What is ocular surface reconstruction?

What is ocular surface reconstruction?

Ocular surface reconstruction with tissue transplantation has emerged as the treatment modality for ocular surface disorders refractory to conventional medical therapies. Amniotic membrane is a well-documented system with applications as a surrogate tissue and substrate for ex vivo expansion of epithelium.

What is the meaning of ocular surface?

The “Ocular Surface System” is defined as the ocular surface, which includes the surface and glandular epithelia of the cornea, conjunctiva, lacrimal gland, accessory lacrimal glands, and meibomian gland, and their apical (tears) and basal (connective tissue) matrices, the eyelashes with their associated glands of Moll …

What is corneal reconstruction?

In corneal reconstruction, the amniotic membrane is used to treat LESC deficiencies, perforations, bullous keratopathy, and corneal ulcers.

Does Medicare cover amniotic membrane?

Q Does Medicare cover procedures using amniotic membrane tissue? A Yes, when medically necessary.

What are ocular surface disorders?

OSD includes conditions like Dry Eye Disease (DED), blepharitis and meibomian gland dysfunction (MDG), allergic eye diseases (AED), chemical and thermal burns and so on. Ocular surface diseases can severely affect eyesight and quality of life, and in severe cases, cause blindness.

Can ocular surface disease be cured?

Successful management of ocular surface disorders can be difficult. Many conditions, such as allergic eye diseases, are chronic. Symptoms can often be controlled but not completely eliminated. Relapse and flare-ups are also common, and most treatments require the involvement of the patient over a long period of time.

How is ocular surface disease treated?

Treatment depends partly on whether it is more anterior or posterior but generally includes a combination of warm compresses, eyelid scrubs, artificial tears, antibiotic drops or ointment, cyclosporine or lifitegrast and occasionally topical steroids or oral antibiotics.

How many years does a corneal transplant last?

Most corneal transplants last well beyond 10 years. Corneal transplant patients require bi-annual ophthalmic checkups to ensure optimal eye health. Cornea donor tissue is rigorously inspected for suitability and safety.

How long is the waiting list for corneal transplant?

In the United States there is no waiting list for a cornea transplant. When a surgeon has a patient in need of a transplant, they contact Eversight to arrange for donated eye tissue to be sent to them for surgery.

How much does an amniotic membrane cost?

Amniotic membranes can cost anywhere from $300 to $900 per device, and that can be a significant problem for patients paying out of pocket.

How much do amniotic injections cost?

Regenerative Medicine Pricing

Procedure Cost
Platelet Rich Plasma Injection (PRP) – Single $750
Platelet Rich Plasma Injection (PRP) – 3 Series $2,000
Bone Marrow Aspirate Concentrate (BMAC) $3,000
Amniotic Fluid Injection (AFI) Cryporeserved $2,500

What are objective signs of ocular surface disease?

The following symptoms may be found in all of the subtypes: ocular discomfort; dryness; burning; stinging; grittiness; foreign body sensation; photophobia; and blurred or fluctuating vision.

What is the Ocular Surface Disease Index?

Purpose.: The Ocular Surface Disease Index (OSDI) is a 12-item scale for the assessment of symptoms related to dry eye disease and their effect on vision.

What is an ocular surface disease?

Ocular surface disease represents a spectrum of disorders that affect the surface of the eyes. Dry eye syndrome is one of the most common ocular surface diseases, with incidence ranging from 5.7% to 21.6%.

What is ocular refraction?

A refraction is an eye exam that measures a person’s prescription for eyeglasses or contact lenses. This test is performed by an ophthalmologist or optometrist. Both of these professionals are often called “eye doctor.” You sit in a chair that has a special device (called a phoroptor or refractor) attached to it.

What is the CPT code for ocular surface reconstruction?

CPT codes 65780 to 65782 and 68371 will be primarily used by cornea specialists to correct surface abnormalities. • 65780 is the simplest of these techniques, for ocular surface reconstruction using amniotic membrane.