• 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.

  • from AAO PPP Cataract and Anterior Segment Panel, Hoskins Center for Quality Eye Care
    Evidence-based update of the Cataract in the Adult Eye PPP guidelines, describing the prevalence, risk factors, and natural history of cataract development; the evaluation of adult patients with symptomatic cataract; the nonsurgical and surgical management of cataract includ…
    Preferred Practice Pattern Guideline
    from AAO OTAC Refractive Management/Intervention Panel, Hoskins Center for Quality Eye Care
    The evidence reviewed shows no superiority of any single IOL implantation technique in the absence of zonular support. Various techniques provide equivalent outcomes but each technique has its own profile of inherent risk of postoperative complications.
    Ophthalmic Technology Assessment
    from AAO OTAC Retina/Vitreous Panel, Hoskins Center for Quality Eye Care
    Intravitreal anti-VEGF and corticosteroid therapeutics are effective for the treatment of diabetic macular edema. Cataract progression and ocular hypertension are potential adverse events related to corticosteroid therapy. The literature does not conclusively assess comparat…
    Ophthalmic Technology Assessment
    from AAO OTAC Pediatric Ophthalmology/Strabismus Panel, Hoskins Center for Quality Eye Care
    Adjustable and nonadjustable suture techniques resulted in good surgical outcomes. Most assessed studies reported advantages of adjustable over nonadjustable suture techniques, but the significance and magnitude of these findings are uncertain, and warrant further investigat…
    Ophthalmic Technology Assessment
    from AAO OTAC Glaucoma Panel, Hoskins Center for Quality Eye Care
    Vessel density loss associated with glaucoma can be detected by OCTA. Peripapillary, macular, and choroidal vessel density parameters may complement visual field and structural OCT measurements in the diagnosis of glaucoma.
    Ophthalmic Technology Assessment
    from AAO OTAC Pediatric Ophthalmology/Strabismus Panel, Hoskins Center for Quality Eye Care
    Extraocular muscle injection of botulinum toxin type A (BXTA) for horizontal strabismus achieves high rates of successful motor alignment comparable to eye muscle surgery. Limited data are available on comparative sensory outcomes in children for these 2 treatments for strab…
    Ophthalmic Technology Assessment
    from AAO OTAC Oculoplastics and Orbit Panel, Hoskins Center for Quality Eye Care
    The current literature does not support the use of topical Arnica montana, vitamin K oxide, R. tomentosum, or Melilotus extract for reducing ecchymosis after oculofacial surgery or pulsed dye laser surgery.
    Ophthalmic Technology Assessment
    from AAO OTAC Pediatric Ophthalmology/Strabismus Panel, Hoskins Center for Quality Eye Care
    Office-based vergence and accommodative therapies improve motor outcomes in children with symptomatic CI, although data are inconsistent regarding symptomatic relief. Evidence is insufficient to determine whether home-based therapies are effective.
    Ophthalmic Technology Assessment
    from AAO OTAC Pediatric Ophthalmology/Strabismus Panel, Hoskins Center for Quality Eye Care
    Evidence supports the efficacy and safety of both in-office and facility-based surgery for congenital NLDO. However, treating bilateral NLDO in a facility setting may be better. Because a significant percentage of children achieved resolution spontaneously before 12 months o…
    Ophthalmic Technology Assessment
    from ACR, AAD, RDS, and AAO
    Common principles and cooperation are needed to minimize the risk of ocular toxicity with hydroxychloroquine. Effective communication among prescribing physicians, patients, ophthalmologists other eye care providers optimizes hydroxychloroquine safety and efficacy.
    Clinical Statement
    from AAO OTAC Refractive Management/Intervention Panel and Hoskins Center for Quality Eye Care
    Calculation methods requiring both prerefractive surgery keratometry and manifest refraction are no longer considered the gold standard. Refractive outcomes of cataract surgery in eyes that had previous excimer laser surgery are less accurate than in eyes that did not.
    Ophthalmic Technology Assessment
    from AAO PPP Panels, Hoskins Center for Quality Eye Care
    Recommendations distilled from the various Preferred Practice Pattern® (PPP) Guidelines titles.
    Summary Benchmark Translations
    from AAO PPP Glaucoma Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPPs for the diagnosis and management of primary open-angle glaucoma, primary open-angle glaucoma suspect, and primary angle-closure disease
    Summary Benchmark
    from AAO PPP Retina/Vitreous Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPPs for AMD; diabetic retinopathy; idiopathic epiretinal membrane and vitreomacular traction; idiopathic macular hole; posterior vitreous detachment, retinal breaks, and lattice degeneration; retinal and ophthalmic artery occlusions; and r…
    Summary Benchmark Translations
    from AAO PPP Pediatric Ophthalmology/Strabismus Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPPs for the evaluation and management of amblyopia, esotropia, and exotropia
    Summary Benchmark Translations
    from AAO PPP Refractive Management/Intervention Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for refractive surgery patients including PRK, epi-LASIK, LASEK, LASIK, phakic IOLs, and refractive lens exchange
    Summary Benchmark Translations
    from AAO PPP Cataract and Anterior Segment Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the evaluation and management of patients with cataract
    Summary Benchmark Translations
    from AAO PPP Cornea/External Disease Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPPs for the diagnosis and management of bacterial keratitis, blepharitis, conjunctivitis, corneal ectasia and opacification, and dry eye syndrome.
    Summary Benchmark Translations
    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
    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