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The procedure described by CPT® Code 66825 involves the repositioning of an intraocular lens (IOL) prosthesis, which is a surgical intervention that may be necessary when the lens is not properly aligned within the eye. This misalignment can occur for various reasons, such as when a toric lens, designed to correct astigmatism, is off-axis; when a multifocal lens or a sulcus-fixated lens is decentered; or when a single-piece haptic lens has escaped from the capsular bag that normally holds it in place. The repositioning process is performed under an operating microscope to ensure precision and accuracy. The surgeon makes a scleral incision to access the IOL, which is then located and elevated using specialized instruments like a vitreoretinal pick or hook. Once the lens is grasped with forceps, it is maneuvered back into the posterior chamber of the eye. If the capsular support is insufficient to hold the lens in place, additional sutures may be required to secure the lens properly. Finally, the scleral incision is closed with sutures, and a protective patch or shield is placed over the eye to aid in recovery.
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