Vision may be preserved when timely intervention is performed. 2015 Mar. McInnes G, Howes DW. The above description is abbreviated. This policy describes the medical necessity requirements for canthotomy. It is the policy of health plans affiliated with Centene Corporation ® that canthotomy is medically Ann Emerg Med. Weber D, Shaw S, Winslow J. Traumatic eye swelling. Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome. J Emerg Med. 48 (3):325-30. . ICD-9-CM Vol. J Spec Oper Med. J Emerg Med. Policy/Criteria I. Subconjunctival and orbital emphysema with orbital floor fracture. Lateral canthotomy – cantholysis. Cantholysis is canthotomy plus incision of the inferior branch (crus) of the tendon. 08.51 Canthotomy. Objective: To present a case of orbital compartment syndrome caused by traumatic retrobulbar hemorrhage and the procedure of lateral canthotomy and cantholysis, reviewed with photographic illustration. Background: Orbital compartment syndrome is a sight-threatening emergency. 3 Procedure Codes. Time is eye; a lateral canthotomy is indicated for trauma patients with orbital compartment syndrome within 60-120 minutes of onset of ischemic features (decreased visual acuity and RAPD) as a temporizing measure to definitive … Condition/Service CPT code(s) Temporal artery biopsy 376 09 Ligation or biopsy temporal artery RD - macula on . Technical Tips LATERAL CANTHOTOMY AND CANTHOLYSIS: EMERGENCY MANAGEMENT OF ORBITAL COMPARTMENT SYNDROME Adam D. Rowh, MD,* Jacob W. Ufberg, MD,* Theodore C. Chan, MD,† Gary M. Vilke, MD,† and Richard A. Harrigan, MD* *Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania and †Department of Emergency Lateral canthotomy and cantholysis: emergency management of orbital compartment syndrome. 67101 Repair of retinal detachment, including drainage … Canthotomy is an operation for lengthening the palpebral fissure by incision through the lateral canthus or for restoration of the canthus. Lateral canthotomy and cantholysis is a simple procedure that can be performed by emergency physicians. The case of a 37-year-old man with blunt ocular trauma, a retrobulbar hemorrhage and rapidly increasing 2015 Mar. Lateral canthotomy, the emergency treatment for orbital compartment syndrome, is the surgical exposure of the lateral canthal tendon. Crumpton KL, Shockley LW. Emergency lateral canthotomy and cantholysis: a simple procedure to preserve vision from sight threatening orbital hemorrhage. Ballard SR, Enzenauer RW, O'Donnell T, Fleming JC, Risk G, Waite AN. 2009;9(3):26-32. The lateral canthal tendon is a combined tendon-ligament that provides structural fixation of the lids (tarsal plates) and orbicularis oculi muscle to the inner aspect of the bony lateral orbital wall (zygoma), just posterior to the orbital rim . Lateral canthotomy and cantholysis: a simple, vision-saving procedure. 2009 Oct. 54(4):635, 642. . 08.51 - Canthotomy. It has the potential to save vision, particularly in cases of blunt ocular trauma. 48 (3):325-30. . Understanding the anatomy of the lateral canthus is critical for proper performance of lateral canthotomy and cantholysis.
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