CPT® Code 67107

Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid

Retinal detachment is a serious ocular condition characterized by the separation of the retina from its underlying supportive tissue, the choroid. This separation can lead to significant visual impairment, including blurred vision, and if not addressed promptly, may result in permanent blindness. The procedure described by CPT® Code 67107 involves the surgical repair of retinal detachment through a technique known as scleral buckling. This method is commonly employed to reattach the retina by using a silicone buckle that is placed on the outer surface of the eye. The choice of buckle type and shape is determined by the specific characteristics of the retinal defect, including its size and location. During the procedure, local anesthesia is administered to ensure patient comfort, and a lid speculum is utilized to keep the eyelids open, providing the surgeon with a clear view of the eye. The repair process may include additional techniques such as cryotherapy or laser photocoagulation, which are used to create scar tissue that helps secure the retina back in place. Cryotherapy involves applying a freezing probe to the outer surface of the eye, while photocoagulation uses a laser to burn tissue around the detachment. Both methods promote healing and reattachment of the retina to the choroid. In some cases, the surgeon may also need to drain subretinal fluid to facilitate the reattachment process. This comprehensive approach ensures that the retina is properly secured, thereby restoring vision and preventing further complications.