Surgical Procedure
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Indications
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Biopsy of orbit
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Suspected malignancy or immediate sight-threatening condition
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Biopsy of temporal artery
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Suspected giant cell arteritis
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Brachytherapy
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Intraocular malignancy
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Cantholysis
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Sight-threatening conditions
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Canthotomy
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Sight-threatening conditions
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Cataract surgery
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Congenital cataract in the amblyopic period, monocular patients with documented vision loss precluding driving, reading or self-care, lens-induced glaucoma, angle-closure glaucoma, acute lens complications, or severe anisometropia of fellow eye post recent lens extraction in first eye
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Closure of cyclodialysis cleft
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Sight-threatening hypotony due to trauma
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Corneal transplantation
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Pediatric patients with corneal blindness in both eyes in their amblyopic period
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Decompression of dacryocele
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Neonate with obstructive respiratory compromise
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Decompression of orbit
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Orbital tumor with impending vision loss
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Drainage of abscess
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Orbital cellulitis
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Drainage of choroidals
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Appositional choroidal effusion, suprachoroidal hemorrhage, or flat anterior chamber
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Enucleation
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Ocular trauma, infection, intractable glaucoma, globe perforation, intractable pain, or intraocular malignancy
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Evisceration
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Sight-threatening infection, or intractable pain
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Examination under anesthesia
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Pediatric patients with retinoblastoma, endophthalmitis, Coats Disease, uveitis, glaucoma, ocular trauma, retinal detachment, or presumed intraocular foreign body
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Excision of tumors
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Malignancy or sight-threatening tumor
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Exenteration
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Life-threatening infection
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Exploration of orbit
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Life-threatening or sight-threatening conditions
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Fenestration of optic nerve sheath
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Progressive vision loss
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Filtration surgery (XEN45 gel stent)
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Uncontrolled intraocular pressure that is sight-threatening who are poor candidates for trabeculectomy or aqueous tube shunts
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Frontalis sling
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Sight-threatening congenital ptosis
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Goniotomy ab externo or ab interno
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Uncontrolled intraocular pressure that is sight-threatening
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Insertion of drainage implant with or without graft
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Catastrophic or rapidly progressive glaucoma
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Laser indirect retinopexy – complex
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Retinal detachment, retinal tear, or ocular trauma
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Laser photocoagulation
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Pediatric patients with retinopathy of prematurity (if this can’t be in NICU)
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Pars plana lensectomy
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Acute lens complications
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Peeling of membrane/internal limiting membrane
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Proliferative diabetic retinopathy, proliferative vitreoretinopathy, complex preretinal membrane, or complex macular pathology
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Pneumatic retinopexy
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Retinal detachment
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Probing of nasolacrimal duct
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Dacryocystocele
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Reconstruction of ocular surface or other tectonic procedures
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Acute chemical injury, or acute Stevens Johnson Syndrome
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Removal of aqueous drainage implant
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Endophthalmitis, corneal touch, corneal decompensation, or exposed plate
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Removal of intraocular foreign body
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Presumed intraocular foreign body
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Repair of anterior segment or cornea
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Lacerations, blunt rupture, or deeply embedded corneal foreign body
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Repair of canalicular laceration
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Injury or trauma to their canaliculus
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Repair of dehiscence of corneal graft or other anterior segment wound
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Wound dehiscence or other wounds, including dislocated LASIK flaps
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Repair of extrusion or complication of keratoprosthesis
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Complications with implanted devices in their cornea or anterior segment
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Repair of eyelid/face
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Lacerations of eyelid or face
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Repair of facial fractures
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Displaced facial bone fractures
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Repair of open globe
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Ocular trauma
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Repair of operative wound(s)
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Bleb leaks, wound leaks, overfiltration, underfiltration, bleb scarring, sight-threatening hypotony, or shallow anterior chamber
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Repair of orbital fracture
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Hemodynamic instability or oculocardiac reflex
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Repair of perforation or impending perforation of cornea or sclera
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Corneal and scleral injury or trauma
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Retrobulbar injection
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Pain due to ocular diseases causing significant compromise of quality of life
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Revision of drainage implant with or without graft
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Implant/tube exposure that might be sight threatening, endophthalmitis, malpositioned tube endangering eye or excessive inflammation, a tube that might worsen vision due to corneal edema or iritis or cystoid macular edema, or with a severe tube malposition causing rapid visual loss
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Scleral buckle
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Retinal detachment, ocular trauma, intraocular infection, vitreous hemorrhage, retinal tear, or intraocular foreign body
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Strabismus surgery
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Torn or lost extraocular muscle
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Synechiolysis
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Lens-induced glaucoma or angle-closure glaucoma
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Tarsorrhaphy
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Impending corneal compromise
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Trabeculectomy with or without scarring
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Catastrophic or rapidly progressive glaucoma and markedly elevated intraocular pressure, or uncontrolled secondary or primary glaucoma
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Trabeculotomy
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Uncontrolled intraocular pressure that is sight-threatening
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Transscleral cyclophotocoagulation
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Uncontrolled glaucoma or absolute glaucoma with a blind and painful eye
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Vitrectomy
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Retinal detachment, ocular trauma, intraocular infection, vitreous hemorrhage, retinal tear, intraocular foreign body, misdirected aqueous, ciliary block glaucoma, malignant glaucoma, a vitreous prolapse, or a tube shunt that blocks filtration
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Washout of the anterior chamber
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Hyphema that is sight-threatening
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