What is a lateral Canthotomy?

Lateral canthotomy, the emergency treatment for orbital compartment syndrome, is the surgical exposure of the lateral canthal tendon. Cantholysis is canthotomy plus incision of the inferior branch (crus) of the tendon.

What is the CPT code for Canthotomy?

Review of CPT codes, including codes in the eye and ocular adnexa section, reveals certain services designated as “separate procedures.” An example of such a code would be CPT 67715, Canthotomy (separate procedure).

What is a horizontal lateral Canthotomy?

Lateral canthotomy and cantholysis is a surgical procedure most commonly used for the emergency treatment of orbital compartment syndrome, which is an emergency condition characterized by increased pressure within the orbit of the eye due to any cause. Immediate treatment is required to preserve vision.

What is a Canthotomy?

(kan-thot’ō-mē), 1. An operation for lengthening the palpebral fissure by incision through the lateral canthus. 2. An operation for restoration of the canthus.

What is Orbitotomy surgery?

Definition. A surgical procedure to obtain access and exposure to a particular area of the orbit.

Where is the lateral canthus located?

Lateral canthus: the lateral confluence of upper and lower eyelid margins. Sclera: the collagenous outer wall of the eyeball.

What is a tarsal strip procedure?

The tarsal strips are sutured to periosteum at the lateral orbital wall, adjusting the height and tension of the lateral canthus. This technique gives a normal appearance to the lateral canthal angle and has yielded good results in 51 cases.

When do you do a lateral Canthotomy?

Indications for immediate canthotomy include sudden vision loss or relative afferent pupillary defect in the setting of retrobulbar hemorrhage with proptosis and IOP greater than 40 mm Hg.

What’s a canthus?

Definition of canthus : either of the angles formed by the meeting of an eye’s upper and lower eyelids.

What is Transconjunctival approach?

The transconjunctival preseptal approach is most effective surgical access to infraorbital rim and orbital floor and even to medial orbital wall. This approach is surgically similar in providing exposure and access, but aesthetically superior to other approaches and has minimal complications.

What is Tarsorrhaphy in ophthalmology?

Tarsorrhaphy is a safe and relatively simple procedure in which part, or all the upper and lower eyelids are joined together to cover the eye partially or completely.

What is lateral to the eyes?

A lateral orientation is a position away from the midline of the body. For instance, the arms are lateral to the chest, and the ears are lateral to the head. A medial orientation is a position toward the midline of the body. An example of medial orientation is the eyes, which are medial to the ears on the head.