Complications to Look for

EFFICACY

CODING AND BILLING

37 Dexamethasone Ophthalmic Insert

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

Treatment of Ocular Inflammation and Ocular Pain Following Ophthalmic Surgery

Treatment of Itching Associated with Allergic Conjunctivitis

CODING/BILLING

38 Canaliculotomy

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

Necessary Instrumentation

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

CODING/BILLING AND MODIFIERS

Section 7 Intraocular Procedures

39 Anterior Chamber Implants

INDICATIONS

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

Troubleshooting Scenarios

Complications

EFFICACY

CODING/BILLING

FUTURE TECHNOLOGIES

40 Anterior Chamber Paracentesis

INDICATIONS

Acute Intraocular Eye Pressure Lowering

Drug Delivery

Aqueous Humor Sampling/Anterior Chamber Tap

Anterior Chamber Gas Bubble For Descemet Membrane Endothelial Keratoplasty

CONTRAINDICATIONS

PREOPERATIVE PREPARATION

PROCEDURE

POSTOPERATIVE CARE/COMANAGEMENT SCHEDULE

POTENTIAL COMPLICATIONS

EFFICACY

BILLING AND CODING MODIFIERS

41 Intravitreal Injection of Anti-Vascular Endothelial Growth Factor Agents

INDICATIONS

CONTRAINDICATIONS

INFORMED CONSENT CONSIDERATIONS

PREOPERATIVE CARE

PROCEDURE

POSTOPERATIVE CARE/FOLLOW-UP SCHEDULE

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

Neovascular Age-Related Macular Degeneration

Diabetic Macular Edema

Effect of Anti-VEGF on Diabetic Retinopathy in Eyes with Diabetic Macular Edema

Effect of Anti-VEGF on Diabetic Retinopathy in Eyes without Diabetic Macular Edema

Macular Edema Following Retinal Vein Occlusion

Myopic Choroidal Neovascularization

CODING/BILLING

42 Intravitreal Steroid Injections

BACKGROUND

INDICATIONS

CONTRAINDICATIONS

PROCEDURE

Triamcinolone Suspensions4

Dexamethasone Intravitreal Implant 0.7 mg (Ozurdex)

Fluocinolone Acetonide Intravitreal Implant 0.19 mg (ILUVIEN)

Fluocinolone Acetonide Intravitreal Implant 0.18 mg (YUTIQ)

Fluocinolone Acetonide Intravitreal Implant 0.59 mg (Retisert)

POSTOPERATIVE CARE/COMANAGEMENT (FOLLOW-UP SCHEDULE)

POTENTIAL COMPLICATIONS AND THEIR TREATMENT

EFFICACY

General Efficacy of Medications

Alternatives for Macular Edema (Diabetic Macular Edema, Central Retinal Vein Occlusion, and Branch Retinal Vein Occlusion)

Efficacy and Alternatives for Noninfectious Uveitis

CODING/BILLING AND MODIFIERS

Index

 

An aparitie	17 ian 2024
Autor	Leonid Skorin, Jr OD, DO, Nathan Robert Lighthizer, Selina McGee, Richard Castillo, Karl Stonecipher dba Physicians Protocol
Dimensiuni	152 x 229 mm
Editura	LWW
Format	Paperback
ISBN	9781975222048
Limba	Engleza
Nr pag	736
Versiune digitala	DA