Ch 27 Eye, Ocular Adnexa, Auditory, & Operating Microscope

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Buck Step By Step Medical Coding 2012

Evisceration (eye)

least extreme eye removal surgery; removal of contents of globe, leaving extraocular muscles and sclera intact

enucleation (eye)

moderate eye removal surgery; removal of the entire eyeball

exenteration (eye)

most extreme eye removal surgery; removal of eye with surrounding skin, fat, muscle, and bone

slit lamp

low powered microscope with high intensity light source that focuses the light as a long narrow beam or slit

paracentesis (eye)

removal of fluid (performed on anterior chamber) for either diagnostic or therapeutic purposes

How do you code skin grafting after eye removal surgery?

Code separately with codes from Integumentary system.. If eyelid was repaired deeper than skin level, refer to reconstruction codes.

Implant placed inside the muscular cone

ocular implant (fake eye)

implant placed outside the muscular cone

orbital implant (scleral shell prosthesis)

What are the parts of the anterior segment?

cornea, anterior chamber, anterior sclera, iris, ciliary body, and lens

transparent part of the eye

cornea

keratoplasty

repair of the cornea

penetrating keratoplasty

removal of the full thickness of the cornea and replacement with donor cornea

lamellar keratoplasty

thin layer of cornea is removed and replaced with donor cornea

Fluid-filled (aqueous humor) space located behind the cornea and in front of the iris

anterior chamber

paracentesis

removal of fluid

goniotomy

procedure using goniolens, used for congenital glaucoma

posterior synechiae

adhesions of the iris to the lens of the eye

anterior synechiae

adhesions of the iris to the cornea

anterior sclera

white fibrous outer layer of the front of the eyeball

fistulization

creation of a passage, sometimes used to decrease pressure of fluid in the sclera

surgical procedure in which the trabecular meshwork is reshaped or punctured

trabeculotomy ab externo or trabeculectomy ab externo; used for treatment of glaucoma or trauma

iris-scleral junction, drains aqueous humor

trabecular meshwork

colored part of the eye

iris

This smooth muscle is located behind the iris and produces aqueous humor

ciliary body

extracapsular, intracapsular, and phacoemuslification are three types of what procedure?

cataract removal

this surgery corrects muscle misalignment

strabismus surgery

tarsorrhaphy

suturing the eyelids together

tympanostomy

insertion of small tube that allows fluid to drain

exotosis

bony growth; if present in external auditory canal, is termed "surfer's ear."

otoplasty

surgical repair of protruding ear

canaloplasty

surgical repair of the external auditory canal

myringotomy

incision into tympanic membrane and re-inflation of eustachian tube

cholesteatoma

benign growth of skin in abnormal location

ossicular chain

bones of the ear that include the malleus (hammer), incus (anvil), and stapes (stirrup).

tympanoplasty

surgical correction or repair of defects or injuries in the eardrum or the bones of the middle ear; small tubes are inserted through tympanic membrane to allow for drainage.

labyrinth

cavelike structure located in inner ear

labyrinthotomy

procedure in which the labyrinth is surgically incised and various procedures performed to return labyrinth to functional condition

labyrinthectomy

procedure in which incus and stapes are removed

ECCE

extracapsular cataract extraction

ICCE

intracapsular cataract extraction

uvea

vascular tissue of the choroids, ciliary body, and iris

Cor/o-

prefix meaning pupil

cyclo/o-

prefix meaning ciliary body or eye muscle

dacry/o-

prefix meaning tear/tear duct

dacryocyst/o-

prefix meaning pertaining to the lacrimal sac

aural atresia

congenital absence of the external auditory canal

auricle, pinna, external acoustic, and meatus are parts of what?

outer ear

malleus, incus, and stapes are parts of what?

middle ear

vestibule, semicircular canals, and cochlea are parts of what?

inner ear

mastoid-

prefix meaning posterior temporal bone

myring-

prefix meaning eardrum

salping/o-

prefix meaning eustachian tube

apicectomy

excision of a portion of the temporal bone

The Auditory System subsection is divided anatomically into what 4 subheadings?

External ear, Middle ear, Inner ear, and Temporal Bone/Middle Fossa Approach

-ectomy

suffix meaning removal

-otomy

suffix meaning surgical incision or cutting into

incision into tympanic membrane and reinflation of the Eustachian tube?

myringotomy

What is the most common childhood surgery?

tympanostomy

What are the small bones in the middle ear known as?

Ossicular chain

Reconstruction of the external ear may require a split full thickness graft and would be reported from the ________ System.

Integumentary

canth/o

corner of eyelid

goni/o

angle

tars/o

margin of eyelid

AACG

acute angle closure glaucoma

AC

anterior chamber

AMD

age-related macular degeneration

CACG

chronic angle closure glaucoma

CE

cataract extraction

DA

dark adaptation

FA

fluoroscein angiography

GDD

glaucoma drainage device

NLD

nasal lacrimal duct

OAG

open angle glaucom

PCIOL

posterior chamber IOL

PMMA

polymethylmetacrylate

PSC

posterior subcapsular cataract

RD

retinal detachment

RK

radial keratotomy

ROP

retinopathy of prematurity

TM

trabecular meshwork

VALE

visual acuity, left eye

VARE

visual acuity, right eye

WNL

within normal limits

meniere's disease

a disease of the inner ear characterized by vertigo, nerve deafness, and a roar or buzzing in the ear.

limlbus

ring where cornea meets the sclera; aka sclerocorneal junction

microtia

abnormally small ears

perilymph

fluid that fills the bony labyrinth of the inner ear

retrobulbar

space behind the eye

trachoma

bacterial infection of the eyes

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