• 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.
  • Oct 2014 from AAO PPP Panels, Hoskins Center for Quality Eye Care
    Complete set of recommendations distilled from the PPPs for 2014.
    Summary Benchmark Translations
    Oct 2014 from AAO Pediatric Ophthalmology/Strabismus PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the initial strabismus evaluation and management options for exotropia.
    Summary Benchmark Translations
    Oct 2014 from AAO Glaucoma PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the diagnosis and management of primary angle closure.
    Summary Benchmark Translations
    Oct 2014 from AAO Pediatric Ophthalmology/Strabismus PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the evaluation and management of amblyopia.
    Summary Benchmark Translations
    Oct 2014 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the evaluation and treatment of a patient with dry eye.
    Summary Benchmark Translations
    Oct 2014 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the initial evaluation and management of blepharitis.
    Summary Benchmark Translations
    Oct 2014 from AAO Retina/Vitreous PPP Panel, Hoskins Center for Quality Eye Care
    Detailed recommendations for evaluation and treatment of macular holes and a discussion of surgical techniques, outcomes and complications of surgery, and predictors of visual results. Treatment recommendations are provided for each stage of macular hole.
    Preferred Practice Pattern Guideline
    Oct 2014 from AAO Pediatric Ophthalmology/Strabismus PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the initial strabismus evaluation and management options for esotropia.
    Summary Benchmark Translations
    Oct 2014 from AAO Retina/Vitreous PPP Panel, Hoskins Center for Quality Eye Care
    Evidence-based update with detailed recommendations for management of AMD including observation, antioxidant vitamins and minerals, thermal laser photocoagulation, photodynamic therapy, and intravitreal injection of anti-VEGF agents.
    Preferred Practice Pattern Guideline
    Oct 2014 from AAO Retina/Vitreous PPP Panel, Hoskins Center for Quality Eye Care
    Evidence-based update on evaluating, diagnosing, and managing patients with precursors to rhegmatogenous retinal detachment such as PVD, retinal breaks, and lattice degeneration.
    Preferred Practice Pattern Guideline
    Oct 2014 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the evaluation and management of corneal ectasia.
    Summary Benchmark Translations
    Oct 2014 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the initial evaluation and therapy of conjunctivitis.
    Summary Benchmark Translations
    Oct 2014 from AAO Retina PPP Panel, Hoskins Center for Quality Eye Care
    Distills recommendations from the PPP on evaluating, diagnosing, and managing patients with precursors to rhegmatogenous retinal detachment.
    Summary Benchmark Translations
    Oct 2014 from AAO Glaucoma PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the diagnosis and management of primary open-angle glaucoma suspect.
    Summary Benchmark Translations
    Oct 2014 from AAO Cataract and Anterior Segment PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the evaluation and management of patients with cataract.
    Summary Benchmark Translations
    Oct 2014 from AAO Glaucoma PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the diagnosis and management of primary open-angle glaucoma.
    Summary Benchmark Translations
    Oct 2014 from AAO Refractive Management/Intervention PPP 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
    Oct 2014 from AAO Retina PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for management of AMD.
    Summary Benchmark Translations
    Oct 2014 from AAO Retina/Vitreous PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the management of retinopathy.
    Summary Benchmark Translations
    Oct 2014 from AAO Retina PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the initial evaluation and treatment of a patient with macular hole.
    Summary Benchmark Translations
    Oct 2014 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the evaluation and management of corneal edema and opacification.
    Summary Benchmark Translations
    Oct 2014 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations distilled from the PPP for the diagnosis and management of bacterial keratitis.
    Summary Benchmark Translations
    Oct 2014 from AAO Retina/Vitreous PPP Panel, Hoskins Center for Quality Eye Care
    Detailed evidence-based recommendations for prevention, early detection, and treatment by stage of retinopathy with and without macular edema, including a detailed discussion of the relative roles of laser photocoagulation and anti-VEGF therapy in treatment.
    Preferred Practice Pattern Guideline
    Jun 2014 from AAO PPP Committee, Secretary for Quality of Care, Hoskins Center for Quality Eye Care
    How effective are the surgical interventions for involutional entropion? Is any one method superior to another?
    Preferred Practice Pattern Clinical Question
    Nov 2013 from AAO PPP Committee, Secretary for Quality of Care, Hoskins Center for Quality Eye Care
    What is the evidence that corticosteroids are more or less effective treatments than placebo or “no treatment” conditions for patients with acute optic neuritis?
    Preferred Practice Pattern Clinical Question
    Oct 2013 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations 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
    Oct 2013 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Detailed recommendations for the initial evaluation of a patient with presumed blepharitis, and for diagnostic tests and treatment.
    Preferred Practice Pattern Guideline
    Oct 2013 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Detailed recommendations for the initial evaluation and treatment of a patient with dry eye and a detailed discussion of diagnostic tests.
    Preferred Practice Pattern Guideline
    Oct 2013 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Evidence-based update 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 tests and treatment.
    Preferred Practice Pattern Guideline
    Oct 2013 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Recommendations for the initial evaluation of a patient with conjunctivitis and a discussion of associated or predisposing factors and the natural history of each type of conjunctivitis. Treatment recommendations are specific to each type of conjunctivitis.
    Preferred Practice Pattern Guideline
    Oct 2013 from AAO Cornea/External Disease PPP Panel, Hoskins Center for Quality Eye Care
    Detailed recommendations for the initial evaluation and diagnosis of corneal edema and corneal opacification. Management approaches for edema and opacification, including surgical approaches, are discussed separately.
