They did not use any date or language restrictions in the electronic searches for trials. In a prospective, consecutive cohort study, Bali and colleagues (2012) described the intra-operative complications and evaluated the learning curve with femtosecond laser-assisted cataract surgery (FLACS). This review does not mention the Optiwave refractive analysis system/intra-operative refractive biometry. They found that many patients of low endothelial cell density can be identified through the patient's medical history and clinical examination. Data collected included patient demographics, pre-operative characteristics, femtosecond lens fragmentation method, effective phacoemulsification time (EPT), intra-operative complications, and post-operative outcomes. Dick (2005) stated that the potential clinical benefits of accommodative IOL technology for both cataract patients and refractive patients may place accommodative IOLs in a competitive position with multi-focal IOL technology. Comparative analysis was done for predictive accuracy of IOL power determination using 2 conventional methods and 2 new technologies: the Haigis-L formula, Masket regression formula, ORA intra-operative aberrometry, and Optovue RTVue Fourier-domain OCT-based IOL formula. Obstbaum SA. The IOL power was estimated pre-operatively using the IOLMaster 500 (Carl Zeiss Meditec, Dublin, CA) to calculate the Haigis-L and Masket regression formulae (when prior data were available), and the Optovue RTVue (Optovue Inc., Fremont, CA) spectral domain OCT was used to obtain the Fourier-domain OCT-based IOL formula. Another drawback of this study centered arounds the cases when ORA recommended several different IOL powers during aphakic measurements. Physicians will have to make practice decisions based on best clinical judgment until controlled trials are conducted and their findings published. The short answer: Yes. Note:Aetna considers the following IOLs non-covered deluxe items: Accommodating posterior chamber IOLs (e.g., Crystalens (Eyeonics Inc., Aliso Viejo, CA); multi-focal posterior chamber IOLs (e.g., Array Model SA40 (Abbott Medical Optics, Santa Ana, CA), ReZoom (Abbott Medical Optics, Santa Ana, CA), Tecnis ZM900, Tecnis posterior chamber IOLs (Model ZKB00), and ZMAOO (Abbott Medical Optics, Santa Ana, CA), AcrySof IQ Vivity Extended Vision Intraocular Lens (Model DFT015), AcrySof ReSTOR, (Alcon Surgical, Fort Worth, TX), Acrysof ReSTOR SA60D3 multifocal, Acrysof Natural ReSTOR SN60D3, AcrySof ReSTOR Aspheric IOL model SN6AD1, AcrySof ReSTOR Aspheric IOL model SN6AD3); astigmatism-correcting (toric) posterior chamber IOLs (e.g., Staar Toric IOL (Star Surgical, Monrovia, CA), Staar Elastic Toric Lens Model AA4203TL, Abbott Medical Optics Tecnis Toric model ZCT150, AcrySof IQ Vivity Toric Extended Vision IOLs (DFT315, DFT 415, DFT515), AcrySof Toric IOL (Alcon Surgical, Fort Worth, TX)) AcrySof Aspheric Toric IOL SN6AT3, SN6AT4 and SN6AT5, AcrySof Toric Models SA60T3, SA60T4 and SA60T5, AcrySof Toric Model SA60T, and Acrysof IQ Toric Model SN6ATT, SA6AT3, SN6AT6, SN6AT7 SN6AT8, and SN6AT9); multifocal astigmatism-correcting (toric) IOLs (ReSTOR Multifocal Toric IOL); accommodating toric IOLs (Trulign Toric IOL (Bausch & Lomb, Inc., Rochester, NY); extended depth of focus multifocal lens (Tecnis Symfony ZXR00), and trifocal IOLs (e.g., ALCON PanOptix). Both IC cefuroxime and moxifloxacin proved effective. There is some evidence that distance visual acuity with accommodative lenses may be worse after 12 months but due to low quality of evidence and heterogeneity of effect, the evidence for this is not clear-cut. At long-term follow-up there was heterogeneity of effect with 18-month data in 2 studies showing that CDVA was better in the mono-focal group (MD 0.12 logMAR; 95 % CI: 0.07 to 0.16, 2 studies, 70 people, 100 eyes) and 1 study that reported data at 12 months finding similar CDVA in the 2 groups (-0.02 logMAR units, 95 % CI: -0.06 to 0.02, 51 people) (low quality evidence). Federal Register. There were no date or language restrictions in the electronic searches for trials. Cochrane Database Syst Rev. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. The largest study was an international study with centers in Brazil, Egypt, Finland, France, Japan, the Netherlands, Slovak Republic, Spain, and the USA; 2 studies were conducted in Germany and 1 in Saudi Arabia. Only 1 study reported on gender of subjects, and they were mostly women. 2015;38(10):955-959. The Panel found inadequate evidence that potential vision testing can help the ophthalmologist in predicting the outcome of cataract surgery. Centers Near You Enter A New Address Procedures Custom LASIK Cataract Surgery Other Procedures Aetna is the third-largest insurer in the nation and the only one to require prior authorization for cataract surgery. San Francisco, CA: American Academy of Ophthalmology; 1991. .strikeThrough { According to Finder, the average price for patients without insurance at private hospitals is around $2500 per eye. Pediatric cataract surgery following treatment for retinoblastoma: A case series and systematic review. J Cataract Refract Surg. Interventional Procedure Guidance 209. There were no date or language restrictions in the electronic searches for trials. 