CPT® Code 0730T

Laser trabeculotomy is a minimally invasive procedure designed to treat glaucoma, particularly in cases where intraocular pressure (IOP) remains uncontrolled despite the use of medication. This procedure utilizes a laser to create a drainage channel in the trabecular meshwork, which is a crucial component of the eye's drainage system. The aim is to enhance the outflow of aqueous humor, thereby reducing IOP and alleviating the risk of damage to the optic nerve associated with glaucoma. Prior to the procedure, anesthetic and pressure-lowering drops are administered to ensure patient comfort and to prepare the eye for treatment. An optical interface device is then placed on the eye, allowing the physician to conduct an initial examination of the iridocorneal angle, which is the area where the cornea meets the iris. This examination is essential for identifying the optimal site for laser treatment. Following this, an integrated camera is used to visualize the target area, and the physician employs optical coherence tomography (OCT) to precisely locate the best position in the trabecular meshwork for the laser application. The procedure is characterized by the use of a femtosecond laser, which emits rapid pulses of energy to create a precise incision, facilitating the formation of a new drainage channel. Throughout the process, OCT imaging is utilized to confirm the accuracy of the treatment and ensure that the drainage channel is successfully established before concluding the procedure. After the laser application, the eye is irrigated, and anti-inflammatory drops are instilled to promote healing and manage inflammation.