Toxic Anterior Segment Syndrome (TASS) and Prophylaxis Against Postoperative Endophthalmitis

Díez, R Rojo; Jordano, Lourdes; Hita, C.

doi:10.5772/20767

Cited by 1 publication

(1 citation statement)

References 85 publications

(77 reference statements)

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“…Although complications, such as toxic anterior segment syndrome and endophthalmitis, are infrequent, occurring in 0.07% and 0.04% of patients receiving cataract surgery respectively, 8 , 9 these complications can include severe pain, serious intraocular tissue damage, and dramatic vision loss or blindness, increasing health care utilization and costs. 10 Exposure of the lens to the surgical environment through a manual loading and insertion process can be a vector for introduction of bacteria that can lead to endophthalmitis. Data from France estimate that hospitalization costs for endophthalmitis are ~€6.36 million for 1,725 cases (€3,688 per patient).…”

Section: Introductionmentioning

confidence: 99%

The impact of a preloaded intraocular lens delivery system on operating room efficiency in routine cataract surgery

Jones¹,

Chu²,

Graham³

et al. 2016

OPTH

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PurposeThe aim of this study was to evaluate the operational impact of using preloaded intraocular lens (IOL) delivery systems compared with manually loaded IOL delivery processes during routine cataract surgeries.MethodsTime and motion data, staff and surgery schedules, and cost accounting reports were collected across three sites located in the US, France, and Canada. Time and motion data were collected for manually loaded IOL processes and preloaded IOL delivery systems over four surgery days. Staff and surgery schedules and cost accounting reports were collected during the 2 months prior and after introduction of the preloaded IOL delivery system.ResultsThe study included a total of 154 routine cataract surgeries across all three sites. Of these, 77 surgeries were performed using a preloaded IOL delivery system, and the remaining 77 surgeries were performed using a manual IOL delivery process. Across all three sites, use of the preloaded IOL delivery system significantly decreased mean total case time by 6.2%–12.0% (P<0.001 for data from Canada and the US and P<0.05 for data from France). Use of the preloaded delivery system also decreased surgeon lens time, surgeon delays, and eliminated lens touches during IOL preparation.ConclusionCompared to a manual IOL delivery process, use of a preloaded IOL delivery system for cataract surgery reduced total case time, total surgeon lens time, surgeon delays, and eliminated IOL touches. The time savings provided by the preloaded IOL delivery system provide an opportunity for sites to improve routine cataract surgery throughput without impacting surgeon or staff capacity.

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Section: Introductionmentioning

confidence: 99%