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Eye Care: Dollars and Sense Taylor HR.  Am J Ophthalmol 2007; 143:1-8. Journal Club Terry J. Alexandrou, MD Department of Ophthalmology and Visual Science University of Chicago
Purpose ,[object Object]
Design ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Population Based Evidence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevalence and Causes of Vision Loss Amount of vision loss and eye disease increases dramatically  with increasing age (2004)
Prevalence and Causes of Vision Loss Prevalence of blindness  (≤20/200 in better eye) Prevalence of low vision (<20/40 in better eye)
Prevalence and Causes of Vision Loss (US in 1909) Ophthalmia neonatum and injury were leading causes of blindness 100 years ago, when life expectancy was ~40 years
Prevalence and Causes of Vision Loss Australia in 2004 Age > 40 Causes of blindness (≤20/200) Causes of visual   impairment (<20/40)
Impact of Vision Loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Costs of Vision Loss Australia Vision loss is the 7 th  leading cause of disability in Australia Causes nearly 3% of the national total of years of life  lost attributable to disability
Costs of Vision Loss (2006) Vision loss ranks as the 6 th  most important cause  of disability worldwide
Costs of Vision Loss Australia(2004) Total cost of vision loss was ~10 billion Indirect costs - ~3.2 billion ● loss of earnings ● cost of caregivers ● additional age care Loss of well-being - ~4.8 billion Lost income - ~1.8 billion Direct costs - ~1.9 billion ● hospital care ● outpatient and office visits ● optometry costs ● medications
Costs of Vision Loss Direct Health Costs for vision disorders ranks 7 th  in Australian rankings Cataract surgery is the single largest condition cost 180,000 cataract surgeries performed in Australia in 2005
Costs of Eye Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Costs of Vision Loss ,[object Object],[object Object],[object Object],[object Object]
Costs of Vision Loss Australia could save 5 dollars for each dollar spent
Discussion ,[object Object],[object Object],[object Object]
Discussion ,[object Object]

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Dollars and Sense

  • 1. Eye Care: Dollars and Sense Taylor HR. Am J Ophthalmol 2007; 143:1-8. Journal Club Terry J. Alexandrou, MD Department of Ophthalmology and Visual Science University of Chicago
  • 2.
  • 3.
  • 4.
  • 5. Prevalence and Causes of Vision Loss Amount of vision loss and eye disease increases dramatically with increasing age (2004)
  • 6. Prevalence and Causes of Vision Loss Prevalence of blindness (≤20/200 in better eye) Prevalence of low vision (<20/40 in better eye)
  • 7. Prevalence and Causes of Vision Loss (US in 1909) Ophthalmia neonatum and injury were leading causes of blindness 100 years ago, when life expectancy was ~40 years
  • 8. Prevalence and Causes of Vision Loss Australia in 2004 Age > 40 Causes of blindness (≤20/200) Causes of visual impairment (<20/40)
  • 9.
  • 10. Costs of Vision Loss Australia Vision loss is the 7 th leading cause of disability in Australia Causes nearly 3% of the national total of years of life lost attributable to disability
  • 11. Costs of Vision Loss (2006) Vision loss ranks as the 6 th most important cause of disability worldwide
  • 12. Costs of Vision Loss Australia(2004) Total cost of vision loss was ~10 billion Indirect costs - ~3.2 billion ● loss of earnings ● cost of caregivers ● additional age care Loss of well-being - ~4.8 billion Lost income - ~1.8 billion Direct costs - ~1.9 billion ● hospital care ● outpatient and office visits ● optometry costs ● medications
  • 13. Costs of Vision Loss Direct Health Costs for vision disorders ranks 7 th in Australian rankings Cataract surgery is the single largest condition cost 180,000 cataract surgeries performed in Australia in 2005
  • 14.
  • 15.
  • 16. Costs of Vision Loss Australia could save 5 dollars for each dollar spent
  • 17.
  • 18.