CPT® Code 66225

A scleral staphyloma refers to a protrusion of uveal tissue through a compromised area of the sclera or cornea, often resulting from prior injury, disease, or inflammation. This condition can manifest in various forms, depending on the location of the protrusion within the eye. There are five recognized types of staphylomas: anterior segment staphylomas, which affect the cornea and surrounding scleral tissue; intercalary or limbal staphylomas, located at the junction of the cornea and sclera, frequently associated with secondary angle closure glaucoma or corneal astigmatism; ciliary staphylomas, found near the ciliary bodies approximately 2-3 mm from the limbus; equatorial staphylomas, which occur in areas perforated by vortex veins; and posterior or macular staphylomas, situated at the back of the eye and typically diagnosed through ophthalmoscopy, often after the patient presents with myopia. The procedure described by CPT® Code 66225 involves the excision of the protruding uveal tissue and the reinforcement of the weakened scleral area using a tissue graft, such as an allogenic fascial graft, which is secured in place with fibrin tissue glue. This surgical intervention aims to restore the structural integrity of the eye and prevent further complications associated with staphylomas.