@article{Elhusseiny2023, 
author = {Abdelrahman M. Elhusseiny and Mohamed M. Khodeiry and Nicolas A. Yannuzzi and Ta C. Chang and Richard K. Lee and William E. Smiddy},
title = {Cost analysis of childhood glaucoma surgeries using the US Medicaire allowable costs},
year = {2023},
journal = {International Journal of Ophthalmology},
volume = {16},
number = {5},
pages = {700-704},
keywords = {glaucoma, cost analysis, trabeculotomy, trabeculectomy, intraocular pressure, childhood glaucoma},
url = {https://www.sciopen.com/article/10.18240/ijo.2023.05.05},
doi = {10.18240/ijo.2023.05.05},
abstract = {AIMTo analyze and calculate the relative cost of various childhood glaucoma surgical interventions per mm Hg intraocular pressure (IOP) reduction (＄/mm Hg).METHODSRepresentative index studies were reviewed to quantitate the reduction of mean IOP and glaucoma medications for each surgical intervention in childhood glaucoma. A US perspective was adopted, using Medicare allowable costs to calculate cost/mm Hg IOP reduction (＄/mm Hg) at 1y postoperatively.RESULTSAt 1y postoperatively, the cost/mm Hg IOP reduction was ＄226/mm Hg for microcatheter-assisted circumferential trabeculotomy, ＄284/mm Hg for cyclophotocoagulation, ＄288/mm Hg for conventional ab-externo trabeculotomy, ＄338/mm Hg for Ahmed glaucoma valve, ＄350/mm Hg for Baerveldt glaucoma implant, ＄351/mm Hg for goniotomy, and ＄400/mm Hg for trabeculectomy.CONCLUSIONMicrocatheter-assisted circumferential trabeculotomy is the most cost-efficient surgical method to lower IOP in childhood glaucoma, while trabeculectomy is the least cost-efficient surgical method.}
}