A Videographic Evaluation of Eyedrop Administration by Ophthalmic Technicians

Wu, Annie M.; Kumar, Pavan; Stein, Joshua D.; Venkatesh, Rengaraj; Zhou, Yunshu; Robin, Alan L.

doi:10.1016/j.ophtha.2020.09.029

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…Quantifying the actual clinical risk of using multidose eye drops for sequential patients is problematic. Videographic analyses and bacterial cultures can be used to estimate the level of risk, 29,68 but in a real-world setting, clinicians who are reusing eye drops for multiple patients would exercise judgement regarding which patients they felt unsafe to reuse drops from (such as emergency eye-care settings with infective conjunctivitis patients) and which patients had an acceptably low risk of pathogen transmission. Because we cannot quantify the risk of reusing eyedrops, it is unclear whether we are overpaying for a reduction of certain risks to zero, when we are taking on other risks due to greenhouse gas emissions, the negative impacts of which will most acutely be felt by people in LMICs in the future.…”

Section: Balance Of Risksmentioning

confidence: 99%

Addressing the environmental sustainability of eye health-care delivery: a scoping review

Thiel

Steyn

Somner

et al. 2022

The Lancet Planetary Health

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Section: Balance Of Risksmentioning

confidence: 99%

Addressing the environmental sustainability of eye health-care delivery: a scoping review

Thiel

Steyn

Somner

et al. 2022

The Lancet Planetary Health

Self Cite

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“…The main concern about multi‐use topical drugs is the risk of infection, but two large studies in United States indicated no increased risk of endophthalmitis 122,123 . A videographic and microbiological study considered the safety of multiuse eye drops was maintained when using careful protocols, 124 now forming the basis of education and practice guidelines 125,126 . It has also been agreed that topical medications that are administered in this way can be used until the bottle is empty, longer than the recommended 28 days after opening 76,127 .…”

Section: Making Changes To Practicementioning

confidence: 99%

Tracing the barriers to decarbonising ophthalmology: A review

Lam,

Bradbrook,

Gale

2024

Clinical Exper Ophthalmology

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As climate change demands increasingly urgent mitigation of greenhouse gas emissions, the health sector needs to do its part to decarbonise. Ophthalmologists share concerns about climate change and seek opportunities to reduce their environmental impact. When measuring the footprint of ophthalmology, major contributions are from patient travel to clinics, and from the large amounts of single‐use disposable materials that are consumed during surgeries and sterile procedures. Ophthalmic services in India have already demonstrated systems that consume far fewer of these products through efficient throughput of patients and the safe reuse of many items, while maintaining equivalent safety and quality outcomes. Choosing these low‐cost low‐emission options would seem obvious, but many ophthalmologists experience barriers that prevent them operating as Indian surgeons do. Understanding these barriers to change is a crucial step in the decarbonisation of ophthalmology and the health sector more broadly.

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“…The same paper also provides guidelines to clearly identify contaminated bottles. Both the American Academy of Ophthalmology (AAO) and American Society of Cataract and Refractive Surgeons (ASCRS) have supported the use of multidose eyedrops on multiple patients, if proper protocols are routinely followed [34,35].…”

Section: Pharmaceuticals and Manufacturingmentioning

confidence: 99%

Eco-sustainability in ophthalmology

Lee,

Menean,

Williams

et al. 2024

Current Opinion in Ophthalmology

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Purpose of review The purpose of this review is to evaluate the current state of eco-sustainability in ophthalmology, highlighting key practices, recent advancements, and areas requiring improvement. This review aims to provide ophthalmologists with a comprehensive overview of sustainable practices that can reduce environmental impact. Recent findings Recent studies have identified several areas within ophthalmology where sustainable practices can be implemented including multidose eyedrops, adjusting surgical packs, making package inserts available electronically, and reusing surgical instruments. Moreover, there is an increasing emphasis on waste reduction both in the surgical and clinical setting, by decreasing the use of unnecessary materials and implementing more efficient use of recycling programs. Telemedicine has also emerged as a sustainable option, reducing the carbon footprint associated with patient travel. Despite these advancements, significant challenges remain, particularly in balancing the cost and accessibility of sustainable options with traditional practices. Summary Eco-sustainability in ophthalmology is gaining momentum as the medical community aims to reduce its environmental impact. While progress has been made, further efforts are required to overcome financial and logistical barriers to widespread implementation. Continued research, education, and policy development are essential to advancing eco-sustainable practices, ensuring that environmental considerations become an integral part of ophthalmic care.

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A Videographic Evaluation of Eyedrop Administration by Ophthalmic Technicians

Cited by 7 publications

References 5 publications

Addressing the environmental sustainability of eye health-care delivery: a scoping review

Addressing the environmental sustainability of eye health-care delivery: a scoping review

Tracing the barriers to decarbonising ophthalmology: A review

Eco-sustainability in ophthalmology

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