Amniotic Membrane Transplantation for the Ocular Surface
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Ocular Photography - External (L34393)
Local Coverage Determination (LCD): Ocular Photography - External (L34393) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information Contractor Name Contract Type Contract Number Jurisdiction State(s) CGS Administrators, LLC MAC - Part A 15101 - MAC A J - 15 Kentucky CGS Administrators, LLC MAC - Part B 15102 - MAC B J - 15 Kentucky CGS Administrators, LLC MAC - Part A 15201 - MAC A J - 15 Ohio CGS Administrators, LLC MAC - Part B 15202 - MAC B J - 15 Ohio Back to Top LCD Information Document Information LCD ID Original Effective Date L34393 For services performed on or after 10/01/2015 Original ICD-9 LCD ID Revision Effective Date L31880 For services performed on or after 10/01/2018 Revision Ending Date LCD Title N/A Ocular Photography - External Retirement Date Proposed LCD in Comment Period N/A N/A Notice Period Start Date Source Proposed LCD N/A N/A Notice Period End Date AMA CPT / ADA CDT / AHA NUBC Copyright Statement N/A CPT only copyright 2002-2018 American Medical Association. All Rights Reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. The Code on Dental Procedures and Nomenclature (Code) is published in Current Dental Terminology (CDT). -
Surgically Induced Scleral Staphyloma
Original Article Surgically induced scleral staphyloma Yong Yao1, Ming-Zhi Zhang1, Vishal Jhanji1,2 1Joint International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou 515041, China; 2Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China Contributions: (I) Conception and design: Y Yao; (II) Administrative support: MZ Zhang; (III) Provision of study materials or patients: Y Yao; (IV) Collection and assembly of data: Y Yao; (V) Data analysis and interpretation: Y Yao; V Jhanji; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Yong Yao. Shantou International Eye Center, Jinping District, Guangxia New Town, Shantou 515041, China. Email: [email protected] or [email protected]. Background: To report the clinical features of surgically induced scleral staphyloma and investigate the management. Methods: Retrospective uncontrolled study. Results: A full ophthalmological evaluation of surgically induced scleral staphyloma in four patients was performed. The first patient was a 3-year-old young girl underwent corneal dermoid resection. The second patient was a 60-year-old man underwent nasal pterygium excision and conjunctival autograft without Mitomycin C (MMC). The other two were respectively a 74-year-old woman and a 69-year-old man underwent cataract surgery. All patients performed allogeneic sclera patch graft. In the at least half a year follow-up, the best corrected visual acuity (BCVA) of all the four patients were no worse than that of preoperative. Ocular symptoms disappeared, including eye pain, foreign body sensation, and so on. Unfortunately, the fourth patient showed sclera rejection and partial dissolution at postoperative 1 month. -
Long-Term Ocular Surface Stability in Conjunctival Limbal Autograft Donor Eyes
CLINICAL SCIENCE Long-Term Ocular Surface Stability in Conjunctival Limbal Autograft Donor Eyes Albert Y. Cheung, MD,*† Enrica Sarnicola, MD,*†‡ and Edward J. Holland, MD*† (OSST) procedures can provide healthy limbal stem cells Purpose: fi – To investigate the incidence of limbal stem cell de ciency and conjunctiva to rehabilitate a damaged ocular surface.2 8 (LSCD) in donor eyes after conjunctival limbal autograft (CLAU). Conjunctival limbal autograft (CLAU) is a technique that ; Methods: An observational retrospective review was performed on transplants a portion (typically 3to6clockhours)ofthe all patients who underwent CLAU alone, combined keratolimbal healthy stem cells from an unaffected eye to the contralat- allograft with CLAU (“Modified Cincinnati Procedure”), or com- eral affected eye in individuals affected by unilateral LSCD.6 bined living-related conjunctival limbal allograft (lr-CLAL) with 7 $ Cultivated limbal epithelial transplantation (CLET) CLAU having 6 months of follow-up