Kerr Nathan M, Kumar Himeesh K, Crowston Jonathan G, Walland Mark J
Royal Victorian Eye & Ear Hospital, Melbourne, Victoria, Australia.
Br J Ophthalmol. 2016 Dec;100(12):1686-1691. doi: 10.1136/bjophthalmol-2015-307994. Epub 2016 Mar 11.
To determine trends in the number of glaucoma laser and surgical procedures performed in Australia between 1994 and 2014.
Medicare claims were analysed to determine the number of glaucoma-related procedures reimbursed in Australia between 1994 and 2014. Glaucoma procedures were identified by Medicare Benefits Schedule item number and analysed by age range, gender, state, month and year.
Laser trabeculoplasty rates declined 60% between 1994 and 2003 before increasing a dramatic 353% between 2003 and 2014. Laser iridotomies increased 281% over the study period while cyclodestructive procedures increased 207%. The number of primary filtering operations for glaucoma fell 68% from a peak in 1996 to a low in 2006 and then remained stable. However, the number of filtering operations in eyes where a previous filtering operation had been performed increased 27%. There was a marked increase in glaucoma drainage device insertion, increasing 234% over the study period.
There has been a substantial increase in laser trabeculoplasty procedures in Australia, following a decline between 1994 and 2003. Primary filtering operations for glaucoma have declined in number while glaucoma drainage devices are playing an increasingly prominent role in the surgical management of glaucoma.
确定1994年至2014年间澳大利亚青光眼激光手术和外科手术的数量趋势。
对医疗保险报销数据进行分析，以确定1994年至2014年间澳大利亚报销的青光眼相关手术数量。通过医疗保险福利计划项目编号识别青光眼手术，并按年龄范围、性别、州、月份和年份进行分析。
1994年至2003年间小梁成形术的比率下降了60%，而在2003年至2014年间急剧上升了353%。在研究期间，激光虹膜切开术增加了281%，而睫状体破坏手术增加了207%。青光眼初次滤过手术的数量从1996年的峰值下降了68%，至2006年降至低点，然后保持稳定。然而，在之前已进行过滤过手术的眼睛中，滤过手术的数量增加了27%。青光眼引流装置植入术显著增加，在研究期间增加了234%。
在1994年至2003年下降之后，澳大利亚小梁成形术的手术数量大幅增加。青光眼初次滤过手术的数量有所下降，而青光眼引流装置在青光眼的手术治疗中发挥着越来越重要的作用。
