The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Laser correction of refractive error following non-refractive ophthalmic surgery.
Refractive errors include common conditions such as myopia (short sightedness) and hyperopia (long sightedness) that impede the accuracy of vision without spectacles or contact lenses.
Laser surgery aims to establish visual accuracy by changing the shape of the cornea (the clear outer layer at the front of the eye), so that light rays are more precisely directed onto the retina.
Photorefractive keratectomy (PRK):
C44.4 Photorefractive keratectomy
Laser epithelial keratomileusis (LASEK):
C44.5 Laser subepithelial keratomileusis
Laser in situ keratomileusis (LASIK):
C44.2 Laser in situ keratomileusis
In addition ICD-10 codes are assigned depending on the specific refractive error and the original procedure performed which caused the refractive error.
This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.