    Preferred Practice Pattern Guideline
    Sep 2013 from AAO PPP Committee, Secretary for Quality of Care, Hoskins Center for Quality Eye Care
    What is the safety and efficacy of optic nerve decompression surgery compared with other treatment or no treatment in people with surgery for NAION?
    Preferred Practice Pattern Clinical Question
    Sep 2013 from AAO PPP Committee, Secretary for Quality of Care, Hoskins Center for Quality Eye Care
    What is the evidence that acupuncture is effective and safe in slowing the progression of myopia in children and adolescents?
    Preferred Practice Pattern Clinical Question
    Jul 2013 from AAO Refractive Management/Intervention PPP Panel, Hoskins Center for Quality Eye Care
    An evidence-based update on management of myopia, hyperopia, astigmatism, and presbyopia with surgery, eyeglasses, and contact lenses, containing specific recommendations about refractive surgery patients including PRK, epi-LASIK, LASEK, LASIK, phakic IOLs, and refractive le…
    Preferred Practice Pattern Guideline
    Jun 2013 from AAO PPP Committee, Secretary for Quality of Care, Hoskins Center for Quality Eye Care
    What is the evidence that external dacryocystorhinostomy (DCR) is a more or less effective treatment for nasolacrimal duct obstruction than endonasal DCR? Secondly, how do the complication rates compare between the two procedures?
    Preferred Practice Pattern Clinical Question
    Jun 2013 from AAO PPP Committee, Secretary for Quality of Care, Hoskins Center for Quality Eye Care
    Under what circumstances is placement of an intraocular lens (IOL) contraindicated in uveitic and cataract patients, particularly pediatric patients?
    Preferred Practice Pattern Clinical Question
    Jun 2013 from AAO PPP Committee, Secretary for Quality of Care, Hoskins Center for Quality Eye Care
    How do therapeutic interventions for patients with active HSV dendritic epithelial keratitis compare for healing of the corneal epithelium?
    Preferred Practice Pattern Clinical Question
    Jun 2013 from AAO PPP Committee, Secretary for Quality of Care, Hoskins Center for Quality Eye Care
    In patients with uveitic cataract, what perioperative regimen is associated with the best outcomes, including visual acuity?
    Preferred Practice Pattern Clinical Question
    Jun 2013 from AAO PPP Committee, Secretary for Quality of Care, Hoskins Center for Quality Eye Care
    In patients with uveitis undergoing cataract surgery, is there evidence that absolute control of uveitis for at least several months preoperatively results in better outcomes following surgery compared to eyes with less aggressive preoperative control of the uveitis?
    Preferred Practice Pattern Clinical Question
    May 2013 from AAO Vision Rehabilitation Committee, Hoskins Center for Quality Eye Care
    Discusses evaluation of visual function, functional implications of vision impairment, and psychological status plus a comprehensive resource section and the SmartSight™ materials. Updated 2013.
    Preferred Practice Pattern Guideline
    Sep 2012 from AAO Pediatric Ophthalmology/Strabismus PPP Panel, Hoskins Center for Quality Eye Care
    Detailed recommendations for the initial strabismus evaluation and management options for esotropia and exotropia. Treatments discussed include correcting refractive errors, bifocals, prism therapy, amblyopia treatment, convergence exercises, and extraocular muscle surgery.
    Preferred Practice Pattern Guideline
    Sep 2012 from AAO Pediatric Ophthalmology/Strabismus PPP Panel, Hoskins Center for Quality Eye Care
    Evidence-based update on the diagnosis and management of amblyopia with detailed recommendations for the initial amblyopia evaluation and management options of optical correction, occlusion, penalization, and surgery.
    Preferred Practice Pattern Guideline
    Sep 2012 from AAO Pediatric Ophthalmology/Strabismus PPP Panel, Hoskins Center for Quality Eye Care
    A thorough update of pediatric eye screening and comprehensive pediatric ophthalmic evaluation with tables of recommended ages and methods for pediatric eye screening and indications to refer a child for a comprehensive ophthalmic evaluation.
    Preferred Practice Pattern Guideline
    Oct 2011 from AAO Cataract and Anterior Segment PPP Panel, Hoskins Center for Quality Eye Care
    Discusses risk factors, visual function and quality of life issues, detailed recommendations for the initial evaluation with specific recommendations for biometry and IOL power calculation, and covers special situations such as cataract surgery and uveitis.
    Preferred Practice Pattern Guideline
    Oct 2010 from AAO PPP Glaucoma Panel, Hoskins Center for Quality Eye Care
    Evidence-based update of the diagnosis and management of primary open-angle glaucoma suspect with detailed recommendations for the initial evaluation and treatment options.
    Preferred Practice Pattern Guideline
    Oct 2010 from AAO PPP Glaucoma Panel, Hoskins Center for Quality Eye Care
    Evidence-based update of the diagnosis and management of primary open-angle glaucoma with an algorithm for patient management and specific recommendations for adjustment of therapy.
    Preferred Practice Pattern Guideline
    Oct 2010 from AAO PPP Committee, Hoskins Center for Quality Eye Care
    A thorough evidence-based update of the rationale and components for ophthalmic evaluation of an adult patient.
    Preferred Practice Pattern Guideline
    Oct 2010 from AAO PPP Glaucoma Panel, Hoskins Center for Quality Eye Care
    Evidence-based update of the diagnosis and management of primary angle closure with detailed recommendations for the initial evaluation and treatment options.
    Preferred Practice Pattern Guideline