CPT® Code 65275

The procedure described by CPT® Code 65275 involves the repair of a non-perforating laceration of the cornea, which is the transparent front part of the eye that plays a crucial role in vision by refracting light. The cornea serves as a protective barrier for the underlying uvea, which consists of three layers: the iris, ciliary body, and choroid. A non-perforating laceration indicates that the injury does not penetrate the globe of the eye, meaning that the fluid-filled cavity behind the cornea and sclera remains intact. This type of laceration can occur due to various external factors, such as trauma from foreign objects. During the procedure, the eye is first irrigated to eliminate any foreign bodies and debris, ensuring a clear view for examination. A slit lamp, which is an ophthalmic microscope, is utilized to assess the extent of the laceration. Additionally, a Seidel test may be performed using fluorescein dye to check for any leakage of aqueous humor, which would indicate a more severe injury. The repair involves suturing techniques that include the use of longer sutures at the edges of the laceration to compress and flatten the area, while shorter, appositional sutures are applied to the central cornea to promote proper healing. Post-repair, antibiotic and/or steroid ophthalmic drops may be administered to prevent infection and reduce inflammation, and the eye is typically patched to protect it during the initial healing phase.