Cataract surgery and environmental sustainability: a comparative analysis of single-use versus reusable cassettes in phacoemulsification

Objective To compare sustainability, financial implications and surgical efficiency of two phacoemulsification cassette systems for cataract surgery: a machine with single-use cassettes and another with daily, reusable ones.Methods Observational study involving retrospective cataract surgery data co...

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Main Authors: Oscar Kallay, Rayane Sadad, Ahmed Zafzafi, Elie Motulsky
Format: Article
Language:English
Published: BMJ Publishing Group 2024-05-01
Series:BMJ Open Ophthalmology
Online Access:https://bmjophth.bmj.com/content/9/1/e001617.full
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author Oscar Kallay
Rayane Sadad
Ahmed Zafzafi
Elie Motulsky
author_facet Oscar Kallay
Rayane Sadad
Ahmed Zafzafi
Elie Motulsky
author_sort Oscar Kallay
collection DOAJ
description Objective To compare sustainability, financial implications and surgical efficiency of two phacoemulsification cassette systems for cataract surgery: a machine with single-use cassettes and another with daily, reusable ones.Methods Observational study involving retrospective cataract surgery data collection at the Centre Médical de l’Alliance, Braine-l’Alleud, Belgium, a tertiary eye care centre. Information on cassette weight, quantities and transport volume was obtained from routine procedures and purchasing records. The costs for each machine were calculated by reviewing the invoices received from the accounting department.Results We found significant differences across comparisons. The reusable cassette machine, when compared with the single-use machine, used 306.7 kg less plastic (75.3% reduction), required 2494 m3 less storage per 1000 surgeries (67.7% decrease) and cost €54.16 less per 10 procedures (16.9% reduction). The machine with daily reusable cassettes also exhibited a 7-minute priming time advantage for 10 procedures, reducing downtime between cases.Conclusions Our findings underscore the benefits of adopting reusable cassette systems: reduced plastic consumption, storage volume and priming time, as well as enhanced efficiency and cost-savings. Healthcare professionals and institutions are encouraged to embrace environmentally conscious initiatives. The use of reusable cassette systems for cataract surgeries offers a pathway to sustainable practices.
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issn 2397-3269
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publishDate 2024-05-01
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series BMJ Open Ophthalmology
spelling doaj-art-e1e6c5b6d87644bb839b31215db599412025-02-06T10:55:09ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692024-05-019110.1136/bmjophth-2023-001617Cataract surgery and environmental sustainability: a comparative analysis of single-use versus reusable cassettes in phacoemulsificationOscar Kallay0Rayane Sadad1Ahmed Zafzafi2Elie Motulsky3Head of Department of Ophthalmology, Centre Médical de l`Alliance, Braine-l`Alleud, BelgiumDepartment of Ophthalmology, Erasmus Hospital, Brussels, BelgiumDepartment of Ophthalmology, Centre Médical de l`Alliance, Braine-l`Alleud, BelgiumHead of Departement of Ophthalmology, Erasmus Hospital, Brussels, BelgiumObjective To compare sustainability, financial implications and surgical efficiency of two phacoemulsification cassette systems for cataract surgery: a machine with single-use cassettes and another with daily, reusable ones.Methods Observational study involving retrospective cataract surgery data collection at the Centre Médical de l’Alliance, Braine-l’Alleud, Belgium, a tertiary eye care centre. Information on cassette weight, quantities and transport volume was obtained from routine procedures and purchasing records. The costs for each machine were calculated by reviewing the invoices received from the accounting department.Results We found significant differences across comparisons. The reusable cassette machine, when compared with the single-use machine, used 306.7 kg less plastic (75.3% reduction), required 2494 m3 less storage per 1000 surgeries (67.7% decrease) and cost €54.16 less per 10 procedures (16.9% reduction). The machine with daily reusable cassettes also exhibited a 7-minute priming time advantage for 10 procedures, reducing downtime between cases.Conclusions Our findings underscore the benefits of adopting reusable cassette systems: reduced plastic consumption, storage volume and priming time, as well as enhanced efficiency and cost-savings. Healthcare professionals and institutions are encouraged to embrace environmentally conscious initiatives. The use of reusable cassette systems for cataract surgeries offers a pathway to sustainable practices.https://bmjophth.bmj.com/content/9/1/e001617.full
spellingShingle Oscar Kallay
Rayane Sadad
Ahmed Zafzafi
Elie Motulsky
Cataract surgery and environmental sustainability: a comparative analysis of single-use versus reusable cassettes in phacoemulsification
BMJ Open Ophthalmology
title Cataract surgery and environmental sustainability: a comparative analysis of single-use versus reusable cassettes in phacoemulsification
title_full Cataract surgery and environmental sustainability: a comparative analysis of single-use versus reusable cassettes in phacoemulsification
title_fullStr Cataract surgery and environmental sustainability: a comparative analysis of single-use versus reusable cassettes in phacoemulsification
title_full_unstemmed Cataract surgery and environmental sustainability: a comparative analysis of single-use versus reusable cassettes in phacoemulsification
title_short Cataract surgery and environmental sustainability: a comparative analysis of single-use versus reusable cassettes in phacoemulsification
title_sort cataract surgery and environmental sustainability a comparative analysis of single use versus reusable cassettes in phacoemulsification
url https://bmjophth.bmj.com/content/9/1/e001617.full
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AT ahmedzafzafi cataractsurgeryandenvironmentalsustainabilityacomparativeanalysisofsingleuseversusreusablecassettesinphacoemulsification
AT eliemotulsky cataractsurgeryandenvironmentalsustainabilityacomparativeanalysisofsingleuseversusreusablecassettesinphacoemulsification