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It does not appear realistic for eye care program managers to charge the real cost of cataract surgery at present (about US $70-in Kilimanjaro).
In treatment of phakic patients with DME, ranibizumab with deferred laser provided an additional 6 letters correct compared with triamcinolone with laser at an additional cost of $19 216 over 2 years.
In early glaucoma, both laser and medical treatment were cost-effective (ICERs of initial laser and initial medical treatment over observation only, were R$ 2,811.39/QALY and R$ 3,450.47/QALY).
Cost per surgery was $25 for PLLEH, $37 for Arghakhanchi, $54 for Gulmi, and $ 62 for Rampur respectively. The same quality and cost saving cataract surgery can be attained primary eye care centers as base hospital.
Over 36 months, from an ophthalmology cost perspective, there was a 97% probability of selective laser trabeculoplasty as first treatment being more cost-effective than eye drops first at a willingness to pay of £20 000 per quality-adjusted life-year gained.
Laser cataract surgery, irrespective of potential improvements in visual acuity outcomes and complication rates, is not cost effective at its current cost to patient when compared with cost-effectiveness benchmarks and other medical interventions, including PCS.
Cataract surgery is cost intensive for children with cataract.
Cataract surgery in both the first eye and second eye, when analyzed by standard health economic methodologies, is highly cost-effective.
In an analysis modelling costs and benefits over patients’ expected lifetime, the incremental cost per QALY was £17 299, under conservative assumptions. Second-eye cataract surgery is not likely to be cost-effective in the short term for those with mild visual dysfunction pre-operation.
Both laser and surgery were highly cost-effective in this group.