Single-use versus reuse of instruments in ophthalmic surgery

Raman, Rajiv; Rao, Chetan; Ruamviboonsuk, Paisan; Huang, Suber; Sharma, Tarun

doi:10.1038/s41433-023-02431-0

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…The reuse of cataract surgery instruments that might otherwise be sold as single-use, such as the phacoemulsification cassette and probe tips, has received much attention. 56,[116][117][118] After repeated experimental use on porcine eyes, there were no detectable ultrastructural changes to phacoemulsification tips (whether single-use or reusable designs). 119 Disposable cassettes can contribute 8.5% of cataract surgery waste in some settings, 56 but now some manufacturers design cassettes for reuse to some extent.…”

Section: Reusementioning

confidence: 99%

“…The reuse of cataract surgery instruments that might otherwise be sold as single‐use, such as the phacoemulsification cassette and probe tips, has received much attention 56,116–118 . After repeated experimental use on porcine eyes, there were no detectable ultrastructural changes to phacoemulsification tips (whether single‐use or reusable designs) 119 .…”

Section: Making Changes To Practicementioning

confidence: 99%

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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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Section: Reusementioning

confidence: 99%

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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“…However, research in the South African setting suggests that the re-use of the tubing does not yield increased microbial growth, 18 and there is currently inconclusive evidence on the risks associated with the re-use of these single-use items. 19 The limitations of this study include that it was carried out at a single site which is a specialised eye hospital in the province, and may therefore not represent what the cost of cataract surgery may be at a different type of hospital. Secondly, we costed monocular lenses only as that is what is used for cataract surgery in the public sector, and surgery using phacoemulsification, both of which limit comparisons with settings where there are more diverse options with other methods of cataract surgery such as femtosecond laserassisted surgery.…”

Section: Discussionmentioning

confidence: 99%

Cost of cataract surgery at a provincial hospital in South Africa

Mahomed,

Nadasan,

Mahomed

2024

African Vision and Eye Health

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Background: Despite the high burden of cataracts, South Africa is not meeting its cataract surgery rate, mainly because of health system factors. Information on the costs involved can be beneficial in upscaling cataract surgery.Aim: To estimate the cost of cataract surgery from the health service perspective.Setting: Public-sector eye hospital in KwaZulu-Natal, South Africa.Methods: A retrospective cost analysis using a mixed costing approach was used. The study population included adult patients who had cataract surgery performed at the hospital between 01 April 2018 and 31 March 2019. An activity-based approach was used.Results: The cost for a cataract in a single eye in 2018/2019 was R4184.81 ($299.00). The highest contributor to the cost was human resources (46%), followed by equipment (19%) and medication (17%). Doctors accounted for 59% of the human resource cost, followed by nurses (24%). Theatre equipment cost accounted for 97% of the equipment cost, with two major equipment (operating microscope and phacoemulsification machine) accounting for 80% (R587.80) per patient. The medication used for anaesthesia contributed 59% (R499.04) of the medication cost.Conclusion: This is the first cost estimate of cataract surgery in the public sector in South Africa. It provides preliminary information that may be used to inform the buy-out of ophthalmology services when the National Health Insurance is implemented.Contribution: This study provides useful information on costing cataract surgery in the African setting, and the information can be used to determine how to attain cataract surgery goals in a cost-effective manner.

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Single-use versus reuse of instruments in ophthalmic surgery

Cited by 2 publications

References 5 publications

Tracing the barriers to decarbonising ophthalmology: A review

Tracing the barriers to decarbonising ophthalmology: A review

Cost of cataract surgery at a provincial hospital in South Africa

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