Intraoperative Intraocular Lens Waste: Incidence, Cost and Reasons.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-11-01 Epub Date: 2024-05-19 DOI:10.1080/08820538.2024.2354692

Junjie Cai, Yamin Li, Dongdong Pan, Xiaomeng Li, Nived Moonasar, Zhong Lin, Yinghui Shi, Jianxia Lin, Peihua Zhang

{"title":"Intraoperative Intraocular Lens Waste: Incidence, Cost and Reasons.","authors":"Junjie Cai, Yamin Li, Dongdong Pan, Xiaomeng Li, Nived Moonasar, Zhong Lin, Yinghui Shi, Jianxia Lin, Peihua Zhang","doi":"10.1080/08820538.2024.2354692","DOIUrl":null,"url":null,"abstract":"Purpose: To evaluate the incidence and cost of intraocular lens(IOL) waste during IOL implantation, as well as the reasons for it.Methods: A retrospective analysis was conducted on the data of 485 patients from the IOL waste registers of a single tertiary eye hospital in China during 2016-2020. The primary outcomes were the incidence, cost, and reasons for different IOL properties. Cases were examined to ascertain IOL material, design, procedural details, and causes of waste.Results: IOL waste occurred in 485 (6.62‰) of the 73,246 IOL implantations during the study period. The total cost of IOL waste was 429, 850.26 Chinese Yuan (CNY) related to waste with an average cost of 2, 442.33 CNY per procedure during the study period. Comparisons between IOL properties showed that polymethyl methacrylate (PMMA) material (39, 2.05%), three-piece design (142, 1.49%), and secondary IOL implantation (26, 2.16%) were associated with IOL wastage, and the difference was statistically significant. The causes of IOL waste were damage (107, 60.80%), patient reasons (37, 21.26%), aseptic errors (22, 12.50%), IOL quality problems (8, 4.55%), and loss (2, 1.14%).Conclusions: The incidence of IOL waste is low, but still leads to a significant cost burden due to a large number of cataract surgeries. PMMA material, three-piece design, and secondary implantation were identified as factors increasing IOL waste. Damage emerged as the primary reason for waste, largely attributed to human error. Therefore, the development of strategies to mitigate IOL waste is imperative.","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08820538.2024.2354692","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/19 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To evaluate the incidence and cost of intraocular lens(IOL) waste during IOL implantation, as well as the reasons for it.

Methods: A retrospective analysis was conducted on the data of 485 patients from the IOL waste registers of a single tertiary eye hospital in China during 2016-2020. The primary outcomes were the incidence, cost, and reasons for different IOL properties. Cases were examined to ascertain IOL material, design, procedural details, and causes of waste.

Results: IOL waste occurred in 485 (6.62‰) of the 73,246 IOL implantations during the study period. The total cost of IOL waste was 429, 850.26 Chinese Yuan (CNY) related to waste with an average cost of 2, 442.33 CNY per procedure during the study period. Comparisons between IOL properties showed that polymethyl methacrylate (PMMA) material (39, 2.05%), three-piece design (142, 1.49%), and secondary IOL implantation (26, 2.16%) were associated with IOL wastage, and the difference was statistically significant. The causes of IOL waste were damage (107, 60.80%), patient reasons (37, 21.26%), aseptic errors (22, 12.50%), IOL quality problems (8, 4.55%), and loss (2, 1.14%).

Conclusions: The incidence of IOL waste is low, but still leads to a significant cost burden due to a large number of cataract surgeries. PMMA material, three-piece design, and secondary implantation were identified as factors increasing IOL waste. Damage emerged as the primary reason for waste, largely attributed to human error. Therefore, the development of strategies to mitigate IOL waste is imperative.

查看原文本刊更多论文

术中眼内透镜浪费：发生率、成本和原因。

目的：评估人工晶体植入术中眼球内人工晶体（IOL）浪费的发生率、成本及其原因：方法：对中国一家三级眼科医院 2016-2020 年间人工晶体浪费登记册中 485 例患者的数据进行回顾性分析。主要结果是不同人工晶体属性的发生率、成本和原因。对病例进行检查，以确定人工晶体的材料、设计、手术细节以及造成浪费的原因：研究期间，在 73,246 例人工晶体植入手术中，有 485 例（6.62‰）发生了人工晶体废用。在研究期间，人工晶体浪费的总费用为 429 850.26 人民币，平均每例手术花费 2 442.33 人民币。对人工晶体性能的比较显示，聚甲基丙烯酸甲酯（PMMA）材料（39，2.05%）、三件式设计（142，1.49%）和二次人工晶体植入（26，2.16%）与人工晶体浪费有关，且差异具有统计学意义。造成人工晶体浪费的原因包括：损坏（107，60.80%）、患者原因（37，21.26%）、无菌操作失误（22，12.50%）、人工晶体质量问题（8，4.55%）和丢失（2，1.14%）：人工晶体浪费的发生率很低，但由于白内障手术数量庞大，仍会造成巨大的成本负担。PMMA材料、三片式设计和二次植入被认为是增加人工晶体浪费的因素。损坏是造成浪费的主要原因，这主要归咎于人为错误。因此，制定减少人工晶体浪费的策略势在必行。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.