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Fistulization of the sclera for glaucoma, specifically through the ciliary body, is a surgical procedure aimed at alleviating the symptoms of glaucoma, a condition marked by elevated intraocular pressure that can result in damage to the optic nerve and potential vision loss. This technique, known as transciliary fistulization or filtration, involves creating a controlled opening in the sclera, which is the white outer layer of the eyeball. The procedure begins with the formation of a flap in the conjunctiva, the thin membrane covering the front of the eye, to provide access to the sclera and the pars plana region of the ciliary body. Utilizing advanced technology, such as a thermo-cauterization device like a Fugo or plasma blade, the surgeon employs plasma energy to dissolve tissue bonds effectively. This process is critical for creating a micro-pore filter track that extends from the sclera into the ciliary body. The newly formed channel allows aqueous humor, the fluid within the eye, to drain from the posterior chamber into the subconjunctival lymphatic system. This drainage mechanism is essential for reducing intraocular pressure, thereby helping to manage the progression of glaucoma and preserving the patient's vision.
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The procedure of fistulization of the sclera for glaucoma is indicated for patients suffering from glaucoma, particularly when traditional treatments have not effectively managed intraocular pressure. The following conditions may warrant this surgical intervention:
The procedure for fistulization of the sclera for glaucoma involves several critical steps to ensure successful outcomes. Each step is designed to facilitate the creation of a drainage channel that effectively reduces intraocular pressure.
After the fistulization procedure, patients typically require monitoring for any complications and to assess the effectiveness of the drainage channel. Post-operative care may include the use of anti-inflammatory medications to reduce swelling and discomfort. Patients are advised to follow up with their ophthalmologist to ensure proper healing and to evaluate intraocular pressure levels. It is essential to monitor for signs of infection or other adverse effects, as well as to assess the success of the procedure in managing glaucoma. Recovery times may vary, and patients should be informed about the importance of adhering to follow-up appointments for optimal outcomes.
| Short Descr | SCLERAL FISTULIZATION | Medium Descr | FISTULIZATION SCLERA GLAUCOMA CILIARY BODY | Long Descr | Fistulization of sclera for glaucoma, through ciliary body | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 14 - Glaucoma procedures |
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| 2016-01-01 | Deleted | Deleted |
| 2006-01-01 | Added | First appearance in code book in 2006. |
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