CPT® Code 67036

A mechanical vitrectomy using a pars plana approach is a surgical procedure aimed at removing the vitreous gel, a clear, gel-like substance that occupies the center of the eye. This procedure is typically indicated for various ocular conditions, including hemorrhage within the vitreous, the presence of debris that may impair vision, scar tissue that can affect the retina, or to relieve tension on the retina that may lead to complications such as retinal detachment. The pars plana is a specific area of the eye located in front of the ciliary body and behind the retina, where three tiny incisions are made to facilitate the procedure. During the surgery, a light pipe is inserted to illuminate the interior of the eye, while an infusion port is used to maintain intraocular pressure by replacing the removed vitreous gel with fluid. The vitrectomy device, which operates with a microscopic oscillating cutting mechanism, carefully extracts the vitreous gel in a controlled manner. This meticulous approach ensures that the surrounding structures of the eye are preserved while effectively addressing the underlying issues. The procedure concludes with the removal of the surgical instruments once the vitreous has been completely extracted, allowing for potential follow-up treatments if necessary.