June 2023
Volume 64, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2023
Imaging utilization by cornea specialists
Author Affiliations & Notes
  • Matthew Montani
    Rutgers New Jersey Medical School Department of Ophthalmology & Visual Science, Newark, New Jersey, United States
  • Hassaam Choudhry
    Rutgers New Jersey Medical School Department of Ophthalmology & Visual Science, Newark, New Jersey, United States
  • Jack McCloskey
    Rutgers The State University of New Jersey, New Brunswick, New Jersey, United States
  • Mohammad Hossein Dastjerdi
    Rutgers New Jersey Medical School Department of Ophthalmology & Visual Science, Newark, New Jersey, United States
  • Footnotes
    Commercial Relationships   Matthew Montani None; Hassaam Choudhry None; Jack McCloskey None; Mohammad Dastjerdi None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2023, Vol.64, 4035. doi:
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    • Get Citation

      Matthew Montani, Hassaam Choudhry, Jack McCloskey, Mohammad Hossein Dastjerdi; Imaging utilization by cornea specialists. Invest. Ophthalmol. Vis. Sci. 2023;64(8):4035.

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

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Abstract

Purpose :
Advancements in imaging allow for greater precision and diagnostic capabilities in the field of cornea and ophthalmology at large. We performed retrospective data analysis to further explore trends in use of various cornea imaging modalities.

Methods : Medicare Fee-for-Service data was queried for all ophthalmologists who performed at least one keratoplasty between 2016-2020. The imaging modalities analyzed included ultrasound, corneal topography, ocular coherence tomography (OCT) and fundus photography. Chronological, regional, and setting trends were assessed for number of services and number of beneficiaries receiving these imaging services.

Results : 490,110 total imaging services and 387,347 total Medicare beneficiaries receiving the services were recorded. Review of the data showed that there were more imaging modalities utilized in Medicare non-facility (i.e. office) settings across all regions, modalities and years compared to facility (i.e. hospital) settings. The most frequently performed imaging service across 2016-2020 was the OCT while the least frequently performed service was fundus photography. There were both more imaging services and Medicare beneficiaries of these services in the South compared to any other region of the United States, and likewise there were fewer services and beneficiaries in the Midwest compared to any other region of the United States. The year 2020 saw a decrease across all imaging modalities in both the number of services and the number of beneficiaries. On a national level and excluding 2020, there was an observed yearly decrease in ultrasound usage by cornea specialists while there was an observed yearly increase in fundus photography services. OCT and corneal topography utilization fluctuated yearly between 2016 and 2019.

Conclusions : Our results suggest that various trends may exist in imaging utilization by cornea specialists in the United States. Additionally, our results indicate a drop in imaging services and beneficiaries in 2020. Future investigations should look to discern explanations for the patterns observed, such as a possible role of the COVID-19 pandemic in disrupting imaging utilization.

This abstract was presented at the 2023 ARVO Annual Meeting, held in New Orleans, LA, April 23-27, 2023.

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