Toric IOLs reduce lifetime economic costs by reducing the need for glasses or contact lenses following cataract removal. Higher first-year costs of the toric IOL ($5739) compared with the conventional IOL with ($5635) or without ($4687) IRC were offset by lifetime cost savings of $34 per patient, $393 per patient achieving uncorrected visual acuity of 20/25 or better, and $349 per QALY compared with the conventional IOL without IRC. Toric IOLs provided an additional 10.20 quality-adjusted life years (QALYs) compared with conventional IOLs with (10.14 QALYs) and without IRC (10.10 QALYs). Future costs and utilities were discounted by 3%.ДЄ larger proportion of patients receiving toric IOLs achieved distance vision spectacle independence (67%) and uncorrected visual acuity of 20/25 or better OU (53%) compared with conventional IOLs with (63% and 48%, respectively) or without IRC (53% and 44%, respectively), resulting in fewer future vision corrections.

Cost-effectiveness and cost-utility outcomes were computed. Total medical costs of bilateral treatment were calculated for the first posttreatment year and remaining lifetime. Data were obtained from the literature and from a survey of 60 US ophthalmologists. We examined costs and outcomes among patients 65 years and older with cataract and preexisting astigmatism (1.5-3.0 diopters) who were receiving either toric or conventional IOLs with and without intraoperative refractive correction (IRC). We developed a decision analytic model of hypothetical patients with preexisting astigmatism. Reducing and reusing may be harder for many people to put into practice, but pioneers like Maki make an impact by helping others explore those frontiers.To assess the economic value of improved uncorrected visual acuity among patients with cataract and preexisting astigmatism treated with toric intraocular lenses (IOLs) compared with conventional monofocal IOLs. For her, it is important to reuse materials and products whenever possible. Maki loves recycling, but her real message is about reducing the amount of waste we generate in the first place. The valuable copper wire and plastic parts get recycled and reintroduced to our circular economy. By partnering with local businesses to accept the unwanted lights and the firm Technology Recyclers to recycle the lights, over 12,000 pounds of holiday lights have been diverted from landfill and incineration over the years. Maki also works with local schools to help committees navigate recycling initiatives in their buildings.ДЄnother Maki-led program is the recycling of holiday lights. Academy participants particularly love the class tour of Republic ServicesвЂ™ materials recovery facility. Today, the Citizens Utility Academy provides a six-week course with classes about water quality and conservation, household and hazardous waste issues, and recycling. Recognizing the programвЂ™s success, Maki founded the Citizens Utility Academy for Carmel residents. She discovered a utility company in Florida that held educational classes for the public about their utilities. Like many strong leaders, Maki seeks to emulate effective practices around the country. This includes weekly curbside recycling for all residents, which later expanded to include small businesses in the city. For example, Maki spearheaded the challenge to create a uniform trash hauling and recycling program for all residents of Carmel. Sue Maki has a pioneer spirit that looks toward an uncharted frontier and sees an array of possibilities.В In her personal life she regularly recycles, and she can trace this habit back to the 1980s before it was adopted as a practice by many.ДЄs the Manager of Environmental Initiatives and Education for City of Carmel Utilities, Maki shows leadership by leveraging productive ideas into regular practice in Hamilton County.

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Posted on MaCategories: News, Recycling Rock Stars Comments are off for this postД¬elebrate the awesomeness of Sue Maki by making a donation to the IRC in her honor.

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