after surgery. The outcome 8 measures were best-corrected visual acuity (BCVA) and ocular and simple limbal epithelial transplantation (SLET) provide surface status. ex vivo and in vivo expansion of stem cells, respectively, to repopulate the ocular surface. In contrast to CLET and SLET, Results: The inclusion criteria were fulfilled by 45 patients. Of CLAU is ideal for rehabilitating severe unilateral LSCD these, 26 patients underwent CLAU, 18 underwent combined requiring combined conjunctival limbal transplantation and keratolimbal allograft/CLAU, and 1 underwent combined lr- for reconstruction of the ocular surface. Proponents of CLET CLAL/CLAU. Mean age at the time of surgery was 39.6 years. and SLET have raised concerns regarding the potential Mean logMAR preoperative BCVA was 20.08. -
Managing Ocular Surface Inflammation”
E Y 7th EDITION OLOGIES OF THE E OLOGIES OF th H 7 AT EDITION P THEA INTERNATIONAL CONTEST OF CLINICAL CASES IN PATHOLOGIES OF THE EYE THEA INTERNATIONAL CONTEST OF CLINICAL CASES IN PATHOLOGIES OF THE EYE NTEST OF CLINICAL CASES IN OF CLINICAL NTEST O This brochure is produced under the sole responsibility of the authors. Laboratoires Théa are not involved in the writing of this document. This brochure may contain MA off-label and/or not validated by health authorities information. NATIONAL C NATIONAL R HEA INTE HEA T 2018 - 2019 EDITION 2018 - 2019 EDITION MANAGING MANAGING OCULAR SURFACE OCULAR SURFACE INFLAMMATION THE BEST CLINICAL CASES FROM 22 COUNTRIES INFLAMMATION THE BEST CLINICAL CASES FROM 22 COUNTRIES WWW.THEA-TROPHY.COM CLINICAL CASES CLINICAL - BA WTROBRO0120 WWW.THEA-TROPHY.COM Laboratoires Théa • 12, rue Louis Blériot 63017 Clermont-Ferrand Cedex 2 • France T +33 4 73 98 14 36 Laboratoires Théa F +33 4 73 98 14 38 LABORATOIRES-THEA.COM th 7 EDITION This brochure is produced under the sole responsibility of the authors, Laboratoires Théa are not involved in the writing of the clinical cases. This brochure may contain MA off-label and/or not validated by health authorities information. PREFACE Mr. JEAN-FRÉDÉRIC CHIBRET TROPHY 2018-2019 the Clinical Cases 2 M. Jean-Frédéric CHIBRET President of Laboratoires Théa Théa has focused its activities on research, development and commercialization of eye-care products, but at the same time has invested in education and knowledge promotion in line with the strong Chibret family tradition. In this way, Théa supports many projects and educational activities such as the European Meeting of Young Ophthalmologists (EMYO) or its partnership with the European Board of Ophthalmology (EBO). -
Chronic Conjunctivitis
9/8/2017 Allergan Pharmaceuticals Speaker’s Bureau Bio-Tissue BioDLogics, LLC Katena/IOP Seed Biotech COA Monterey Symposium 2017 Johnson and Johnson Vision Care, Inc. Shire Pharmaceuticals Nicholas Colatrella, OD, FAAO, Dipl AAO, ABO, ABCMO Jeffrey R. Varanelli, OD, FAAO, Dipl ABO, ABCMO Text NICHOLASCOLA090 to 22333 to join Live Text Poll Nicholas Colatrella, OD, FAAO, Dipl AAO, Jeffrey Varanelli, OD, FAAO, Dipl ABO, ABO, ABCMO ABCMO Text NICHOLASCOLA090 to 22333 once to join Then text A, B, C, D, E or write in your answer Live Immediate Accurate Chronic conjunctivitis is one of the most frustrating reasons that patients present to the office (1) Time course Often times patients will seek multiple providers searching for a solution The chronicity of their symptoms is extremely frustrating to the (2) Morphology patient and treating physician alike Some conditions can seriously affect vision and create ocular morbidity (3) Localization of disease process Many of these diseases do not respond to commonly used topical antibiotics, topical steroids, artificial tears, and other treatments for external ocular disease (4) Type of discharge or exudate Our hope during this one-hour lecture is to present a process to help aid in the diagnosis of chronic conjunctivitis help you determine the most likely etiology 1 9/8/2017 Three weeks is the dividing point as it is the upper limit for cases of viral infection and most bacterial infections to resolve without treatment. Acute Conjunctivitis Conjunctivitis that has been present for less than 3 weeks -
