The corneal light shield and traction suture were then cut. Conjunctiva was then reapproximated using interrupted 70 Vicryl sutures. Repair of the tympanic membrane with or without site preparation of perforation for closure, with or without patch is the description for code 69610 is confirmed in the numeric section. A scleral patch graft was placed over the tube entry point and secured at the limbus with interrupted 70 Vicryl sutures. In the CPT® Index look for Repair/Tympanic Membrane which directs you to code 69450, 69610. Scleral grafting with overlying conjunctival or amniotic membrane graft is an effective and simple measure for preserving globe integrity both structurally and functionally. The tube was then held with curved tying forceps and inserted into the wound.

Visual acuity remained stable in the majority (9/13, 60%), improved in one and deteriorated in three eyes. Epithelialization and vascularization were seen in the remaining eyes after an average duration of 3-4 weeks. Three complications were noted: endophthalmitis, graft necrosis, and graft dehiscence with uveal prolapse. Tectonic success was achieved in 10 eyes (76.9%). The patients were followed up for 6-60 months, an average period of 24.3 months. Structural integrity and visual outcome were assessed as the main outcome measures.Ī total of 13 eyes of 13 patients required scleral patch grafting for scleral defects of varying aetiologies, the most common being necrotizing scleritis following pterygium surgery (40%). The graft was covered with a conjunctival flap or amniotic membrane.

After removal of all the devitalized tissue, alcohol-preserved full-thickness sclera was tailored to fit the defect and sutured in place. Medical records of all patients who underwent scleral patch grafting at a tertiary care centre between 19 for scleral defects were reviewed. CorneaGen’s sterile scleral patch grafts arrive hydrated in saline, ready to use for your glaucoma drainage device procedures. The study was a retrospective interventional case series. To evaluate the visual and structural outcomes of scleral patch grafting in cases of scleral defect.

Scleral patch graft cpt code