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Cost effectiveness of the type II Boston keratoprosthesis Ament JD; Stryjewski TP; Pujari S; Siddique S; Papaliodis GN; Chodosh J; Dohlman CHEye (Lond) 2011[Mar]; 25 (3): 342-9PURPOSE: Despite demonstrated cost effectiveness, not all corneal disorders are amenable to type I Boston keratoprosthesis (KPro) implantation. This includes patients with autoimmune diseases, such as Stevens-Johnson syndrome/toxic epidermal necrolysis. Type II KPro is implanted through the eyelids in severe dry eye and cicatricial diseases, and its cost effectiveness was sought. PATIENTS AND METHODS: In a retrospective chart review, 29 patients who underwent type II KPro surgery at the Massachusetts Eye and Ear Infirmary between the years 2000 and 2009 were identified. A total of 11 patients had 5-year follow-up data. Average cost effectiveness was determined by cost-utility analysis, comparing type II KPro surgery with no further intervention. RESULTS: Using the current parameters, the cost utility of KPro from third-party insurer (Medicare) perspective was 63,196 $/quality-adjusted life year . CONCLUSION: Efforts to refer those less likely to benefit from traditional corneal transplantation or type I KPro, for type II KPro surgery, may decrease both patient and societal costs.|*Health Care Costs[MESH]|Adult[MESH]|Aged[MESH]|Aged, 80 and over[MESH]|Cohort Studies[MESH]|Cornea/surgery[MESH]|Corneal Diseases/*economics/surgery[MESH]|Cost-Benefit Analysis[MESH]|Female[MESH]|Humans[MESH]|Male[MESH]|Middle Aged[MESH]|Ophthalmologic Surgical Procedures/economics[MESH]|Prostheses and Implants/*economics[MESH]|Prosthesis Implantation/*economics[MESH]|Retrospective Studies[MESH] |
