Abstract：
:Rising healthcare costs and increasing demands for health care require techniques to choose between competing uses and even rationing of health care. Economic evaluations and health technology assessments are increasingly a means to assess the cost effectiveness of healthcare interventions so as to inform such resource allocation decisions. To date, the adoption of health technology assessments, as a way of assessing cost effectiveness, in ophthalmology has been slower, relative to their implementation in other specialities. Nevertheless, demands for eye services are increasing due to an ageing population. The prevalence of conditions such as glaucoma, cataract, diabetic eye disease and age-related macular degeneration increases with age, and it is predicted that global blindness will triple by 2050. So there is a challenge for ophthalmologists to ensure that they can contribute to, interpret, critically evaluate, and use findings from economic evaluations in their clinical practice. To aid this, this article serves as a primer on the use of health technology assessments to assess cost effectiveness using economic evaluation techniques for ophthalmologists. Healthcare systems face many challenges worldwide - changing demographics and evolution of new technologies are only going to intensify. With this in mind, ophthalmology needs to be ready and able to engage with health economists to prepare, interpret, critically evaluate and use findings of economic evaluations and health technology assessments.
journal_name
Eur J Ophthalmoljournal_title
European journal of ophthalmologyauthors
Murphy A,McElnea E,Byrne Sdoi
10.1177/1120672117747040subject
Has Abstractpub_date
2018-07-01 00:00:00pages
358-364issue
4eissn
1120-6721issn
1724-6016journal_volume
28pub_type
杂志文章,评审abstract：PURPOSE:To examine the association between Lp(a) concentrations and the severity of retinopathy in 22 younger-onset and 48 older-onset diabetic subjects from the Wisconsin Epidemiologic Study of Diabetic Retinopathy (WESDR), a population-based study of diabetic retinopathy. METHODS:We used a subset of the WESDR popula...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：
更新日期：1995-04-01 00:00:00
abstract：PURPOSE:To evaluate the safety and efficacy of sealed implantation, a simple technique for implanting foldable intraocular lenses (IOLs). METHODS:This was a retrospective study including consecutive patients who underwent phacoemulsification cataract using the sealed implantation technique. Sealed implantation is a te...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/ejo.5000997
更新日期：2017-08-30 00:00:00
abstract：:We report a case of ocular drug toxicity consistent with bilateral Vogt-Koyanagi-Harada (VKH) like disease in a patient with cutaneous melanoma treated with Dabrafenib/Trametinib therapy. A 53-year-old man with a history of metastatic cutaneous melanoma, treated with Dabrafenib/Trametinib, developed a severe acute pan...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/1120672120962044
更新日期：2020-10-01 00:00:00
abstract：:Peripheral choroidal neovascularization can result in an elevated subretinal lesion which can simulate a choroidal tumor. We reviewed 8 eyes with 11 peripheral areas of subretinal fluid and exudate which were subsequently determined to be secondary to peripheral choroidal neovascularization. Previous reports of periph...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：PURPOSE:A prospective, open-label study in 20 professional swimmers evaluated the efficacy and safety of an ophthalmic solution containing crosslinked hyaluronic acid, coenzyme Q10, and vitamin E TPGS in releasing eye irritation and restoring ocular surface damages after prolonged exposure to chlorinated water. METHOD...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/1120672120907311
更新日期：2020-05-01 00:00:00
abstract：PURPOSE:To compare the IOP readings of an ocular blood flow (OBF) tonograph (OBF Labs UK Ltd) with Goldmann applanation tonometry. METHODS:194 patients were studied. In group 1, the software version 8.2 of the OBF tonograph was used in 214 eyes of 107 patients and in group 2, the 11.2 version of the tonograph was used...
