Table 26: Physician and Clinic Costs Associated with CXL Therapy for Keratoconus in Ontario.
| Clinical phase | Item | Cost |
|---|---|---|
| Preoperative | ||
| Ophthalmologist consultation | OHIP fee A235 - Consultation | $71.30 |
| Ophthalmologist repeat visit | OHIP fee A234 - Partial assessment | $25.10 |
| Corneal topography | First visit measurement | $50.00 |
| Second visit measurement | $50.00 | |
| Total cost | $196.40 | |
| CXL Procedure | ||
| Medication | Proparacaine 0.5% - local anaesthesia * | $23.76 |
| Riboflavin 0.1% - every 2-3 min. for 30 min. * | $19.50 | |
| Technical | UV-X Illumination device (UVA irradiation) * | $122.32 |
| General surgical and technical (disposables, technician) * | $149.00 | |
| Ophthalmologist procedure | Professional fee - substitute OHIP fee E117 “limited” keratectomy * | $308.30 |
| Epithelial abrasion - substitute OHIP fee Z871 - epithelial debridement * | $26.60 | |
| Pachymetry - substitute OHIP fee G813 - corneal pachymetry * | $12.75 | |
| Total cost (1 eye) | $662.23 | |
| Total cost (2 eyes) | $1,324.47 | |
| Postoperative | ||
| Ophthalmologist repeat visit | OHIP fee A234 - Partial assessment (First day) | $25.10 |
| OHIP fee A234 - Partial assessment (First week) | $25.10 | |
| OHIP fee A234 - Partial assessment (First month) | $25.10 | |
| Corneal topography | First month measurement | $50.00 |
| Medication | Antibiotic - moxifloxacin (Vigamox) * | $30.00 |
| Anti-inflammation (corticosteroid) - dexamethasone (Maxidex) * | $22.19 | |
| Total cost (1 eye) | $177.49 | |
| Total cost (2 eyes) | $229.68 | |
| Total aggregated costs | ||
| Total cost per patient (1 eye) | $1,036.12 | |
| Total cost per patient (2 eyes) | $1,750.55 | |
Note:
The costs of items marked with an asterisk were doubled to estimate the cost of providing CXL therapy to both eyes.