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Senior Health Report: Eye Disease
Health News You Can Use •

Macular Degeneration News:

Medicare Won't Cover Only Effective Treatment for AMD With Occult Lesions

The Centers for Medicare and Medicaid Services (CMS) have opted to deny national coverage of ocular photodynamic therapy (OPT) with verteporfin (Visudyne) for the treatment of age-related macular degeneration (AMD) with occult lesions.

CMS reversed its October 2001 decision to expand the national coverage policy for the treatment, denying Medicare beneficiaries access to the only effective treatment available to prevent the condition, a leading cause of blindness in people over age 50.

"We are deeply saddened at the specter of people losing their vision when the outcome could have been so different and so positive," said Charles Crawford, Executive Director of the American Council for the Blind. "The harm done by this decision is sufficiently severe to warrant continued advocacy aimed at reversing this tragic decision."

"The American Association of People with Disabilities is baffled by CMS's decision to deny Medicare coverage for a therapy that is considered the 'standard of care' by the American Academy of Ophthalmologists and by retinal specialists across the country," said Andrew J. Imparato, President and CEO of AAPD. "Now only the wealthy will have access to this sight saving treatment for AMD, the leading cause of blindness in the Medicare population."

A total of 1.7 million elderly Americans, which is 5 percent of the total population over age 65, have some degree of vision loss due to AMD, which causes the deterioration of the central region of the retina resulting in the permanent loss of central vision.

"This decision will almost certainly result in a greater number of older people losing their vision for lack of access to the best possible treatment for AMD," said Dan Perry, Executive Director of the Alliance for Aging Research. "Vision loss among older people is a prime cause of lost personal independence. Preserving independent living for older Americans should be a higher goal of our public policy."

Source: Medical Week staff, week of April 7, 2002

 

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