Cost analysis of childhood glaucoma surgeries using the US Medicaire allowable costs
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William E. Smiddy. Bascom Palmer Eye Institute, 900 NW 17 Street, Miami, Florida 33136, USA. wsmiddy@med.miami.edu

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    Abstract:

    AIM: To analyze and calculate the relative cost of various childhood glaucoma surgical interventions per mm Hg intraocular pressure (IOP) reduction ($/mm Hg). METHODS: Representative index studies were reviewed to quantitate the reduction of mean IOP and glaucoma medications for each surgical intervention in childhood glaucoma. A US perspective was adopted, using Medicare allowable costs to calculate cost/mm Hg IOP reduction ($/mm Hg) at 1y postoperatively. RESULTS: At 1y postoperatively, the cost/mm Hg IOP reduction was $226/mm Hg for microcatheter-assisted circumferential trabeculotomy, $284/mm Hg for cyclophotocoagulation, $288/mm Hg for conventional ab-externo trabeculotomy, $338/mm Hg for Ahmed glaucoma valve, $350/mm Hg for Baerveldt glaucoma implant, $351/mm Hg for goniotomy, and $400/mm Hg for trabeculectomy. CONCLUSION: Microcatheter-assisted circumferential trabeculotomy is the most cost-efficient surgical method to lower IOP in childhood glaucoma, while trabeculectomy is the least cost-efficient surgical method.

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Abdelrahman M. Elhusseiny, Mohamed M. Khodeiry, Nicolas A. Yannuzzi, et al. Cost analysis of childhood glaucoma surgeries using the US Medicaire allowable costs. Int J Ophthalmol, 2023,16(5):700-704

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Publication History
  • Received:November 17,2022
  • Revised:March 30,2023
  • Adopted:
  • Online: April 27,2023
  • Published: