GHEC affiliate profile A.G. de Alba Campomanes, April 2014
Name
Affiliations
Narrative
(brief; refer to
detailed
information on
projects and
publications
below)
Goals
Selected
projects and
plans
Collaborators
(selected)
5 key
publications
Teaching
Alejandra G. de Alba Campomanes, MD, MPH
Dept. Ophthalmology and Pediatrics; University of California San Francisco; San
Francisco General Hospital
Clinical and surgical expertise in pediatric and neonatal ophthalmology; background in
public health with particular interest in health care delivery, access to care, minority
health and health policy. For the last 5 years involved in collaborative research aimed at
improving screening algorithms for the detection of Retinopathy of Prematurity (ROP)
in the US and in Latin America. Principal investigator on several research project looking
at preschool vision screening in low income communities in the Bay Area.
 To become more experienced in health economy research methods and apply them
comfortably to research in pediatric ophthalmology
 ROP in Latin American infants (LA-IGROP): This is a collaborative prospective
observational study looking at different markers and risk factors for the development
of ROP in Latin-American newborns. The ultimate goal of this project is to develop an
algorithm that will increase screening for this condition while minimizing costs and
resource utilization. (Foundation Funded: PAOF and Bayer)
 Cost comparison of Avastin and Laser treatment for ROP. Initial cost comparison
completed (favoring Avastin) and accepted for publication. This study was based on
the results of a randomized controlled trial; the next step is to perform a longer term
comparison, modeling, sensitivity analysis and cost-effectiveness.
 Cost-effectiveness comparison of vision screening programs in low-income
communities in the Bay Area. We have been collecting data in collaboration with
Prevent Blindness Northern California for the last 2 years. We have been working on
modeling different referral criteria, comparing vision acuity charts with Retinomax
autorefractor and investigating factor for successful implementation of in-school
screening and follow-up programs.
 ROP studies: Gil Binenbaum, MD (Children’s Hospital of Philadelphia), Judith
Espinoza-Navarro, MD (Mexico), Maria Marta Galan, MD (Argentina);
 Preschool Vision Screening: Eugene Lowry, MD and Prevent Blindness Northern
California.

Lowry EA, Enanoria W, Keenan J, de Alba Campomanes AG. Repeat Retinomax
Screening Changes Positive Predictive Value. J AAPOS. 2014 Feb;18(1):45-9.

Lowry EA, Geske M, de Alba Campomanes AG. Cost-Effective Referral
Thresholds in Autorefraction Based Screening. In Preparation

Lowry EA, de Alba Campomanes AG. Cost-Effectiveness of School-Based Eye
Examinations in Preschoolers Who Fail Vision Screening. In Preparation.

Lowry EA, Dou E, de Alba Campomanes AG. Lessons Learned Implementing a
Community-Based Mobile Vision Van for Preschoolers. In preparation.

Geske M, de Alba Campomanes AG. A Cost-Effectiveness Comparison of
Bevacizumab and Laser for Treatment of Retinopathy of Prematurity. In preparation.
 Pediatric Ophthalmology and Strabismus lecture series (Ophthalmology
residents), lectures for Pediatrics and Neurology residents.
 Resident clinical and surgical teaching of pediatric ophthalmology and
strabismus
 Mentoring residents and international fellows
 International Fellowship Mentor: Dr. Sarah Sitati-Ng’Anda (Kenya-2014), Dr.
Judith Espinoza-Navarro (Mexico, 2011-2012)
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Skills
Substantive
areas
Established: clinical context, clinical research methodology, training in public health
(MPH), advanced training in clinical research (UCSF).
Desired: empirical and modeled assessment of the cost, effects, and cost-effectiveness
of pediatric ophthalmology interventions, programs, and policies, with a focus in global
and minority health
Established: retinopathy of prematurity, vision screening, amblyopia, strabismus,
pediatric ophthalmology
Desired: health economics, epidemiological research, advanced biostatistics
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Alejandra G. de Alba Campomanes