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What's the Harm? - December 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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The time is now Vitreoretinal repairs can be added to the schedule at ophthalmic ASCs or even multi-specialty centers relatively easily, and a conjunction of changes in recent years has even cleared some previous barriers. "Years ago, retina reimbursements were about the same as cataract reimbursements, but retina supplies were more expensive," says Glenn deBrueys, CEO of Somerset, N.J.-based American SurgiSite Centers, which operates 11 eye surgery centers in 5 states. "Now retina is 60% higher. Supplies are still more expensive, but the margin is a decent margin." In addition, retina cases can be extremely time-consuming. Over the past 2 decades, though, technology's advances have picked up the pace. Smaller-gauge instrumentation has brought microincisional techniques, and their improved healing outcomes, to retina cases. Vitrectomy cutters capable of thousands of cuts per minute boost effi- ciency and accuracy. While the end results don't match cataract case speeds, they've drawn the attention of ambulatory surgeons and administrators. "Retina surgery time has significantly diminished," says Mr. deBrueys. As an example, he cites pars plana vitrectomy, which takes 30 or 35 minutes today compared to 75 minutes 25 years ago. These changes have leveled the playing field for retina in outpatient settings, but cost-benefit analysis is still necessary to select the most promising procedures, says Caroline Ivanovski-Hauser, CASC, admin- istrator of the Bergen-Passaic Cataract Surgery and Laser Center in Fair Lawn, N.J. "Almost all retina cases lend themselves to the same- day setting, except those cases that use very expensive implants and supplies," she says. Using perfluorocarbon liquid or silicone oil, for instance, will add several hundred dollars to a case's expenses, which could easily 1 3 1 D E C E M B E R 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T

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