Scleral expansion surgery for presbyopia (IPG70)
Fast, easy summary view of NICE guidance on 'eye conditions '
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on scleral expansion surgery for presbyopia.
Presbyopia results from age-related deterioration of the lens in the eye.
This leads to difficulty with accommodation (focusing on close objects). Scleral expansion surgery involves making small incisions in the eye and inserting bands to stretch the part of the sclera (the tough fibrous layer of the eyeball) that lies beneath the muscles controlling accommodation (ciliary muscles). This is claimed to improve accommodation.
C55.4 Expansion of sclera
In addition the ICD-10 code H52.4 Presbyopia is assigned
The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS. The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. www.connectingforhealth.co.uk/clinicalcoding
- IPG70 Scleral expansion surgery for presbyopia: guidance (web format)
- IPG70 Scleral expansion surgery for presbyopia: guidance
- IPG70 Scleral expansion surgery for presbyopia: understanding NICE guidance
- IPG70 Scleral expansion surgery for presbyopia: distribution list
- Interventional procedure consultation document - Scleral expansion surgery for presbyopia
- Overview of scleral expansion surgery for presbyopia
This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.
Visit the NICE Pathway: eye conditions
This page was last updated: 06 December 2013
- Web format
- Full Guidance (PDF)
- IPG70 Llawdriniaeth ehangu'r sglera ar gyfer presbyopia: deall canllawiau NICE
Information for the public
Implementation tools and resources
- None available
See this guidance in practice
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.