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Medicare Facts - Are Injections Better Than Eye Drops for Addressing Cataracts
According to recent studies, injections dramatically reduce the incidence of post-operative infections.
Millions of U.S. cataract-surgery patients must apply eye drops three or four times a day for several weeks after surgery in order to prevent infections. A new injection promises to protect against infections, relieving patients of their eye drop duties post operation.
With just two injections per each affected eye doctors believe they can protect the eyes from post operation infections. Dr. Neal Shorstein, of Kaiser Permanente in Walnut Creek, is among the leaders pushing to replace eye drops with injections.
Patients receive two injections, one an antibiotic and the other an anti-inflammatory drug. While some patients may cringe at the idea of an eye injection, patients report barely feeling them. Recent patient Jerry Danzig told the U.S. News, “There was nothing dramatic, nothing memorable as far as discomfort or pain.” The injections are given at the end of surgery when the eyes are still numb.
There have been multiple trials conducted across the world totaling more than 7 million patients studied. The results show a clear association between the use of antibiotic injections and a drop in infection rates, according to Dr. Jonathan Javitt, formerly of the Johns Hopkins’ Wilmer Ophthalmological Institute, and now of NeuroRX Pharma in Haifa, Israel. A recent study published online in the Journal Ophthalmology, showed that injections cut the infection rate by more than half.
According to Javitt these reports, “may tip the balance of data to support use of injections,” reported the U.S. News.
In the U.S. an estimated 3.6 million people have cataract surgery. Studies indicate that the use of injections could potentially prevent infections in more than 2,000 eyes each year. These infections are often serious enough to cause the loss of vision, says Javitt.
Still, many U.S. doctors have been hesitant to adopt the injection approach. “Doctors are conservative,” Dr. Robert Abel, an ophthalmologist and advocate of the injections at Christiana Care health System in Wilmington, Delaware told the U.S. News. “They’re reluctant to try new things when they think they have a good program.”
Eye drops come at a cost
The eye drops used post cataract surgery are covered by Medicare, which means that taxpayers carry a disproportionate share of the expense for a protocol that might not provide the best protection for patients, according to policy analysis firm Andrew Chang & Co. According to the analysis, eye drops add $175 to $431 per eye to the cost of surgery. Injections aren’t covered by Medicare, and are $100 or less.
How do you feel about injections replacing eye drops for post operation protection? Share your thoughts in the comment section below.