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Keratoplasty, commonly referred to as a corneal transplant, is a surgical procedure aimed at enhancing visual acuity by replacing damaged or diseased corneal tissue with healthy tissue obtained from a donor. This procedure is particularly beneficial for patients suffering from conditions that impair the clarity of the cornea, which is the transparent front part of the eye essential for proper vision. During the operation, an operating microscope is utilized to provide a magnified view of the eye, allowing for precise surgical techniques. A specialized instrument known as a trephine is employed to excise a circular segment of the patient's cornea, creating an opening for the transplant. Following this, the anterior chamber of the eye is filled with a viscoelastic fluid to maintain its shape and protect the internal structures. A similarly shaped piece of donor corneal tissue, prepared with the epithelial side facing down, is then positioned onto the recipient's eye and secured in place with sutures. Post-operative care typically involves the application of antibiotic eye drops to prevent infection, and the eye may be covered with a patch or shield to facilitate healing. It is important to note that CPT® Code 65755 specifically pertains to penetrating keratoplasty performed in patients who have an intraocular lens due to previous cataract surgery, known as pseudophakia, distinguishing it from other types of keratoplasty procedures.
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