CPT® Code 65760

1. Indications

The procedure of keratomileusis is indicated for patients who experience specific refractive errors that affect their visual acuity. These indications include:

• Myopia A condition where distant objects appear blurry due to excessive curvature of the cornea.
• Hyperopia A condition where close objects are difficult to see clearly, often due to an insufficiently curved cornea.
• Astigmatism An irregular curvature of the cornea that leads to distorted or blurred vision at all distances.

2. Procedure

The keratomileusis procedure involves several critical steps that ensure the successful reshaping of the cornea. These steps include:

• Step 1: Anesthesia Administration The procedure begins with the administration of local anesthesia to ensure the patient remains comfortable and pain-free throughout the surgery. This may involve the use of topical anesthetic drops applied directly to the eye.
• Step 2: Preparation of the Cornea Once the anesthesia takes effect, the surgeon utilizes an operating microscope to gain a clear view of the eye. The anterior lamella of the cornea is carefully peeled back, exposing the underlying corneal tissue for further manipulation.
• Step 3: Tissue Removal and Freezing A specific section of the corneal tissue is excised from the eye. This tissue is then frozen to facilitate the reshaping process, allowing for precise alterations to be made to the cornea.
• Step 4: Reshaping the Corneal Tissue The posterior surface of the frozen corneal tissue is reshaped using one of several methods, including a lathe, laser, or knife blade. This reshaping is critical for correcting the refractive error and improving visual acuity.
• Step 5: Suturing the Tissue After the reshaping is complete, the corneal tissue is sutured back into its original position. This step is essential for ensuring the stability of the cornea and promoting proper healing.
• Step 6: Post-Procedure Protection At the conclusion of the procedure, the eye may be covered with a protective patch or shield. This is done to safeguard the eye during the initial recovery period and to prevent any accidental trauma to the surgical site.

3. Post-Procedure

Following the keratomileusis procedure, patients are typically monitored for any immediate complications. Post-procedure care may include the use of prescribed eye drops to prevent infection and reduce inflammation. Patients are advised to avoid rubbing their eyes and to wear the protective patch or shield as directed. Recovery time can vary, but many patients experience improved vision shortly after the procedure, with continued improvement over the following weeks. Regular follow-up appointments are essential to monitor healing and ensure optimal visual outcomes.