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Glaucoma laser and surgical procedure rates in Australia
Nathan M Kerr1, Himeesh K Kumar1, Jonathan G Crowston1
1Royal Victorian Eye & Ear Hospital, Melbourne, Victoria, Australia.
The British Journal of Ophthalmology
|March 13, 2016
Summary
Glaucoma laser procedures, particularly laser trabeculoplasty, have significantly increased in Australia since 2003. Surgical management trends show a decline in primary filtering operations and a rise in glaucoma drainage devices.
Area of Science:
- Ophthalmology
- Public Health
- Health Services Research
Background:
- Glaucoma management involves laser and surgical interventions.
- Understanding procedural trends is crucial for resource allocation and patient care.
Purpose of the Study:
- To analyze trends in glaucoma laser and surgical procedures in Australia from 1994 to 2014.
- To identify shifts in the utilization of different glaucoma treatment modalities.
Main Methods:
- Analysis of Medicare claims data for glaucoma-related procedures.
- Data stratified by procedure type, age, gender, location, and time.
Main Results:
- Laser trabeculoplasty rates declined 60% (1994-2003) then rose 353% (2003-2014).
- Laser iridotomies increased 281%, cyclodestructive procedures rose 207%.
- Primary filtering operations decreased 68%, while glaucoma drainage device insertions surged 234%.
Conclusions:
- Significant increase in laser trabeculoplasty procedures observed.
- Decline in primary glaucoma filtering operations, with increased use of glaucoma drainage devices.
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