CPT® Code 67112

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Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repair(s) using scleral buckling or vitrectomy techniques

The CPT® Code 67112 refers to the surgical procedure for the repair of retinal detachment through scleral buckling or vitrectomy techniques. This specific code is utilized when the patient has a history of previous retinal detachment repairs on the same eye, which may have involved either scleral buckling or vitrectomy. Retinal detachment is a serious 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, it may result in permanent blindness. The procedure typically begins with the application of a lid speculum to keep the eyelids open, allowing for better access to the eye. Local anesthesia is administered to ensure patient comfort during the surgery. The vitreous, a gel-like substance that occupies the eye's interior, is often removed to facilitate the repair process. The mechanical vitrectomy involves making three small incisions in the pars plana, through which a light pipe, infusion port, and vitrectomy device are inserted. The light pipe illuminates the surgical field, while the vitrectomy device carefully removes the vitreous gel in a controlled manner, replacing it with fluid to maintain intraocular pressure. If necessary, a scleral buckle is applied, which involves detaching one of the rectus muscles to access the sclera. The buckle is then secured to the sclera, pushing it inward to relieve traction on the retina, allowing it to reattach and heal against the choroid. Finally, the rectus muscle is reattached to complete the procedure.