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Evaluating and reducing environmental waste in oculofacial plastic procedures.

Sruti Rachapudi1, Lucy I Mudie2, Patrick J Hunt2

  • 1University of Illinois Chicago, Chicago, IL.

Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|March 31, 2026
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Summary

Reducing waste in oculoplastic surgery is achievable through targeted interventions. Minimizing the preemptive opening of supplies like cotton-tip applicators and gauze significantly cuts down on surgical waste.

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Area of Science:

  • Ophthalmology
  • Environmental Science
  • Surgical Waste Management

Background:

  • Oculoplastic procedures contribute to environmental waste.
  • Identifying and reducing this waste is crucial for sustainable surgical practices.

Purpose of the Study:

  • To develop and implement interventions aimed at reducing the environmental impact of oculoplastic procedures.
  • To quantify waste generated during these procedures and assess the effectiveness of interventions.

Main Methods:

  • Observation of oculoplastic procedures in office-based and ambulatory surgery settings.
  • Waste audits to quantify discarded surgical items.
  • Development of targeted interventions based on surgeon and staff feedback, focusing on supply management.

Main Results:

  • The study analyzed 59 clinic and 44 operating room procedures.
  • Textiles, plastics, and medications constituted the majority of waste.
  • Interventions reduced wasted cotton tips from 12 to 3 and gauze squares from 10 to 3 per procedure by limiting preemptive opening of supplies.

Conclusions:

  • Targeted interventions can significantly decrease environmental waste in oculoplastic surgery.
  • Avoiding the preemptive opening of excess cotton-tip applicators and gauze is a key recommendation.
  • Further strategies include multiuse medications, minimal draping, and optimized supply packaging.