April 2014
Volume 55, Issue 13
ARVO Annual Meeting Abstract  |   April 2014
A cost effectiveness analysis of cataract surgery
Author Affiliations & Notes
  • Domenico Lepore
    Deparment of Ophthalmology, Catholic University of the Sacred Heart, Rome, Italy
  • Federico Lucidi
    Deparment of Ophthalmology, Catholic University of the Sacred Heart, Rome, Italy
  • Matteo Ruggeri
    Department of Health Economics, Catholic University of the Sacred Heart, Rome, Italy
  • Gianfranco Damiani
    Department of Hygiene and Public Health, Catholic University of the Sacred Heart, Rome, Italy
  • Footnotes
    Commercial Relationships Domenico Lepore, None; Federico Lucidi, None; Matteo Ruggeri, None; Gianfranco Damiani, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 6098. doi:
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      Domenico Lepore, Federico Lucidi, Matteo Ruggeri, Gianfranco Damiani; A cost effectiveness analysis of cataract surgery. Invest. Ophthalmol. Vis. Sci. 2014;55(13):6098.

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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose: to compare the use of disposable vs. reusable instruments in anterior and posterior segment surgery. Efficiency, effectiveness, time and cost reduction of cataract and retina surgery were evaluated.

Methods: starting from January 2012 until July 2012, 4 different eye surgeons in the Department of Ophthalmology at the Catholic University of the Sacred Heart Hospital have been monitored in 64 different operating session, both for anterior (cataract) and posterior segment (membrane peeling and retinal detachment). We record data on: timing of intervention, staff employed (with an estimation of labour costs), material and drug used and adverse events. The full cost of three different surgical procedures, cataract, epiretinal membrane peeling and vitrectomy for retinal detachment, have been calculated with individual differences among surgeons.

Results: using disposable instruments all surgeons were able to perform 33% more surgical procedures than reusable surgical, both in anterior and posterior segment. Disposables allow a greater efficiency with labour cost saving and turnover time reduction. High surgeons acceptance rate was also recorded because of a significant reduction of surgical malfunctions.

Conclusions: our study demonstrate tangible benefits of using disposable surgical in cataract and retinal surgery.

Keywords: 460 clinical (human) or epidemiologic studies: health care delivery/economics/manpower • 465 clinical (human) or epidemiologic studies: systems/equipment/techniques • 445 cataract  

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