The economic cost of posterior capsule tear at cataract surgery

Abstract

Based on the National Health Service national tariff, a PCT during cataract surgery results in significant additional financial cost to healthcare purchasers. A full cost analysis would be required to estimate the additional cost of a PCT for the healthcare provider.

A randomized controlled trial comparing femtosecond laser–assisted cataract surgery versus conventional phacoemulsification surgery

“…Our study found a statistically significant increase in the rate of PCR in the CPS group. This is an important finding due to the associated risks of further complications in the post-operative phase associated with increased morbidity and cost 4,28 . The Cochrane review of published RCTs reported an overall rate of PCR in 0/529 (0.0%) cumulative FLACS cases compared with 1/547 (0.1%) for CPS 23 .…”

“…220USD) to each operation within the context of a state-funded healthcare system 3 . From a public health perspective, costs may be mitigated by improved safety leading to increased reliability and reduced postoperative need for additional clinical or surgical interventions, and better patient outcomes 4 .…”

Evaluation of a hub-and-spoke model for the delivery of femtosecond laser-assisted cataract surgery within the context of a large randomised controlled trial

“…However, it is very likely that a public healthcare service may be able to negotiate discounts on the costs of FLACS, especially if used within a high-volume service (which further improves affordability) (tables 7 and 8). Further cost savings may be made by improved safety which may make cost savings in postoperative management 20. It is important to note therefore that while there was no difference in PCR and vitreous loss rates in this arm of this study to investigate comparative high-volume hub-and-spoke FLACS and CPS theatres lists (table 6), the results of the overall RCT showed a statistically significant reduction in PCR with FLACS, in a public health setting with different grade of surgeons operating, including those in training (H. Roberts, D. O’Brart, personal communication, 2018).…”

Intraoperative Complications of Cataract Surgery in Tehran Province, Iran

“…Therefore, from the perspective of public health, it is important to pay attention to these operations and their complications and their burden on the society. 26,31 For example, a higher prevalence of complications is associated with more frequent postoperative visits and longer follow-up time, and this imposes additional expenses. In a study by Qatarneh et al, 31 cases with posterior capsule tear had more postcataract surgery visits compared with those free of this complication, and they showed how this complication can cause additional financial costs to the health care system.…”