Vertical Perspective Medical Assistance Program
Kansas Vertical Perspective Medical Assistance Program December 2006 Provider Bulletin Number 688 General Providers Emergent and Nonemergent Diagnosis Code List Attached is a list of diagnosis codes and whether the Kansas Medical Assistance Program (KMAP) considers the code to be emergent or nonemergent. Providers are responsible for validating whether a particular diagnosis code is covered by KMAP under the beneficiary’s benefit plan and that all program requirements are met. This list does not imply or guarantee payment for listed diagnosis codes. Information about the Kansas Medical Assistance Program as well as provider manuals and other publications are on the KMAP Web site at https://www.kmap-state-ks.us. If you have any questions, please contact the KMAP Customer Service Center at 1-800-933-6593 (in-state providers) or (785) 274-5990 between 7:30 a.m. and 5:30 p.m., Monday through Friday. EDS is the fiscal agent and administrator of the Kansas Medical Assistance Program for the Kansas Health Policy Authority. Page 1 of 347 Emergency Indicators as noted by KMAP: N – Never considered emergent S – Sometimes considered emergent (through supporting medical documentation) Y – Always considered emergent Diagnosis Emergency Diagnosis Code Description Code Indicator 0010 Cholera due to Vibrio Cholerae S 0011 Cholera due to Vibrio Cholerae El Tor S 0019 Unspecified Cholera S 019 Late Effects of Tuberculosis N 0020 Typhoid Fever S 0021 Paratyphoid Fever A S 0022 Paratyphoid Fever B S 0023 Paratyphoid Fever C S 024 Glanders Y 025 Melioidosis -
Amniotic Membrane Grafts in Pediatric Corneal Limbal Dermoids with Conjunctival Eyelashes: a Case Presentation
Open Journal of Ophthalmology, 2016, 6, 191-197 http://www.scirp.org/journal/ojoph ISSN Online: 2165-7416 ISSN Print: 2165-7408 Amniotic Membrane Grafts in Pediatric Corneal Limbal Dermoids with Conjunctival Eyelashes: A Case Presentation Larisa Akah Che1, Linda A. Morgan2, Donny W. Suh2,3 1University of Nebraska Medical Center, Omaha, NE, USA 2Children’s Hospital & Medical Center, Omaha, NE, USA 3Department of Ophthalmology and Visual Sciences, Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha, NE, USA How to cite this paper: Che, L.A., Morgan, Abstract L.A. and Suh, D.W. (2016) Amniotic Mem- brane Grafts in Pediatric Corneal Limbal Purpose: To report a case of a pediatric corneal limbal dermoid with eyelashes and Dermoids with Conjunctival Eyelashes: A to describe post-operative changes after excision with reconstruction using amniotic Case Presentation. Open Journal of Oph- membrane grafting, sutures and fibrinogen-thrombin glue. Case Report: One pedia- thalmology, 6, 191-197. http://dx.doi.org/10.4236/ojoph.2016.64027 tric patient was identified with a grade II infratemporal corneal-limbal dermoid with conjunctival eyelashes. The dermoid was surgically excised and the cornea recon- Received: August 23, 2016 structed with amniotic membrane using sutures and fibrinogen/thrombin glue. Pre- Accepted: October 11, 2016 operative and postoperative measurement of astigmatism, anisometropia and pres- Published: October 14, 2016 ence of exposure keratopathy were performed. Copyright © 2016 by authors and Scientific Research Publishing Inc. Keywords This work is licensed under the Creative Commons Attribution International Corneal Limbal Dermoid, Amniotic Membrane Graft, Choriostoma License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access 1. -
Transglutaminase in Ocular Health and Pathological Processes
