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Is this procedure reimbursable? If so, what CPT code is used as I cannot seem to locate one for this particular procedure, or is it too new to have a CPT code yet?

Performing transillumination of lid will help identify status and morphology of gland.

I have tried this on pt with severe chronic meibomian gland blockages. Also had Floppy eyelid syndrome with lid shortening. Lid margin dysmorphic, How can I tell if there is a gland to be found to probe? I spent 45 minutes first time around with him but I think I could spend a couple hours total to get everything probed. Are you getting reimbursed by Medicare for this procedure using an unisted code?

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I have not yet tried this for chalazion, but a surgeon from Houston has successfully been able to enter and drain the chalazion with the probes.

DrMaskin, Have you try the probe for a chalazion ? I alway wonder if we should try to approach certain chalazion from the meibomian gland opening ?

drmaskin i am in syria how can i get the probes please i want to try this probes this is my email if you can give an aid dralmoufti@hotmail.com

Yes. Probes are now available from Rhein Medical in Tampa, Florida.

Are the probes available ?

Our technology allows you to enter the orifice and entire length of duct,without trauma, with a

I've done this with the tip of an Ellman probe to breakup secretions (no cautery of course). I did not realize this was a "new" procedure either

We are using fine wire less than 80 micron in diameter for orifice penetration and intraductal probing, relatively atraumatically, to avoid altering the intrinsic gland architecture and function. By using this fine wire during probing I identified intraductal resistance and obstruction compatible with fibrovascular membranes which could be gently opened. Symptom relief is dramatic and immediate.

i used to do this in my clinic by removing the accumulated hard materials at the opening of the ducts then going through the ducts by 27G needle and sometimes irrigate using betamethasone and the results were fantastic indeed and i didn't imagine that this procedure could be a new method

What CPT code do you use for this procedure?

Presence of blood means breakage of blood vessels with a subsequent "healing" response. Wouldn't this increase obstruction?

looking forward to a prospective, randomized double blind study (of course, the treating doc cant be blinded, but a third doctor who assesses the patient's progress can be). certainly looks promising and makes sense.