title: Economic costs of cataract surgery using a rigid and a foldable intraocular lens.
abstract: Optimal delivery of healthcare requires consideration of various costs. A foldable intraocular lens (IOL) is more expensive than an equivalent rigid IOL. However, surgical and post-operative costs may make a foldable IOL economically preferable. We compared the economic costs of cataract surgery plus implantation of a foldable IOL with implantation of a rigid IOL. Prospective audit of the clinical records of 82 pseudophakes; 39 implanted with a rigid IOL and 43 implanted with a foldable IOL by one surgeon. Average follow-up periods were 25 +/- 7 months and 23 +/- 5 months respectively. There was no difference between the two groups for the follow-up period (P = 0.55), number of post-operative complications (P = 0.25) or cost of post-operative visits (P = 0.83). The cost of single-use theatre equipment was greater for the rigid-IOL group (P= 0.0001). The total identified cost per patient was greater for the foldable-IOL group (P = 0.0001). Despite possible technical advantages, implantation of the foldable IOL did not provide an economic benefit, either in the initial cost or in the costs of post-operative care. Over the 2-year period, implanting with the rigid IOL cost, on average, Pound Sterling57 less per patient. Despite this economic difference, a cost-benefit analysis is required, since other factors may be more important.
authors: Department of Vision Sciences, Glasgow Caledonian University, Scotland, UK.
authors: A J
authors: AJ
authors: Afsar
authors: R L
authors: RL
authors: Woods
authors: S
authors: S
authors: Pate
authors: F
authors: F
authors: Rogan
authors: W
authors: W
authors: Wykes
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000191:economics; D002387:Cataract Extraction / Q000191:economics* / Q000379:methods; D005500:Follow-Up Studies; D017721:Hospital Costs; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000191:economics; D007910:Lenses, Intraocular / Q000191:economics*; D008485:Medical Audit; D018918:Phacoemulsification / Q000191:economics*; D011183:Postoperative Complications; D011446:Prospective Studies; D012606:Scotland