perim Ex en l & ta a l ic O p in l h t C h f Journal of Clinical & Experimental a Tong et al. J Clinic Experiment Ophthalmol 2011, S:2 o l m l a o n l DOI: 10.4172/2155-9570.S2-002 r o g u y o J Ophthalmology ISSN: 2155-9570 ResearchResearch Article Article OpenOpen Access Access Recent Advances: Transglutaminase in Ocular Health and Pathological Processes Louis Tong1,2,3*, Evelyn Png2, Wanwen Lan2 and Andrea Petznick2 1Singapore National Eye Center, Singapore 2Singapore Eye Research Institute, Singapore 3Duke-NUS Graduate Medical School, Singapore Abstract Transglutaminase (TG) is a diverse class of crosslinking enzymes involved in the regulation of cytokine production, endocytosis, cell adhesion, migration, apoptosis and autophagy. It has been implicated in inflammatory diseases, neurodegenerative processes and cancer. The eye is a specialized organ which subserves the important function of vision and has distinctive physiological and anatomical properties that differ from other body tissues. Understanding of the roles of various TGs in the eye therefore require studies specific to cells and tissues of ocular origin. We review the advances in TG research in ocular diseases, including pterygium, glaucoma, cataract and proliferative vitreoretinopathy. TG1 is a molecule important for keratinisation in many cicatrizing diseases of the ocular surface, including keratoconjunctivitis sicca. TG2, with multiple functions, has been shown to be important in inflammation and cell adhesion in various ocular diseases. The results of TG research in each region of the eye are critically assessed and the implications of these studies in the treatment of ocular diseases are discussed. -
Diagnosis and Treatment of Neurotrophic Keratopathy
An Evidence-based Approach to the Diagnosis and Treatment of Neurotrophic Keratopathy ACTIVITY DIRECTOR A CME MONOGRAPH Esen K. Akpek, MD This monograph was published by Johns Hopkins School of Medicine in partnership Wilmer Eye Institute with Catalyst Medical Education, LLC. It is Johns Hopkins School of Medicine not affiliated with JAMA medical research Baltimore, Maryland publishing. Visit catalystmeded.com/NK for online testing to earn your CME credit. FACULTY Natalie Afshari, MD Mina Massaro-Giordano, MD Shiley Eye Institute University of Pennsylvania School of Medicine University of California, San Diego Philadelphia, Pennsylvania La Jolla, California Nakul Shekhawat, MD, MPH Sumayya Ahmad, MD Wilmer Eye Institute Mount Sinai School of Medicine Johns Hopkins School of Medicine New York, New York Baltimore, Maryland Pedram Hamrah, MD, FRCS, FARVO Christopher E. Starr, MD Tufts University School of Medicine Weill Cornell Medical College Boston, Massachusetts New York, New York ACTIVITY DIRECTOR FACULTY Esen K. Akpek, MD Natalie Afshari, MD Mina Massaro-Giordano, MD Professor of Ophthalmology Professor of Ophthalmology Professor of Clinical Ophthalmology Director, Ocular Surface Diseases Chief of Cornea and Refractive Surgery University of Pennsylvania School and Dry Eye Clinic Vice Chair of Education of Medicine Wilmer Eye Institute Fellowship Program Director of Cornea Philadelphia, Pennsylvania Johns Hopkins School of Medicine and Refractive Surgery Baltimore, Maryland Shiley Eye Institute Nakul Shekhawat, MD, MPH University of California, -
Outcomes of Vitrectomy for Retinal Detachment in a Patient with Ehlers
Lumi et al. J Med Case Reports (2021) 15:249 https://doi.org/10.1186/s13256-021-02855-w CASE REPORT Open Access Outcomes of vitrectomy for retinal detachment in a patient with Ehlers–Danlos syndrome type IV: a case report Xhevat Lumi1*, Gaber Bergant2, Anila Lumi1 and Mina Mahnic1 Abstract Background: The Ehlers–Danlos syndrome (EDS) is a group of connective tissue disorders characterized by fragile blood vessels and an increased tendency for bleeding and scarring. Here, we report the outcome of a pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment in a patient with EDS type IV (vascular type). Case presentation: A 40-year-old Slovenian man with high myopia, unilateral bullous retinal detachment, and vitre- ous hemorrhage was referred for surgery. The patient had a history of colon perforation, muscle and arterial rupture in both lower limbs, and recurrent shoulder joint luxations. Genetic testing revealed a pathogenic mutation in the COL3A1 gene. The patient underwent a 25-gauge three-port pars plana vitrectomy. The tendency for bleeding during surgery was prevented by endodiathermy applied to the edges of the retinal breaks. Endolaser photocoagulation was performed under air. The surgical procedure was completed with the injection of gas tamponade, followed by the patient remaining for a few days in a face-down position. Mild postoperative vitreous hemorrhage was resorbed in frst week after the surgery. Postoperative extensive pigment dispersion on the posterior lens face persisted for several weeks. After the gas tamponade had resorbed, the retina was fat and remained attached during the follow-up period. -
