What does Pupilloplasty mean?
What does Pupilloplasty mean?
Pupilloplasty is a surgical procedure on the iris that alters the shape or function of the pupil. You can think of the iris like a doughnut, and the pupil like the empty space in the middle.
How do you do Pupilloplasty?
A simple pupilloplasty can be performed with the Siepser sliding knot technique, in which a surgeon makes several paracentesis incisions and then passes a needle through the first paracentesis and the iris, and captures the parts of the pupil to be brought together, he said.
What is Laser Pupilloplasty?
Laser pupilloplasty was performed with the aim to shift edge of the pupil from papillary area.
Can a damaged pupil be repaired?
Iris surgeries come in the form of iris repair (iridoplasty) or an iris prosthesis. Iris repair often involves the use of sutures inside the eye to reshape the iris to its original shape, re-creating a round pupil. Sometimes the surgeon may cut some of the existing iris to help improve the appearance.
What is Pupilloplasty CPT code?
Colorado Subscriber Answer: When the physician performs a pupilloplasty with a laser to improve vision, you will report 66762 (Iridoplasty by photocoagulation (1 or more sessions) (e.g., for improvement of vision, for widening of anterior chamber angle)).
What is the CPT code for Pupilloplasty?
What is blown pupil trauma?
A blown, or blown out, pupil is characterized by a pupil that is largely dilated and unresponsive to light. When it occurs, a fixed dilated pupil may be present in one or both eyes. Typically, blown pupils are seen in response to brain damage caused by trauma or stroke, though less serious causes are possible.
What is iris Cerclage?
The iris cerclage is a useful technique to correct persistent mydriasis due to diffuse iris sphincter dysfunction. It often results in a relatively round pupillary opening and offers excellent control of the final pupil size.
What is a peripheral iridectomy?
Peripheral iridectomy: A surgical procedure in which a hole is made in the periphery (outer part) of the iris by removing a full-thickness piece from the iris in order to treat a specific type of glaucoma called narrow-angle glaucoma (or angle-closure glaucoma).
How is pupilloplasty performed for iridoplasty?
In this surgical technique for pupilloplasty, after a single pass of needle through the edges of iris defect along the pupillary margin, the suture end is passed through the loop with 4 throws, creating a helical configuration in modified Siepser slipknot technique that is self-retaining and self-locking.
What is the history of pupilloplasty?
The first published pupilloplasty technique was made by mcCannel in 1976 who tried to repair an iris defect after ICCE to manage a subluxated iris- sutured IOL inside the AC with full air bubble by using sutures retrieved through three small incisions.
What is the Siepser double Sliding Knot and pupilloplasty?
The collective use of the Siepser Double Sliding Knot and Pupilloplasty technique offers an excellent recovery of the physiologic function and cosmesis post-operatively in patient with pre-existing traumatic iris dysfunctions. The Siepser Double Sliding Knot method offers a “closed chamber” slipping suture technique for iris repairs.
How do you perform a pupillary stretch?
The pupillary stretch is performed every 2-clock hour around the entire pupillary margin. The 10-0 suture attached to the long arm of the needle is passed through the proximal iris tissue while the end-opening forceps grasp it.
