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[The Influence of Intravitreal Injections on Outpatient Cataract Operations in Germany].

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Outpatient intraocular surgeries in Germany saw a significant rise in intravitreal injections from 2006 to 2013, while cataract operations remained stable. This trend indicates continued growth in injection procedures.

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Area of Science:

  • Ophthalmology
  • Health Services Research
  • Surgical Outcomes

Background:

  • Outpatient operations in Germany lack centralized registration.
  • Estimating trends in ophthalmic surgery is crucial for healthcare planning.
  • The rise of intravitreal injections necessitates an analysis of their impact on surgical volumes.

Purpose of the Study:

  • To estimate the development of outpatient intraocular surgery in Germany.
  • To analyze trends in cataract operations and intravitreal injections since the implementation of the latter.

Main Methods:

  • Surveys of ophthalmic surgeons in Germany were conducted between 2006 and 2013.
  • An average of 318 completed questionnaires were analyzed annually.
  • The response rate for the surveys averaged 37%.

Main Results:

  • Extrapolated data show a mean of 347,564 cataract operations and 139,946 intravitreal injections annually between 2006 and 2013.
  • Cataract operation numbers remained constant throughout the study period.
  • Intravitreal injections increased substantially, from 35,135 in 2006 to 274,714 in 2013.

Conclusions:

  • No saturation point has been reached for the increasing number of intravitreal injections.
  • The rise in intravitreal injections has not led to a decrease in other outpatient ophthalmic procedures, such as cataract surgery.