journal_title：European journal of ophthalmology
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1998-07-01 00:00:00
abstract：PURPOSE:Preoperative and postoperative optical coherence tomography (OCT) of macular pathologies can be regarded as the gold standard diagnostic technique, providing detailed information on the microstructures of the macula for planning the surgical procedure and comparing improvements after surgery in the follow-up pe...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/ejo.5001058
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:To evaluate the efficacy and safety of fixed-combination brimonidine tartrate 0.2%/timolol 0.5% ophthalmic solution dosed BID and demonstrate non-inferiority to concomitant use of brimonidine tartrate 0.2% BID and timolol 0.5% BID in glaucoma and ocular hypertension patients with intraocular pressure (IOP) unco...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/EJO.2008.4076
更新日期：2005-01-01 00:00:00
abstract：PURPOSE:To delineate and discuss a not yet described possible ocular complication of selective intra-arterial chemotherapy (SIAC) for treatment of retinoblastoma. METHODS:A 23-month-old girl with a large unilateral retinoblastoma was treated with repeated SIAC using 5 mg melphalan between July 2010 and January 2012. C...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/ejo.5000393
更新日期：2014-05-01 00:00:00
abstract：PURPOSE:To present a case of ocular decompression retinopathy occurring after an uncomplicated nonpenetrating glaucoma procedure (deep sclerectomy with mitomycin C). METHODS:A 52-year-old man with medically uncontrolled exfoliation glaucoma in the left eye underwent uneventful deep sclerectomy with mitomycin C. The pa...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/EJO.2010.5731
更新日期：2011-05-01 00:00:00
abstract：PURPOSE:This study aimed to assess details of therapy required to achieve an intraocular pressure (IOP) of ⩽12 mmHg in patients with severe glaucoma of different etiologies. METHODS:Patients with a follow-up of at least 1 year, who fulfilled inclusion criteria were selected, and data analyzed with respect to baseline ...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/1120672120979903
更新日期：2020-12-08 00:00:00
abstract：PURPOSE:To compare retinal nerve fiber layer thickness (RNFLT) and inner macula thickness changes measured with Fourier-domain optical coherence tomography (FD-OCT) and scanning laser polarimetry during the course of acute optic neuritis (ON). METHODS:Nine eyes of 7 consecutive patients with multiple sclerosis (MS) we...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/EJO.2010.5844
更新日期：2011-07-01 00:00:00
abstract：PURPOSE:To report the laboratory findings, management strategies, and visual outcomes of culture-proven exogenous fungal endophthalmitis in North China. METHODS:The microbiological and treatment records of patients with culture-positive exogenous fungal endophthalmitis who visited the Affiliated Hospital of Qingdao Un...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/1120672119833896
更新日期：2020-05-01 00:00:00
abstract：PURPOSE:To assess efficacy, safety, and predictability after refractive lens exchange (RLE) in patients who had bilateral implantation of an Acri.LISA 366D diffractive bifocal intraocular lens (IOL). METHODS:Sixty-six eyes of 33 consecutive patients were examined after RLE who had bilateral implantation of an Acri.LIS...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/ejo.2010.2991
更新日期：2011-03-01 00:00:00
abstract：PURPOSE:We aimed to discuss the possible role of developmental embryologic factors in neural crest cells in the aetiology of keratoconus and Fuchs' heterochromic iridocyclitis by presenting this case. CASE REPORT:We diagnosed bilateral keratoconus and unilateral Fuchs' heterochromic iridocyclitis in a 19 year old wome...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/112067210101100114
更新日期：2001-01-01 00:00:00
abstract：PURPOSE:To evaluate persistency (time on initial therapy) and the clinical impact of latanoprost versus beta-blocker monotherapy in treating glaucoma. METHODS:This observational, multicenter, retrospective medical chart review study conducted in four European countries included patients with primary open-angle glaucom...
