Systematic review of prevalence and major causes of low vision and blindness in Iran from 2002 – 2012
Doing a systematic review to collect reliable epidemiological data on prevalence and causes of visual impairment in national level is timely in Iran. The project intends to report a systematic analysis of the prevalence and causes of low vision and blindness in the last decade in Iran.
National and Sub-national Burden of Visual Impairment
Sub-optimal information about the magnitude of Visual impairment (VI) in national level and its distribution is one of the impediments for visual health advocacy. In this project we are detailing the approaches which have been taken to estimate the magnitude (prevalence, incidence, and burden) by sex, age, year, and province, and trend (1990 to 2013) of low vision and blindness in Iran. Besides, an attempt has been made to describe the inequalities and their determinants. Article-Abstract.pdf
Distribution of Ophthalmologists and Optometrists at national and provincial levels in Iran
According to the Iran 1404 Outlook Document, health is not only related to the quantity of human resources, but also to equitable distribution of services, and thus, strategies for achieving long-term goals of Iran 1404 include appropriate distribution of human resources and decentralization in provinces. In this project we are trying to determine the distribution of ophthalmic care providers at national and provincial levels and to assess its correlation with health and socio-economic status and health system indicators.
Analysis of innovation systems and strategies to strengthen for Tehran University of Medical Sciences (TUMSIS)
The purpose of the research is to develop a conceptual notion of innovation in the academic, especially medical sciences, atmosphere and to analytically view the innovation system of the university in order to develop and enhance it. Achieving this goal requires a model for the implementation of the university innovation system. Reviewing the beneficiaries of this system, the study is going to design and present an innovation model and to examine the strengths, weaknesses, opportunities and threats of having such system at Tehran University of Medical Sciences (TUMS).
Kurdistan Population Lab (Rapid Assessment for Avoidable Blindness)
The need to collect epidemiological data on avoidable eye diseases has led to the nation-wide project of "RAAB" (Rapid Assessment of Avoidable Blindness). Farabi comprehensive center of excellence in ophthalmology is in charge of the project in the province of Kurdistan. RAAB, in which around 3500 adults older than 50 years old are selected in a random clustering process and examined by optometrists and health experts, covers all rural and urban areas in the province. People with ophthalmic diseases were referred to ophthalmologists. Moreover, surgeries have been performed free of charge for patients having cataract.
The project is being implemented with the cooperation of Chams Research Chair (Farabi Comprehensive Center of Excellence in Ophthalmology), Farabi Eye Research Center, and Kurdistan University of Medical Sciences by the financial support of the Deputy of Health, Iran Ministry of Health and Medical Education.
Cost-Utility Analysis of Keratorefractive surgery from patients perspective
To estimate and compare incurred cost of refractive errors by corrective methods: spectacles, contact lenses and Keratorefractive surgery
A consecutive sample of 52 subjects who had Keratorefractive surgery more than 18 months ago in Farabi Eye Hospital is taken. An expert on health economics conducted a structured interview on cost considering direct and indirect estimates by bottom-up and human capital approaches, respectively. Intangible costs are not included. 4 standard treatment scenarios of spectacles (SC), contact lenses (CL), combination (SCL) and refractive surgeries (RS) are assessed. 5% discount rate and 73 years life expectancy at birth were assumed. One-year and lifetime horizon in cost analysis were considered. In order to determine the uncertainty magnitude for deterministic and probabilistic estimations, one-way with scenario sensitivity analysis and Monte Carlo simulation with 5000 iterations were used, respectively and a 95% confidence interval was calculated.
Given the 6% unmet need, deterministic (and probabilistic) expected annual cost of SC, CL, SCL and RS is estimated at 12449.6 (11735.2), 3063 (3218.1), 11856.5 (12488.4) and124 (118.7) USD, respectively.92% or more of total cost in all scenarios was related to indirect cost especially patient and caregiver opportunity cost. Our observation revealed that the estimations for RS are more sensitive to inflation, discount rate and lost time cost.
According to the patient perspective economic assessment, refractive surgery is highly cost-saving compared to conventional non-surgical methods of refractive error corrections. The most costly and the least costly conventional choices then would be: SC+CL and SC+RS in one’s life course, respectively. From a health economics perspective, one may infer that refractive surgery should be considered as soon as medically and legally possible.