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Toric and mulitifocal lens utilization independent of patient cost and physician remuneration at a single institution.
Am J Ophthalmol Case Rep 2019; 15:100500AJ

Abstract

Purpose

To determine if the rates of toric and multifocal intraocular lenses (IOLs) are affected by patient cost or physician reimbursement.

Methods

At Naval Medical Center San Diego (NMCSD) there is no increased patient cost or physician reimbursement for toric or multifocal IOLs. The medical records of all patients who underwent cataract surgery with IOL implantation at NMCSD between 2013 and September 2016 were reviewed. The type of IOL implanted was identified. The rates of toric and multifocal IOL usage were compared to the rates reported in the 2016 American Society of Cataract and Refractive Surgery (ASCRS) Clinical Survey.

Results

The inclusion criterion was met for 2585 cataract surgeries. The percentage of toric IOLs at NMCSD in 2016 was 10%. If the patients that received 3 piece or anterior chamber IOLs were excluded, the percentage of single piece IOLs that were toric was 12%. The percentage of multifocal IOLs at NMCSD ranged from 0.8% in 2013 to 0.3% in 2016. The rates of toric and multifocal IOLs reported in the ASCRS clinical survey were 10% and 9%, respectively.

Conclusions and Importance

The rate of toric IOLs usage was not significantly affected by patient cost or physician reimbursement. The rate of multifocal IOLs usage was significantly lower at NMCSD.

Authors+Show Affiliations

Naval Medical Center San Diego, San Diego, CA, USA.Naval Medical Center San Diego, San Diego, CA, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31312751

Citation

Todd, Timothy, and Joseph Schmitz. "Toric and Mulitifocal Lens Utilization Independent of Patient Cost and Physician Remuneration at a Single Institution." American Journal of Ophthalmology Case Reports, vol. 15, 2019, p. 100500.
Todd T, Schmitz J. Toric and mulitifocal lens utilization independent of patient cost and physician remuneration at a single institution. Am J Ophthalmol Case Rep. 2019;15:100500.
Todd, T., & Schmitz, J. (2019). Toric and mulitifocal lens utilization independent of patient cost and physician remuneration at a single institution. American Journal of Ophthalmology Case Reports, 15, p. 100500. doi:10.1016/j.ajoc.2019.100500.
Todd T, Schmitz J. Toric and Mulitifocal Lens Utilization Independent of Patient Cost and Physician Remuneration at a Single Institution. Am J Ophthalmol Case Rep. 2019;15:100500. PubMed PMID: 31312751.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Toric and mulitifocal lens utilization independent of patient cost and physician remuneration at a single institution. AU - Todd,Timothy, AU - Schmitz,Joseph, Y1 - 2019/06/20/ PY - 2018/04/24/received PY - 2019/06/18/revised PY - 2019/06/18/accepted PY - 2019/7/18/entrez PY - 2019/7/18/pubmed PY - 2019/7/18/medline KW - Cost KW - Multifocal KW - Renumeration KW - Toric SP - 100500 EP - 100500 JF - American journal of ophthalmology case reports JO - Am J Ophthalmol Case Rep VL - 15 N2 - Purpose: To determine if the rates of toric and multifocal intraocular lenses (IOLs) are affected by patient cost or physician reimbursement. Methods: At Naval Medical Center San Diego (NMCSD) there is no increased patient cost or physician reimbursement for toric or multifocal IOLs. The medical records of all patients who underwent cataract surgery with IOL implantation at NMCSD between 2013 and September 2016 were reviewed. The type of IOL implanted was identified. The rates of toric and multifocal IOL usage were compared to the rates reported in the 2016 American Society of Cataract and Refractive Surgery (ASCRS) Clinical Survey. Results: The inclusion criterion was met for 2585 cataract surgeries. The percentage of toric IOLs at NMCSD in 2016 was 10%. If the patients that received 3 piece or anterior chamber IOLs were excluded, the percentage of single piece IOLs that were toric was 12%. The percentage of multifocal IOLs at NMCSD ranged from 0.8% in 2013 to 0.3% in 2016. The rates of toric and multifocal IOLs reported in the ASCRS clinical survey were 10% and 9%, respectively. Conclusions and Importance: The rate of toric IOLs usage was not significantly affected by patient cost or physician reimbursement. The rate of multifocal IOLs usage was significantly lower at NMCSD. SN - 2451-9936 UR - https://www.unboundmedicine.com/medline/citation/31312751/Toric_and_mulitifocal_lens_utilization_independent_of_patient_cost_and_physician_remuneration_at_a_single_institution L2 - https://linkinghub.elsevier.com/retrieve/pii/S2451-9936(18)30165-8 DB - PRIME DP - Unbound Medicine ER -