journal_title：European journal of ophthalmology
pub_type： 杂志文章,多中心研究
doi：10.1177/112067210301304s03
更新日期：2003-07-01 00:00:00
abstract：PURPOSE:To describe a new technique to split the lens nucleus inside the capsular bag, using a novel pair of instruments. METHODS:Two identical instruments are employed on the horizontal axis to promote nuclear splitting into 2 or more fragments. Each instrument has a portion that functions as a hook (H); an anterior ...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/ejo.5000567
更新日期：2015-07-01 00:00:00
abstract：:Astigmatic changes in three series of cataract surgical procedures were compared. The first two series comprised eyes having a manual extracapsular cataract extraction (ECCE) through a 12.0 mm or 8.0 mm incision and implant of a PMMA posterior chamber lens. The third series comprised eyes having phacoemulsification th...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：
更新日期：1996-07-01 00:00:00
abstract：PURPOSE:To describe our clinical experience with the efficacy and safety of micropulse transscleral cyclophotocoagulation as a treatment for glaucoma. METHODS:In this retrospective case series, we reviewed the charts of 95 consecutive patients with various glaucoma subtypes who underwent micropulse transscleral cyclop...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/1120672119839303
更新日期：2020-07-01 00:00:00
abstract：PURPOSE:To report on the occurrence of histology-proven sympathetic ophthalmia in a patient with VATER association and persisting hyperplastic primary vitreous (PHPV) after a cyclodestructive procedure was performed to treat secondary angle-closure glaucoma. METHODS:The left eye of a 13-year-old boy with VATER associa...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/EJO.2008.2546
更新日期：2006-01-01 00:00:00
abstract：PURPOSE:To determine the outcome, including the intraoperative and postoperative complications, of phacoemulsification with intraocular lens (IOL) implantation in myopic eyes with axial length of 26 mm or more that had undergone previous pars plana vitrectomy (PPV). METHODS:This prospective study comprised 37 highly m...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/EJO.2010.6096
更新日期：2011-07-01 00:00:00
abstract：PURPOSE:To describe the safety and efficacy of intravitreal tissue plasminogen activator (tPA) and sulfur hexafluoride (SF6) gas with sequential photodynamic therapy (PDT) in the management of submacular hemorrhage (SMH) associated with macular degeneration (MD). METHODS:Consecutive case series of five patients presen...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/112067210801800415
更新日期：2008-07-01 00:00:00
abstract：:Non-arteritic anterior ischemic optic neuropathy (NAION) is characterized by the progressive and irreversible death of retinal ganglion cells (RGCs) which is caused by the insufficient blood supply to the optic nerve (ON) head. At present, hormone therapy is used to reduce optic edema, followed by nerve nutrition ther...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/1120672120974283
更新日期：2020-11-21 00:00:00
abstract：PURPOSE:To evaluate the changes in retinal nerve fiber layer thickness (RNFLT), ganglion cell layer thickness (GCLT), retinal thickness (RT), and subfoveal choroidal thickness (SFCT) in eyes that received pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling for idiopathic macular hole (IMH) and to ...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/ejo.5000851
更新日期：2017-05-11 00:00:00
abstract：PURPOSE:To describe a patient with Leber miliary aneurysms who fulfilled the criteria for clinically definite multiple sclerosis (MS) in remission. METHODS:Case report. RESULTS:We performed a complete ophthalmologic examination in a 45-year-old woman who was referred to our department for retinal vascular abnormaliti...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/112067210901900428
更新日期：2009-07-01 00:00:00
abstract：PURPOSE:To evaluate the long-term efficacy and safety of standard-fluence photodynamic therapy (PDT) with verteporfin using the minimum PDT spot size in patients with diffuse retinal pigment epitheliopathy (DRPE). METHODS:This is a retrospective study of 67 DRPE cases treated with PDT using a standardized minimum spot...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/ejo.5000541
更新日期：2015-05-01 00:00:00
abstract：PURPOSE:Management of Graves' ophthalmopathy remains challenging. Over the last decade, previous studies have shown promising results for Rituximab in the treatment of Graves' ophthalmopathy. We present the response of 14 individuals with active moderate-to-severe Graves' ophthalmopathy to Rituximab, representing one o...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/1120672119845224
更新日期：2020-09-01 00:00:00
abstract：PURPOSE:To determine the incidence, timing and risk factors for glaucoma and visual axis opacification development following surgery for congenital cataract in the first year of life. METHODS:A prospective case series of all cataract surgery performed in Temple Street Children's University Hospital over a 28-year peri...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/1120672119862878
更新日期：2020-11-01 00:00:00
abstract：PURPOSE:To compare 4 limbal-conjunctival autograft fixation techniques-conventional suture, commercial fibrin glue, autologous fibrin glue, and cautery-in primary nasal pterygium surgery. METHODS:This is a retrospective and descriptive study. The postoperative patient discomfort, graft edema, ocular inflammation, and ...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.5301/ejo.5000924
更新日期：2017-06-26 00:00:00
abstract：OBJECTIVE:To evaluate the effect of chronicity on the size of the ostium after external dacryocystorhinostomy (DCR) with intubation. METHODS:Design: A retrospective chart review of patients who underwent external DCR with intubation over 10 years from January 2003 at a tertiary hospital. All patients were recruited an...
journal_title：European journal of ophthalmology
pub_type： 杂志文章
doi：10.1177/1120672120976044
更新日期：2020-11-24 00:00:00
