Cost of cataract surgery after implantation of three intraocular lenses

Catherine Boureau1, Antoine Lafuma2, Viviane Jeanbat2, Andrew F Smith3, Gilles Berdeaux41Clinique Geoffroy St Hilaire, Paris, France; 2Cemka-Eval, Bourg la Reine, France; 3Alcon Laboratories Ltd, Hemel Hempstead, UK and Nuffield Laboratory of Ophthalmology, University of Oxford, UK; 4Alcon France, R...

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Autores principales:	Catherine Boureau, Antoine Lafuma, Viviane Jeanbat, Andrew F Smith, Gilles Berdeaux
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2009
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/a261e1d7cf8c47fb9c4e45e3eaa0b519
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spelling	oai:doaj.org-article:a261e1d7cf8c47fb9c4e45e3eaa0b5192021-12-02T06:15:12ZCost of cataract surgery after implantation of three intraocular lenses1177-54671177-5483https://doaj.org/article/a261e1d7cf8c47fb9c4e45e3eaa0b5192009-03-01T00:00:00Zhttp://www.dovepress.com/cost-of-cataract-surgery-after-implantation-of-three-intraocular-lense-a2990https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Catherine Boureau1, Antoine Lafuma2, Viviane Jeanbat2, Andrew F Smith3, Gilles Berdeaux41Clinique Geoffroy St Hilaire, Paris, France; 2Cemka-Eval, Bourg la Reine, France; 3Alcon Laboratories Ltd, Hemel Hempstead, UK and Nuffield Laboratory of Ophthalmology, University of Oxford, UK; 4Alcon France, Rueil Malmaison, France; Conservatoire National des Arts et M&eacute;tiers, Paris, FranceBackground: Posterior capsule opacification is one of the most frequent adverse events following cataract surgery. This manuscript reports the lifetime cost of complications linked to posterior capsule opacification using three types of intraocular lens with square edges.Methods: Costs were estimated from a retrospective study of patients who underwent cataract surgery and data from the literature. The lenses studied were hydrophobic acrylic (SA60AT and AR40E) and hydrophilic acrylic (XL-Stabi) lenses with square edges. The frequency of Nd-Yag laser capsulotomies after 4 years&rsquo; survival was estimated by two methods: the first involved linear adjustment of the rate at 5 and 6 years follow-up and then application of a constant rate after 6 years; the second involved linear adjustment after 5 years follow-up. The economic perspective was that of the French Sickness Fund.Results: After 3 years&rsquo; follow-up the percentage of patients who had not undergone laser Nd-Yag capsulotomy was 86.9% with SA60AT, 76.6% with AR40E and 54.6% with XL-Stabi lenses (p &lt;&nbsp;0.001). The total cost of capsulotomy and management of complications per patient lifetime was estimated to be &euro;90.5 for SA60AT, &euro;189.5 for AR40E and &euro;288.0 for XL-Stabi lenses by the first extrapolation method. With the second method of extrapolation the costs were &euro;94.8, &euro;200.0 and &euro;300.2, respectively.Interpretation: Lower costs for cataract surgery and management of related complications were observed with the two hydrophobic acrylic lenses; the lowest costs were observed with SA60AT lenses as they were associated with fewer Nd-Yag laser capsulotomies.Keywords: cataract surgery, Nd-Yag laser, capsulotomy, adverse event, cost, budget impact Catherine BoureauAntoine LafumaViviane JeanbatAndrew F SmithGilles BerdeauxDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2009, Iss default, Pp 277-285 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Catherine Boureau Antoine Lafuma Viviane Jeanbat Andrew F Smith Gilles Berdeaux Cost of cataract surgery after implantation of three intraocular lenses
description	Catherine Boureau1, Antoine Lafuma2, Viviane Jeanbat2, Andrew F Smith3, Gilles Berdeaux41Clinique Geoffroy St Hilaire, Paris, France; 2Cemka-Eval, Bourg la Reine, France; 3Alcon Laboratories Ltd, Hemel Hempstead, UK and Nuffield Laboratory of Ophthalmology, University of Oxford, UK; 4Alcon France, Rueil Malmaison, France; Conservatoire National des Arts et M&eacute;tiers, Paris, FranceBackground: Posterior capsule opacification is one of the most frequent adverse events following cataract surgery. This manuscript reports the lifetime cost of complications linked to posterior capsule opacification using three types of intraocular lens with square edges.Methods: Costs were estimated from a retrospective study of patients who underwent cataract surgery and data from the literature. The lenses studied were hydrophobic acrylic (SA60AT and AR40E) and hydrophilic acrylic (XL-Stabi) lenses with square edges. The frequency of Nd-Yag laser capsulotomies after 4 years&rsquo; survival was estimated by two methods: the first involved linear adjustment of the rate at 5 and 6 years follow-up and then application of a constant rate after 6 years; the second involved linear adjustment after 5 years follow-up. The economic perspective was that of the French Sickness Fund.Results: After 3 years&rsquo; follow-up the percentage of patients who had not undergone laser Nd-Yag capsulotomy was 86.9% with SA60AT, 76.6% with AR40E and 54.6% with XL-Stabi lenses (p &lt;&nbsp;0.001). The total cost of capsulotomy and management of complications per patient lifetime was estimated to be &euro;90.5 for SA60AT, &euro;189.5 for AR40E and &euro;288.0 for XL-Stabi lenses by the first extrapolation method. With the second method of extrapolation the costs were &euro;94.8, &euro;200.0 and &euro;300.2, respectively.Interpretation: Lower costs for cataract surgery and management of related complications were observed with the two hydrophobic acrylic lenses; the lowest costs were observed with SA60AT lenses as they were associated with fewer Nd-Yag laser capsulotomies.Keywords: cataract surgery, Nd-Yag laser, capsulotomy, adverse event, cost, budget impact
format	article
author	Catherine Boureau Antoine Lafuma Viviane Jeanbat Andrew F Smith Gilles Berdeaux
author_facet	Catherine Boureau Antoine Lafuma Viviane Jeanbat Andrew F Smith Gilles Berdeaux
author_sort	Catherine Boureau
title	Cost of cataract surgery after implantation of three intraocular lenses
title_short	Cost of cataract surgery after implantation of three intraocular lenses
title_full	Cost of cataract surgery after implantation of three intraocular lenses
title_fullStr	Cost of cataract surgery after implantation of three intraocular lenses
title_full_unstemmed	Cost of cataract surgery after implantation of three intraocular lenses
title_sort	cost of cataract surgery after implantation of three intraocular lenses
publisher	Dove Medical Press
publishDate	2009
url	https://doaj.org/article/a261e1d7cf8c47fb9c4e45e3eaa0b519
work_keys_str_mv	AT catherineboureau costofcataractsurgeryafterimplantationofthreeintraocularlenses AT antoinelafuma costofcataractsurgeryafterimplantationofthreeintraocularlenses AT vivianejeanbat costofcataractsurgeryafterimplantationofthreeintraocularlenses AT andrewfsmith costofcataractsurgeryafterimplantationofthreeintraocularlenses AT gillesberdeaux costofcataractsurgeryafterimplantationofthreeintraocularlenses
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Cost of cataract surgery after implantation of three intraocular lenses

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