Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ont.
Department of Ophthalmology and Visual Sciences, Hospital for Sick Children and University of Toronto, Toronto, Ont.
Can J Ophthalmol. 2019 Aug;54(4):501-508. doi: 10.1016/j.jcjo.2018.10.012. Epub 2019 Jan 16.
To review the trends in adult strabismus procedures in Ontario from 2000-2013.
Population-based, retrospective data analysis.
All patients 18 years or older who underwent a strabismus related procedure in Ontario and all ophthalmologists who performed these procedures from 2000-2013.
Ontario Health Insurance Plan billing claims for strabismus procedures were collected and subdivided by number of muscles repaired, the use of adjustable sutures, repeat procedures, and pharmacological injection of the extraocular muscles adjusted by the total adult population. The number of ophthalmologists performing adult strabismus surgery was also analyzed, subdivided by high-volume and low-volume surgeons.
From 2000-2013, per 100 000 adult population, the number of total strabismus surgeries in Ontario increased 26.0%; single-muscle surgery increased 24.2%, 2-muscle surgery increased 43.1%, and 3 or more muscle surgery increased 3.8%. During the study period, strabismus procedures using adjustable sutures increased 30.3%, and repeat procedures increased 19.1%. The number of surgeons performing adult strabismus surgery decreased 30.0% from 2000-2013. In 2013, 92.6% of surgeries were performed by 35.7% of surgeons who performed adult strabismus surgery.
From 2000-2013, more strabismus surgery was performed in adults by fewer surgeons, including procedures using adjustable sutures and repeat procedures. These increases may be due to increases in health care funding and a heightened awareness of the functional and psychosocial benefits of strabismus surgery.
回顾 2000-2013 年安大略省成人斜视手术的趋势。
基于人群的回顾性数据分析。
2000-2013 年间在安大略省接受斜视相关手术的所有 18 岁及以上患者以及所有进行这些手术的眼科医生。
收集安大略省健康保险计划斜视手术的计费索赔，并按修复的肌肉数量、可调节缝线的使用、重复手术以及根据成人总数调整的眼外肌药物注射进行细分。还分析了执行成人斜视手术的眼科医生数量，按高容量和低容量外科医生进行细分。
2000-2013 年，安大略省每 10 万成人中，斜视手术总数增加了 26.0%；单肌肉手术增加了 24.2%，2 肌肉手术增加了 43.1%，3 或更多肌肉手术增加了 3.8%。在研究期间，使用可调节缝线的斜视手术增加了 30.3%，重复手术增加了 19.1%。2000-2013 年，执行成人斜视手术的外科医生数量减少了 30.0%。2013 年，92.6%的手术由执行成人斜视手术的 35.7%的外科医生完成。
2000-2013 年，更多的斜视手术由更少的外科医生进行，包括使用可调节缝线和重复手术的手术。这些增加可能是由于医疗保健资金的增加以及对斜视手术的功能和社会心理益处的认识提高。
