Comparative evaluation of clinical-economical effectiveness of cataract surgery with implantation of toric and spherical Rayner iol AFTER PHACOEMULSIFICATION IN PATIENTS WITH INITIAL CORNEAL ASTIGMATISM
The goal of the research was to perform comparative evaluation of clinical-economical effectiveness of cataract surgery with implantation of toric and spherical Rayner IOL after phacoemulsification in patients with initial corneal astigmatism. Methods: the research on clinical-economical effectiveness using methods of CEA - cost-effectiveness and CUA - cost-utility analysis was performed in 110 patients (144 eyes) who underwent cataract surgery with IOL implantation. Results: there was no reliable difference in ratio «cost-effectiveness» between two methods of surgical treatment (P>0,05). The ratio of «cost-utility» coefficient in patients with initial corneal astigmatism was reliably lower in the group of patients who underwent toric IOL implantation (p<0,05). Conclusion: Rayner T-flex toric IOL implantation in patients with initial corneal astigmatism is a more efficient but also more expensive technology. However, toric lenses implantation can significantly improve the quality of life in this group of patients and additional economic costs fully justify themselves.