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The procedure described by CPT® Code 65150 involves the reinsertion of an ocular implant, which is a medical device used to replace the volume of the eye following surgical procedures such as evisceration or enucleation. Evisceration refers to the removal of the eye's contents while leaving the scleral shell intact, whereas enucleation involves the complete removal of the eye. During the reinsertion process, the scleral shell or muscle cone is carefully exposed to allow access for the implant. The ocular implant is then reinserted into the scleral shell or muscle cone, ensuring proper placement for optimal function and aesthetics. In cases where the patient has undergone a previous evisceration, the procedure includes closing the sclera over the anterior surface of the implant in a layered manner. This technique is crucial as it helps to prevent complications such as scleral contraction and the potential extrusion of the implant. Additionally, a conjunctival graft may be utilized to provide further security and coverage for the implant. In instances of enucleation, a conjunctival graft is also fashioned to secure and completely cover the implant, enhancing stability and integration within the ocular cavity. This procedure is essential for restoring the appearance and function of the eye following significant surgical interventions.
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