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Dry eye disease ranking among common reasons for seeking eye care in a United States claims database

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Session Details

Session Title: Cornea: Medical

Session Date/Time: Tuesday 10/10/2017 | 08:00-10:30

Paper Time: 10:00

Venue: Room 3.6

First Author: : I.Özer Stillman USA

Co Author(s): :    J. Bradley   I. Pivneva   K. Dea   A. Guerin   A. Evans   R. Dana     

Abstract Details


Dry eye disease (DED) is a complex and often poorly understood ocular surface condition that is associated with ocular discomfort, irritation and visual disturbance. To further characterize the burden of DED, this study assessed its ranking among other common ocular conditions for seeking eye care using diagnosis and procedure codes from a large United States claims database. Previously reported data from this study showed increases in annual incidence and annual prevalence of DED with age and over time.


This population-based study analyzed indicators of DED and other ocular conditions over time in the United States, using the Department of Defense’s Military Health System (MHS) claims database (9.7 million beneficiaries of all ages).


In this analysis, we determined the ranking of DED among other common ocular conditions. We estimated overall prevalence and annual incidence of DED and other common ocular conditions among MHS beneficiaries using a previously-developed algorithm based on 2 independent indicators derived from selected diagnostic and procedural codes and prescriptions for cyclosporine ophthalmic emulsion for DED and diagnostic codes for the indicators of other common ocular conditions.


The most common prevalent ocular conditions during 2003–2015 were disorders of refraction/accommodation (25.84%) and cataracts (17.14%), followed by other disorders of eye (7.34%), glaucoma (7.27%), disorders of conjunctiva (6.76%), other retinal disorders (5.94%), and DED (5.28%). For women, DED was the sixth most common prevalent ocular condition (7.78%); for men, it ranked tenth (2.96%). Annual incidence of DED was 0.86% (women 1.21%, men 0.55%) in 2012, the most recent year with complete information available, making it the ocular condition with the third highest incidence, behind disorders of refraction/accommodation (1.87%) and cataracts (1.50%).


These findings further characterize DED as a commonly occurring ocular surface condition that is associated with a substantial burden to patients, driving them to seek treatment in the healthcare system.

Financial Disclosure:

is employed by a forNONEprofit company with an interest in the subject of the presentation

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