ArticleOphthalmology2020
Cost-Effectiveness of Preoperative OCT in Cataract Evaluation for Multifocal Intraocular Lens.
Article in Ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Optical coherence tomography as a diagnostic intervention before cataract surgery-a review.Eye (London, England) · 2023Pooled it
- Towards a Multi-sectoral Approach to Population Health: A Scoping Review of Cross-sectoral Evaluations of Health Interventions.Applied health economics and health policy · 2026Review
- Prevalence of Occult Macular Pathologies Detected by Optical Coherence Tomography in Patients Scheduled for Cataract Surgery.Beyoglu eye journal · 2026Article
- Use of preoperative swept-source optical coherence tomography in vitrectomy for advanced diabetic eye disease: a pilot study.Frontiers in ophthalmology · 2026Article
- Clinical and economic impacts of optical coherence tomography prior to cataract surgery in a low-to-middle-income country.Frontiers in ophthalmology · 2026Article
- Secondary Trifocal Intraocular Lens Implantation in Dense Cataracts: A Promising Alternative to One-Step Surgery.Ophthalmology and therapy · 2025Article
- Screening for Occult Macular Pathology Prior to Cataract Surgery Using Optical Coherence Tomography.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Polyimide as a biomedical material: advantages and applications.Nanoscale advances · 2024Review
- Economic evaluations in cataract surgery: a narrative review.Eye (London, England) · 2024Review
- Accuracy of swept source biometry device in detecting macular diseases compared with swept source OCT.BMC research notes · 2023Article
- Economic Evaluation of Cataract: A Systematic Mapping Review.Ophthalmology and therapy · 2023Review
- Evaluation of Fundus Function in Mature Cataract Patients by Visual Electrophysiology.Journal of ophthalmology · 2023Article
- Impact of lens opacity and axial length on concomitant screening of maculopathy by swept-source optical coherence tomography-based optical biometer.Annals of translational medicine · 2022Article
- Management of Cataract in Patients with Age-Related Macular Degeneration.Journal of clinical medicine · 2021Review
- Optical Coherence Tomography: Critical Tool to Manage Expectations after Cataract Extraction.Current ophthalmology reports · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo determine the cost effectiveness of an adjunctive screening OCT during the preoperative evaluation of a patient considering cataract surgery with a multifocal intraocular lens (IOL) implantation.
designCost-effectiveness analysis.
participantsA 67-year-old man with 20/60 vision undergoing evaluation for first-eye cataract surgery.
methodsThe cost-effectiveness analysis of the reference patient undergoing a preoperative cataract examination with and without a screening OCT was performed, evaluating for vitreoretinal diseases including an epiretinal membrane, age-related macular degeneration, vitreomacular traction, and cystoid macular edema. It was assumed that patients with macular pathologies detected before surgery would receive a monofocal IOL and be referred to a retina specialist for evaluation and management. The Medicare reimbursable cost of an OCT was $41.81. All costs and benefits were adjusted for inflation to 2019 United States dollars and discounted 3% per annum over a 16-year time horizon. Probability sensitivity analyses and 1-way deterministic sensitivity analyses were performed to assess for uncertainty.
main outcome measuresIncremental cost-effectiveness ratio and incremental cost-utility ratio (ICUR) measured in quality-adjusted life years (QALYs).
resultsApproximately 20.5% of patients undergoing cataract surgery may have macular pathologies, of which 11% may not be detected on the initial clinical examination. In the base case, an adjunctive preoperative OCT was cost effective from a third-party payer and societal perspective in the United States. In the probability sensitivity analyses, the ICURs were within the societal willingness-to-pay threshold of $50 000/QALY in approximately 64.4% of the clinical scenarios.
conclusionsA preoperative screening OCT during the evaluation of a patient considering a multifocal IOL added to the costs of the cataract surgery, but the OCT increased the detection of macular pathologies and improved the QALYs over time. An adjunctive screening OCT can be cost effective from a third-party payer and societal perspective.
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Registered trials
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