CPT® Code 21077

1. Indications

The orbital prosthesis is indicated for patients who have experienced loss or defect of the eye and surrounding structures due to various conditions. These may include:

• Ocular Trauma - Injury to the eye resulting in the need for replacement.
• Enucleation - Surgical removal of the eye due to disease or injury.
• Orbital Tumors - Removal of tumors affecting the eye socket that necessitates reconstruction.
• Congenital Defects - Birth defects that affect the structure of the eye and surrounding areas.

2. Procedure

The procedure for creating an orbital prosthesis involves several detailed steps to ensure a proper fit and aesthetic appearance. These steps include:

• Step 1: Impression Taking - The first step involves making an impression of the orbital defect. This is done using a soft material that accurately captures the contours of the area, ensuring that the prosthesis will fit comfortably and securely.
• Step 2: Mold Creation - Once the impression is obtained, a mold is created from it. This mold serves as the template for fabricating the orbital prosthesis, allowing for precise replication of the patient's unique anatomy.
• Step 3: Prosthesis Fabrication - The orbital prosthesis is constructed using medical-grade silicone, which is color matched to the patient's skin tone. This step is crucial for achieving a natural appearance.
• Step 4: Eye Component Fabrication - The eye component of the prosthesis is made separately from acrylic material, which is also color matched to the patient's natural eye color. This ensures that the prosthesis not only fits well but also looks realistic.
• Step 5: Assembly - After both components are prepared, they are connected to form the complete orbital prosthesis. This assembly is critical for ensuring that the prosthesis functions effectively and maintains its aesthetic qualities.
• Step 6: Attachment - Finally, the orbital prosthesis is attached to the patient using specialized adhesives. This step secures the prosthesis in place, allowing for daily wear and use.

3. Post-Procedure

After the placement of the orbital prosthesis, patients may require specific post-procedure care to ensure proper healing and maintenance of the prosthesis. This includes regular cleaning of the prosthesis to prevent buildup of debris and bacteria, as well as periodic check-ups with the healthcare provider to assess the fit and condition of the prosthesis. Patients should be advised on how to properly care for the area around the prosthesis and to report any signs of irritation or discomfort. Additionally, adjustments may be necessary over time to accommodate changes in the surrounding tissues or to enhance comfort and appearance.