• H. Dunbar Hoskins Jr., MDThe H. Dunbar Hoskins Jr., M.D. Center for Quality Eye Care was established as a quality of care and health policy research center that advances the accessibility to and appropriateness of eye care services. The work of the Hoskins Center will help ensure that patients continue to receive high quality, evidence-based eye care within a tightening economic environment that demands increased value for services provided.

  • Provision of, or referral to, vision rehabilitation services is now the standard of care for all patients with vision loss. Recently, technologies for the visually impaired have proliferated, resulting in more options to help patients with any degree of vision loss.
    Clinical Statement
    from AAO PPP Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Practice Pattern® (PPP), addressing Comprehensive Adult Medical Eye Evaluation.
    Preferred Practice Pattern Guideline
    from AAO PPP Glaucoma Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Glaucoma Practice Pattern® (PPP), addressing Primary Angle-Closure Disease.
    Preferred Practice Pattern Guideline
    from AAO PPP Glaucoma Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Glaucoma Practice Pattern® (PPP), addressing Primary Open-Angle Glaucoma.
    Preferred Practice Pattern Guideline
    from AAO PPP Glaucoma Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Glaucoma Practice Pattern® (PPP), addressing Primary Open-Angle Glaucoma Suspect.
    Preferred Practice Pattern Guideline
    from Academy Board of Trustees
    The Academy recommend timely vaccination of pediatric and adult patients.
    Clinical Statement
    from AAPOS PPP Adult Strabismus Committee and AAO PPP Pediatric Ophthalmology/Strabismus Committee, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for Adult Strabismus
    Summary Benchmark
    from AAO OTAC Pediatric Ophthalmology/Strabismus Panel, Hoskins Center for Quality Eye Care
    No level I evidence supports the use of binocular treatment as a substitute for current therapies for amblyopia (including patching and optical treatment). Two large randomized controlled trials showed inferior performance compared with standard patching treatment.
    Ophthalmic Technology Assessment
    from AAO PPP Retina/Vitreous Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Retina/Vitreous Preferred Practice Pattern® (PPP), addressing Diabetic Retinopathy.
    Preferred Practice Pattern Guideline
    from AAO PPP Retina/Vitreous Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Retina/Vitreous Preferred Practice Pattern® (PPP), addressing Age-Related Macular Degeneration.
    Preferred Practice Pattern Guideline
    from AAO PPP Retina/Vitreous Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Retina/Vitreous Preferred Practice Pattern® (PPP), addressing Retinal Vein Occlusions.
    Preferred Practice Pattern Guideline
    from AAO PPP Retina/Vitreous Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Retina/Vitreous Preferred Practice Pattern® (PPP), addressing Idiopathic Macular Hole.
    Preferred Practice Pattern Guideline
    from AAO PPP Retina/Vitreous Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Retina/Vitreous Preferred Practice Pattern® (PPP), addressing Idiopathic Epiretinal Membrane and Vitreomacular Traction.
    Preferred Practice Pattern Guideline
    from AAO PPP Retina/Vitreous Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Retina/Vitreous Preferred Practice Pattern® (PPP), addressing Retinal and Ophthalmic Artery Occlusions.
    Preferred Practice Pattern Guideline
    from AAO PPP Retina/Vitreous Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Retina/Vitreous Preferred Practice Pattern® (PPP), addressing Posterior Vitreous Detachment, Retinal Breaks, and Lattice Degeneration.
    Preferred Practice Pattern Guideline
    from AAPOS PPP Adult Strabismus Committee and AAO PPP Pediatric Ophthalmology/Strabismus Committee, Hoskins Center for Quality Eye Care
    Updated evidence-based Preferred Practice Pattern® (PPP), addressing Adult Strabismus.
    Preferred Practice Pattern Guideline
    from AAO OTAC Cornea and Anterior Segment Disorders Panel, Hoskins Center for Quality Eye Care
    Conclusions are limited owing to the absence of controlled trials. The literature suggest that autologous serum-based tears is a reasonable option in refractory cases of dry eyes or nonhealing epithelial defects.
    Ophthalmic Technology Assessment
    from AAO OTAC Pediatric Ophthalmology/Strabismus Panel, Hoskins Center for Quality Eye Care
    Intraocular lens implantation is not recommended for children 6 months of age or younger because there is a higher incidence of visual axis opacities with this treatment compared with aphakia. Implantation can be done safely with acceptable side effects in older children.
    Ophthalmic Technology Assessment
    from AAO OTAC Glaucoma Panel, Hoskins Center for Quality Eye Care
    Imaging using SS-OCT has demonstrated that the lamina cribrosa is likely biomechanically active and that significant changes occur in glaucoma. Standardized nomenclature, automated measurements, and longitudinal studies with larger and more diverse sample sizes are needed.
    Ophthalmic Technology Assessment
    from AAO OTAC Glaucoma Panel, Hoskins Center for Quality Eye Care
    Intravitreal injection of anti-VEGF agents results in an immediate and transient increase in IOP. A long-term increase in IOP also may be seen. Further studies are needed to determine at-risk populations and to determine the impact on glaucoma progression.
    Ophthalmic Technology Assessment