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dc.contributor.authorMcGhee, CNJ
dc.contributor.authorDean, S
dc.contributor.authorFreundlich, SEN
dc.contributor.authorGokul, A
dc.contributor.authorZiaei, M
dc.contributor.authorPatel, D
dc.contributor.authorNiederer, RL
dc.contributor.authorDanesh-Meyer, H
dc.date.accessioned2020-12-16T23:50:25Z
dc.date.available2020-12-16T23:50:25Z
dc.date.issued2020-10-11
dc.identifier.citationMcGhee, C. N. J., Dean, S., Freundlich, S. E. N., Gokul, A., Ziaei, M., Patel, D., Niederer, R. L. & Danesh-Meyer, H. (2020). Microdroplet and spatter contamination during phacoemulsification cataract surgery in the era ofCOVID-19. CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 48 (9), pp.1168-1174. https://doi.org/10.1111/ceo.13861.
dc.identifier.issn1442-6404
dc.identifier.urihttp://hdl.handle.net/11343/254583
dc.description.abstractIMPORTANCE: Determine phacoemulsification cataract surgery risk in a Covid-19 era. BACKGROUND: SARS-CoV-2 (Covid-19) transmission via microdroplet and aerosol-generating procedures presents risk to medical professionals. As the most common elective surgical procedure performed globally; determining contamination risk from phacoemulsification cataract surgery may guide personal protection equipment use. DESIGN: Pilot study involving phacoemulsification cataract surgery on enucleated porcine eyes by experienced ophthalmologists in an ophthalmic operating theatre. PARTICIPANTS: Two ophthalmic surgical teams. METHODS: Standardized phacoemulsification of porcine eyes by two ophthalmologists accompanied by an assistant. Fluorescein incorporated into phacoemulsification irrigation fluid identifying microdroplets and spatter. Contamination documented using a single-lens reflex camera with a 532 nm narrow bandpass (fluorescein) filter, in-conjunction with a wide-field blue light and flat horizontal laser beam (wavelength 532 nm). Quantitative image analysis using Image-J software. MAIN OUTCOME MEASURES: Microdroplet and spatter contamination from cataract phacoemulsification. RESULTS: With phacoemulsification instruments fully within the eye, spatter contamination was limited to <10 cm. Insertion and removal of the phacoemulsification needle and bimanual irrigation/aspiration, with irrigation active generated spatter on the surgeons' gloves and gown extending to >16 cm below the neckline in surgeon 1 and > 5.5 cm below the neckline of surgeon 2. A small tear in the phacoemulsification irrigation sleeve, presented a worse-case scenario the greatest spatter. No contamination above the surgeons' neckline nor contamination of assistant occurred. CONCLUSIONS AND RELEVANCE: Cataract phacoemulsification generates microdroplets and spatter. Until further studies on SARS-CoV-2 transmission via microdroplets or aerosolisation of ocular fluid are reported, this pilot study only supports standard personal protective equipment.
dc.languageEnglish
dc.publisherWILEY
dc.titleMicrodroplet and spatter contamination during phacoemulsification cataract surgery in the era ofCOVID-19
dc.typeJournal Article
dc.identifier.doi10.1111/ceo.13861
melbourne.affiliation.departmentSurgery (RMH)
melbourne.source.titleClinical and Experimental Ophthalmology
melbourne.source.volume48
melbourne.source.issue9
melbourne.source.pages1168-1174
melbourne.elementsid1469220
melbourne.openaccess.urlhttps://europepmc.org/articles/PMC7537193?pdf=render
melbourne.openaccess.statusPublished version
melbourne.contributor.authorDanesh-Meyer, Helen
dc.identifier.eissn1442-9071
melbourne.accessrightsAccess this item via the Open Access location


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