Extracapsular Cataract Extraction (ECCE) primarily employs several key instruments, including a surgical knife (keratome) for making an initial incision, a capsulorhexis forceps for creating an opening in the lens capsule, and phacoemulsification equipment for breaking up and removing the cataract. Additionally, a lens aspirator is used to clear the lens material, and various forceps and scissors may assist in manipulating and extracting the cataract. The procedure may also involve the use of an intraocular lens (IOL) for vision restoration post-extraction.
Some older methods of cataract surgery may have to be used if the cataract is too large to remove with a small incision, including: Extracapsular cataract extraction.Intracapsular cataract extraction
The CPT code for extracapsular cataract extraction with insertion of a posterior chamber lens implant is 66984. This code is used to describe the surgical procedure where the cataract is removed and an intraocular lens is implanted in the posterior chamber of the eye. It is important to ensure that the code is applied correctly based on the specific details of the procedure performed.
This method carries an increased risk for detachment of the retina and swelling after surgery. It is rarely used.
In traditional cataract surgery, manual instruments are used for various steps. Laser cataract surgery, on the other hand, utilizes a laser to perform precise incisions and break up the cataract for easier removal, potentially enhancing the overall precision of the procedure.
CPT code 66984 refers to the surgical procedure for cataract extraction with intraocular lens (IOL) implantation, specifically using an extracapsular technique. This procedure typically involves the removal of the cataractous lens and the placement of a lens implant to restore vision. It is often performed using advanced techniques such as phacoemulsification. This code is commonly used for billing and insurance purposes in ophthalmology.
The most common sutures used in intracapsular cataract extraction are 10-0 nylon sutures. These fine, non-absorbable sutures are preferred for their minimal tissue reaction and ability to provide excellent wound closure. Occasionally, 8-0 or 9-0 sutures may also be used, depending on the surgeon's preference and the specific case requirements.
When the intracapsular extraction method is used, an IOL may be clipped onto the iris.
The technique for removing a cataract along with the surrounding capsule is called "phacoemulsification with capsulorhexis." In this procedure, ultrasound energy is used to break up the cataract, and the anterior capsule of the lens is carefully opened and removed. This approach allows for a complete extraction of the cataract while preserving the integrity of the eye's structure, facilitating the subsequent implantation of an intraocular lens.
Laser cataract surgery uses advanced femtosecond laser technology to assist with key steps of the procedure, such as making incisions and softening the cloudy lens for easier removal. This allows for greater precision and can reduce stress on the eye. Traditional cataract surgery, while still highly effective, relies on handheld instruments for these steps. Many patients seeking accuracy and a more customized approach choose experienced specialists like Dr. Stuart Terry, who offer both traditional and laser-assisted cataract surgeries depending on individual needs
Cataracts are usually treated through cataract surgery if other methods of vision improvement have failed. Cataract surgery is typically an outpatient surgical procedure and is usually very successful in restoring vision.
Phacolytic glaucoma results when a cataract becomes hypermature and the proteins of the lens with the cataract leak out
YAG capsulotomy is most often used for this type of cataract.