• 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 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 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 Posterior Vitreous Detachment, Retinal Breaks, and Lattice 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 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 Idiopathic Macular Hole.
    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 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 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
    from AAO OTAC Pediatric Ophthalmology/Strabismus Panel, Hoskins Center for Quality Eye Care
    Orthokeratology may be effective in slowing myopic progression for children and adolescents, with a potentially greater effect when initiated at an early age (6–8 years). Safety remains a concern because of the risk of potentially blinding microbial keratitis.
    Ophthalmic Technology Assessment
    from AAO PPP Cornea/External Disease Committee, Hoskins Center for Quality Eye Care
    Evidence-based update using Cochrane Eyes and Vision Group-identified systematic reviews detailing recommendations for the initial evaluation and treatment of a patient with dry eye and a detailed discussion of diagnostic tests.
    Preferred Practice Pattern Guideline
    from AAO PPP Cornea/External Disease Committee, Hoskins Center for Quality Eye Care
    Evidence-based update using Cochrane Eyes and Vision Group-identified systematic reviews detailing recommendations for the initial evaluation of a patient with presumed blepharitis, and for diagnostic tests and treatment.
    Preferred Practice Pattern Guideline
    from AAO PPP Cornea/External Disease Committee, Hoskins Center for Quality Eye Care
    Evidence-based update using Cochrane Eyes and Vision Group-identified systematic reviews for the initial evaluation, diagnosis, and management of post-LASIK and other corneal ectasias, including a discussion of existing and emerging surgical treatments.
    Preferred Practice Pattern Guideline
    from AAO PPP Cornea/External Disease Committee, Hoskins Center for Quality Eye Care
    Evidence-based update using Cochrane Eyes and Vision Group-identified systematic reviews for the initial evaluation of conjunctivitis patients and discussion of associated or predisposing factors, the natural history of each type of conjunctivitis and treatment recommendatio…
    Preferred Practice Pattern Guideline
    from AAO PPP Cornea/External Disease Committee, Hoskins Center for Quality Eye Care
    Evidence-based update using Cochrane Eyes and Vision Group-identified systematic reviews for the initial evaluation and diagnosis of corneal edema and corneal opacification. Management approaches for edema and opacification, including surgical approaches, are discussed separ…
    Preferred Practice Pattern Guideline
    from AAO PPP Cornea/External Disease Committee, Hoskins Center for Quality Eye Care
    Evidence-based update using Cochrane Eyes and Vision Group-identified systematic reviews on the diagnosis and management of bacterial keratitis. It contains detailed recommendations for the initial evaluation of a patient with presumed bacterial keratitis, and for diagnostic…
    Preferred Practice Pattern Guideline
    from AAO OTAC Pediatric Ophthalmology/Strabismus Panel, Hoskins Center for Quality Eye Care
    There is limited evidence to support the safety and efficacy of β-blockers to promote regression of periocular hemangiomas. Additional research may confirm the best dosage and route of administration to maximize efficacy while minimizing side effects.
    Ophthalmic Technology Assessment