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Waste production from phacoemulsification surgery.

Hui Gim Khor1, Irene Cho, Kenneth Rohan Chee Keong Lee

  • 1From the Department of Ophthalmology, Miri Hospital, Ministry of Health, Sarawak, Malaysia.

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|March 4, 2020
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Summary

Phacoemulsification surgery generates significant clinical and general waste, with recyclable materials comprising over half of the general waste. Implementing the 3 R's (reduce, reuse, recycle) can mitigate the environmental impact of surgical waste.

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Area of Science:

  • Ophthalmology
  • Environmental Science
  • Waste Management

Background:

  • Phacoemulsification surgery is a common ophthalmic procedure.
  • Surgical waste poses environmental challenges.
  • Quantifying waste from ophthalmic surgeries is crucial for sustainability.

Purpose of the Study:

  • To quantify the total waste generated from phacoemulsification surgeries.
  • To categorize surgical waste into clinical, general, and sharps.
  • To identify strategies for reducing surgical waste.

Main Methods:

  • A prospective study was conducted on phacoemulsification surgery cases.
  • Waste was weighed and categorized into general, clinical, and sharps.
  • Waste generated by ophthalmologists and trainees was analyzed separately.

Main Results:

  • A total of 167.965 kg of waste was produced from 203 cases.
  • Clinical waste constituted the largest portion (56.6%), followed by general waste (37.6%).
  • Recyclable materials made up 50.9% of the general waste.

Conclusions:

  • The average waste per phacoemulsification surgery case was 0.827 kg.
  • Excluding recyclables, the average waste was 0.669 kg per case.
  • Adhering to reduce, reuse, and recycle principles can lessen environmental impact.