THE SOCIOECONOMIC ASPECTS OF LASER REFRACTIVE SURGERY

THE SOCIOECONOMIC ASPECTS OF LASER REFRACTIVE SURGERY
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DOI:
10.1001/archopht.1994.01090240032022
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发表时间:
1994-12-01
影响因子:
--
通讯作者:
CHIANG, YP
CHIANG, YP
中科院分区:
其他
文献类型:
--
作者:
JAVITT, JC;CHIANG, YP

文献摘要

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准分子激光屈光性角膜切削术(PRK)在初步研究中显示出有希望的结果。然而,即使证明了长期的安全性和有效性,从成本效益的角度来看,其可行性也受到质疑。从社会和个人两个角度分析了择期准分子激光手术的经济投入。当与准分子激光隐形眼镜和后续护理相关的可能费用的现值与配戴软性隐形眼镜所需的费用进行比较时,准分子激光隐形眼镜大致相当于10年期内的日戴软性隐形眼镜,并且比长期配戴软性隐形眼镜便宜得多。当分析视角扩展到20年时,准分子激光隐形眼镜是比日常佩戴和长期佩戴软性隐形眼镜更便宜的投资。
Excimer laser photorefractive keratectomy (PRK) has shown promising results in preliminary studies. However, even if long-term safety and efficacy are demonstrated, questions have been raised about its viability from a cost-effectiveness perspective. We analyzed the economic investment of elective excimer laser PRK both from the societal and individual perspectives. When the present value of likely expenses associated with excimer laser PRK and follow-up care are compared with those entailed in wearing soft contact lenses, PRK is roughly equivalent to daily wear soft contact lenses over a 10-year horizon and considerably less expensive than extended-wear soft contact lenses. When the analytic perspective is extended to 20 years, excimer laser PRK is a less expensive investment than both daily wear and extended-wear soft contact lenses.