Ethical Issues in Living-Related Corneal Tissue Transplantation
Viewpoint Ethical issues in living-related corneal J Med Ethics: first published as 10.1136/medethics-2018-105146 on 23 May 2019. Downloaded from tissue transplantation Joséphine Behaegel, 1,2 Sorcha Ní Dhubhghaill,1,2 Heather Draper3 1Department of Ophthalmology, ABSTRact injury, typically chemical burns, chronic inflamma- Antwerp University Hospital, The cornea was the first human solid tissue to be tion and certain genetic diseases, the limbal stem Edegem, Belgium 2 transplanted successfully, and is now a common cells may be lost and the cornea becomes vascula- Faculty of Medicine and 5 6 Health Sciences, Dept of procedure in ophthalmic surgery. The grafts come from rised and opaque, leading to blindness (figure 1). Ophthalmology, Visual Optics deceased donors. Corneal therapies are now being In such cases, standard corneal transplants fail and Visual Rehabilitation, developed that rely on tissue from living-related donors. because of the inability to maintain a healthy epithe- University of Antwerp, Wilrijk, This presents new ethical challenges for ophthalmic lium. Limbal stem cell transplantation is designed to Belgium 3Division of Health Sciences, surgeons, who have hitherto been somewhat insulated address this problem by replacing the damaged or Warwick Medical School, from debates in transplantation and donation ethics. lost limbal stem cells (LSC) and restoring the ocular University of Warwick, Coventry, This paper provides the first overview of the ethical surface, which in turn increases the success rates of United Kingdom considerations generated by ocular tissue donation subsequent sight-restoring corneal transplants.7 8 from living donors and suggests how these might Limbal stem cell donations only entail the removal Correspondence to be addressed in practice. -
Ablution Exercise – May Prevent Dacryocystitis
December 2019/ Vol 4/ Issue 8 Print ISSN : 2581-4907, Online ISSN : 2456-6454 Original Research Article Ablution exercise – may prevent dacryocystitis Pandey J. 1, Ranjan A .2 , Gupta R.C. 3, Khan P. 4 1Dr. Jayati Pandey, Senior Resident, 2Dr. Alok Ranjan, Senior Resident, 3Dr. Ramesh Chandra Gupta, Principal, LLRM Medical College, Meerut. Ex-HOD Department of Ophthalmology, 4Dr. Perwez Khan, Professor & Head; all authors are affiliated with Department of Ophthalmology, G.S.V.M Medical College, Kanpur, Uttar Pradesh, India. Corresponding Author: Dr. Jayati Pandey, Senior Resident, Department of Ophthalmology, G.S.V.M Medical College, Kanpur, Uttar Pradesh, India. Email: [email protected] ……………………………………………………………………………………………………………………………………... Abstract Background: Dacryocystitis is an infection and inflammation of the lacrimal sac and most common cause of ocular morbidity in India. It’s accounting for 87.1% of epiphora and causes social discomfort due to continuous watering from the eyes. It is more common in India as being tropical country. It has higher incidence among lower socioeconomic status. Hygiene plays an important role in its aetiology. Objective: This study was aimed to survey the demographic characteristics of patients received external dacryocystorhinostomy (DCR) surgery to correlate with religious aspect of the patients. Material & Methods : The present study is a retrospective study conducted at Ophthalmology Department from the hospital records of patients who underwent external DCR for epiphora from January 2013 to December 2017. Results: Out of 305 cases underwent DCR (n=305), maximum (n=179, 58.69%) were above the age of 40 years out of which maximum were in age group of 41-50 years (n=78, 24.57%), majority of them were females 70.49% (n=215) with males being only 29.51% (n=90).