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  • Consent For Prokera Insertion - Shady Grove Ophthalmology

Get Consent For Prokera Insertion - Shady Grove Ophthalmology

Consent For Prokera Insertion What is PROKERA?PROKERA is a medical device used by eye doctors around the world to protect, repair and heal damaged eye surfaces. PROKERA is made by clipping a piece.

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How to fill out the Consent For Prokera Insertion - Shady Grove Ophthalmology online

Filling out the Consent For Prokera Insertion form is a crucial step in your treatment process at Shady Grove Ophthalmology. This guide will provide you with clear, step-by-step instructions to ensure that you complete the form accurately and effectively.

Follow the steps to fill out the Consent For Prokera Insertion form seamlessly.

  1. Click ‘Get Form’ button to obtain the form and open it in your browser or document editor.
  2. Begin by entering your first and last name in the designated fields to confirm your identity.
  3. Read the provided information about PROKERA® thoroughly, ensuring you understand its uses, comfort level, and safety.
  4. Find the section where you acknowledge that you have been informed about PROKERA®. This will require your signature and the date.
  5. Submit the completed form online by following the instructions in the online document management system.
  6. Once submitted, you will have options to save changes, download a copy, or print the form for your records.

Complete your Consent For Prokera Insertion form online today to ensure a smooth process for your treatment.

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The average percentage of healed corneal area was 59% for ProKera and 73% for AMT.

Answer: Prokera has two code choices: 65778 Placement of amniotic membrane on the ocular surface; without sutures; also known as AMT. 65779 Placement of amniotic membrane on ocular surface; single layer, sutured.

What should you expect? Prokera is similar to a large contact lens. You may experience awareness of the ring but it is not painful. For optimal healing, it is important that you complete the Prokera treatment period of 3-5 days.

Treatment duration depends on the severity of your condition or ocular surface damage. PROKERA is typically placed on the eye for 3-5 days. However, your experience may vary depending on your doctor's recommendation. PROKERA is exceptional at reducing inflammation and the pain inflammation can cause.

The Prokera treatment can feel like there is a foreign object in the eye. It is not painful. If the discomfort is too much, your doctor can use tape to partially close your eyelid. This is to help ease your discomfort.

Most patients have reported little to no side effects. However, you might experience a temporary blurring of vision due to the amniotic membrane covering the cornea. You might also experience mild discomfort because of the polycarbonate rings that hold the amniotic membrane together.

Q Does Medicare cover placement of a Prokera biologic corneal bandage? A Yes, when medically necessary.

The average percentage of healed corneal area was 59% for ProKera and 73% for AMT.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232