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