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The procedure described by CPT® Code 68335 involves the surgical repair of a symblepharon, which is a condition characterized by the abnormal adhesion or scar tissue formation between the palpebral conjunctiva (the inner lining of the eyelid) and the bulbar conjunctiva (the membrane covering the eyeball). This condition often arises as a result of trauma or infection and can lead to significant complications, including restricted eye movement, incomplete eyelid closure, and double vision. The repair process for a symblepharon under this code includes the use of a free graft, which can be either conjunctival tissue or buccal mucous membrane, to effectively address the defect created by the adhesions. The procedure not only involves the excision of the symblepharon but also the careful harvesting and placement of the graft to restore normal anatomical function and appearance. The inclusion of obtaining the graft in the procedure highlights the complexity and skill required in performing this surgery, ensuring that the repair is both functional and aesthetically pleasing.
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