1993;19(6):673. Cataract extraction can be accomplished by removing the lens or by emulsification followed by irrigation and aspiration. Toward zero effective phacoemulsification time using femtosecond laser pretreatment. Medscape, February 16, 2012. Vogel A, Dick HB, Krummenauer F. Reproducibility of optical biometry using partial coherence interferometry: Intraobserver and interobserver reliability. The authors stated that a drawback of the study was that there was no standardized pre-operative IOL calculation method, instead relying on surgeon's best choice. No significant differences were found between age, axial length, keratometry, and pre-operative corrected VA in the laser and conventional groups (p > 0.05; Mann-Whitney U test). Cataracts may be diagnosed with procedures included in the comprehensive ophthalmologic examination. Accessed April 3, 2019. 1999;3(5):295-302. Unfortunately, in developing country settings, medical history questionnaires would be useless to screen for risk since few people have ever been to a physician, let alone been diagnosed with any chronic disease. 2001;27(12):1961-1968. Both short-term (6-month) and long-term (1- or 2-year) outcomes should be examined. American Society of Cataract and Refractive Surgery (ASCRS) and American Society of Ophthalmic Administrators (ASOA). This coverage requirement is in line with federal law that mandates Medicare Advantage plans meet the benefit minimums set forth by Original Medicare. 2013;29(11):784-787. } Biconvex posterior chamber accommodating intraocular lens implantation after cataract surgery: Long-term outcomes. The authors concluded that a 3.6-fold reduction in post-cataract surgery endophthalmitis was observed upon the use of IC antibiotics in rural India. How much is cataract surgery with insurance? In a Cochrane review, Keay et al (2012) examined the evidence for reductions in adverse events through pre-operative medical testing, and estimated the average cost of performing routine medical testing. Overall, there was a 96.2 % reduction in EPT between controls and the optimized femtosecond pre-treatment group. Celik et al (2015) reviewed the indications, clinical outcomes and complications of CTR implantation in a series of consecutive phacoemulsification surgeries during a 3-year period. The initial 200 eyes undergoing cataract surgery between April 2011 and June 2011 by 6 surgeons were included in the study. Does Aetna Cover Laser Cataract Surgery You would need to check with your Aetna plan directly to confirm whether coverage of cataract surgery extends to The studies were at low risk of selection bias, but 2 of the 4 studies did not employ masking and only 1 study included all randomized participants in the final analyses. Due to the small number of events reported across studies and treatment groups, the difference between groups was uncertain for all reported adverse events. Chang DH, Davis EA. Of these 234 eyes, 6 were excluded, 107 had the same recommended IOL power by ORA and IOLMaster; 64 %of these eyes were within 0.5D; 95 eyes had IOL power implantation based on ORA instead of IOLMaster; 70 % of these eyes were within 0.5D of target refraction; 26 eyes had IOL power chosen based on IOLMaster predictions instead of ORA; 65 % were within 0.5D. The device may cause reduced contrast sensitivity that becomes worse under poor visibility conditions such as dim light or fog. In a retrospective consecutive case-series study, Fram and colleagues (2015) compared the accuracy of intra-operative aberrometry technology and the Fourier-domain optical coherence tomography (OCT)-based intra-ocular lens (IOL) formula for IOL power calculation in eyes undergoing cataract surgery after previous laser vision correction (LVC) compared with established methods. The mean area of the capsule disks was 18.85 2.69 mm2 in the manual and 19.03 0.26 mm2 in the femtosecond group (p = 0.64). Aetna considers the following procedures medically necessary as a diagnostic test prior to cataract surgery: In addition to a comprehensive or brief/intermediate eye examination, A-mode ultrasound (A-scan) may be considered medically necessary prior to cataract surgery to determine the appropriate pseudophakic power of the IOL.Footnote1*. Most IOLs are made using special materials (chromophores) that absorb ultraviolet light. B-scan ocular ultrasound. Available at: http://www.crystalens.com/. 1998;29(3):185-189. Indications and clinical outcomes of capsular tension ring implantation in phacoemulsification surgery at a tertiary teaching hospital: A review of 4316 cataract surgeries. margin-bottom: 38px; The new technology lens itself would be non-covered. Baratz KH, Cook BE, Hodge DO. The studies were small, not all lens materials were compared in all studies, and not all lens materials were available in all study sites. }. More recently, IOLs have been developed that are designed to allow both distance and reading vision without glasses. Gierek-Ciaciura S, Cwalina L, Bednarski L, Mrukwa-Kominek E. A comparative clinical study of the visual results between three types of multifocal lenses. These researchers identified a second potentially relevant study of immediate versus delayed cataract surgery in 54 people with ARMD. Mean EPT was reduced by 83.6 % in the femtosecond pre-treatment group (p < 0.0001) when compared with controls, with 30 % having 0 EPT (p < 0.0001). Ophthalmology. Patients with Tecnis and TwinSet diffractive multi-focal IOLs were more spectacle-independent than patients with ReZoom. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. Ophthalmologic examination be diagnosed with procedures included in the comprehensive ophthalmologic examination between controls and the femtosecond! Systematic review findings published were included in the electronic searches for trials removing the lens or by emulsification by... That a 3.6-fold reduction in post-cataract surgery endophthalmitis was observed upon the use of antibiotics! 2-Year ) outcomes should be examined that becomes worse under poor visibility conditions such as dim light fog... 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