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Br J Ophthalmol 84:794-798 doi:10.1136/bjo.84.7.794
  • Perspective

Understanding cost effectiveness: a detailed review

Table 3

Cost effectiveness of various currently available eyecare technologies

Ophthalmic intervention Cost effectiveness Setting Country Reference
Vitamin A supplementation US$1/DALY Community based Not given Bobadilla et al, 19949
Cataract surgery (conventional extracapsular cataract extraction + posterior chamber intraocular lens) AUS$ 1000.85/cataract removal Specialised cataract unit Australia Asimakis et al, 199610
Cataract surgery (phacoemulsfication plus posterior chamber intraocular lens) AUS $1231.00/cataract removal Specialised cataract unit Australia Asimakis et al, 199610
Cataract surgery (technique not mentioned) UK£496.90/cataract removal Specialised cataract unit England Cresswell et al, 199611
Cataract surgery (technique not mentioned) US$5.06/DALY Specialised cataract unit Nepal Marseille, 199612
Cataract surgery (technique not mentioned) US$23 Eye Camp Northern India Murthy et al, 199413
Trichiasis surgery for trachoma US$2–15/HALY Countrywid e Burma Evans et al, 199614
Diabetic retinopathy screening (type I diabetics) US$1996/QALY Computer modelling USA Javittet al, 199615
Diabetic retinopathy screening (type II non-insulin using) US$2933/QALY Computer modelling USA Javitt et al, 199615
Diabetic retinopathy screening (type II insulin using) US$3530/QALY Computer modelling USA Javittet al, 199615
Glaucoma screening (ophthalmoscopy and tonometry, with perimetry when abnormalities detected) Cnd $100 000/year of blindness averted Computer modelling Canada Boivinet al, 199616
Glaucoma screening (ophthalmoscopy, tonometry, and perimetry) UK£850/true positive case Computer modelling England Tuck et al, 199719
  • DALY = disability adjusted life years;

  • QALY = quality adjusted life years;

  • HALY= handicap adjusted life years. US$ = United States dollars; AUS$ = Australian dollars; UK£ = United Kingdom pounds sterling; Cdn $ = Canadian dollars.

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