The business of refractive laser assisted cataract surgery (ReLACS). 2014

John P Berdahl, and Matthew P Jensen
aUniversity of South Dakota bVance Thompson Vision, Sioux Falls, South Dakota, USA.

OBJECTIVE Refractive Laser Assisted Cataract Surgery (ReLACS) combines the femtosecond laser with other noncovered tests and services in an attempt to reduce spectacle dependence in combination with cataract surgery. Significant interest is present among ophthalmologists who are considering adopting this technology, however significant capital outlays and continuing expenses can make the decision to adopt ReLACS foreboding. We review the financial considerations of ReLACS and review the trends seen in early adopters of this technology. RESULTS Recent findings have shown that ReLACS is a growing segment of cataract surgery. Most practices who have implemented the technology have broken even and have a positive outlook on the financial return of implementing the ReLACS program. The average break-even analysis point for practices is around 230 cases a year. CONCLUSIONS ReLACS is growing and appears to be a financial viable approach for many practices.

UI MeSH Term Description Entries
D010824 Physicians' Offices The room or rooms in which the physician and staff provide patient care. The offices include all rooms in the physician's office suite. Physician's Office,Office, Physician's,Office, Physicians',Offices, Physician's,Offices, Physicians',Physician Office,Physician Offices,Physician's Offices,Physicians Office,Physicians Offices,Physicians' Office
D011216 Practice Management, Medical The organization and operation of the business aspects of a physician's practice. Medical Practice Management Services,Management, Medical Practice,Medical Practice Management,Practice Management Services, Medical,Managements, Medical Practice,Medical Practice Managements,Practice Managements, Medical
D002387 Cataract Extraction The removal of a cataractous CRYSTALLINE LENS from the eye. Enzymatic Zonulolysis,Phakectomy,Cataract Extractions,Enzymatic Zonulolyses,Extraction, Cataract,Extractions, Cataract,Phakectomies,Zonulolyses, Enzymatic,Zonulolysis, Enzymatic
D005249 Fees and Charges Amounts charged to the patient as payer for health care services. Charges,Charges and Fees,Fees,Charge,Fee
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D053685 Laser Therapy The use of photothermal effects of LASERS to coagulate, incise, vaporize, resect, dissect, or resurface tissue. Laser Knife,Laser Scalpel,Surgery, Laser,Vaporization, Laser,Laser Ablation,Laser Knives,Laser Photoablation of Tissue,Laser Surgery,Laser Tissue Ablation,Nonablative Laser Treatment,Pulsed Laser Tissue Ablation,Ablation, Laser,Ablation, Laser Tissue,Knife, Laser,Knifes, Laser,Knive, Laser,Knives, Laser,Laser Knifes,Laser Knive,Laser Scalpels,Laser Surgeries,Laser Therapies,Laser Treatment, Nonablative,Laser Treatments, Nonablative,Laser Vaporization,Nonablative Laser Treatments,Scalpel, Laser,Scalpels, Laser,Surgeries, Laser,Therapies, Laser,Therapy, Laser,Tissue Ablation, Laser

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