Evaluation Of The Efficiency Between A Sterile Versus Non-Sterile Single Room Laser Cataract Surgery Procedure
Published 2025 - 43rd Congress of the ESCRS
Reference: FP24.14 | Type: Free paper | DOI: 10.82333/hvcp-1388
Authors: Abdelrahman M. Elettreby 1 , Mohamed A. Alsaied 1 , Maab Saleh 1 , Ahmed A. Abo Elnaga 1 , Mazen M. Sinjab 2 , Hashem Abu Serhan* 3
1Mansoura University,Mansoura ,Egypt, 2Dr. Sulaiman Al Habib Hospital,Dubai,United Arab Emirates, 3Department of Ophthalmology,Hamad Medical Corporation,Doha,Qatar
Purpose
This study was designed to evaluate the efficiency of the workflow between two different procedure scenarios for laser cataract surgery. A comparison between a single room, non-sterile procedure and a single room, sterile procedure.
Setting
This study was performed at a single site.
Methods
23 patients were consecutively enrolled in this prospective, single site study and assigned to non-sterile laser cataract surgery using a single room model (LenSx Laser System, Alcon, Ft. Worth, TX) or a single room sterile laser cataract surgery (ALLY, LENSAR, Orlando, FL) from June-Sep 2023. Twelve months later, an additional 23 subjects were enrolled to assess time savings related to experience with the sterile room model. Comparisons were made of the following procedure times: laser set up, docking, suction, total laser time, docking attempts, surgeon total case time, patient total case time, transition to phacoemulsification start time, and transition preparation and draping time.
Results
Time savings in 2023 in the sterile room model was 00:01:08 (p=0.022) total femto time (surgeon), 00:03:30 (p=0.001) total case time (surgeon) and 00:03:01 (p=0.637) total case time (patient). Twelve months later, total time savings in the sterile room model increased to 00:01:36 (p=0.001) total femto time savings (surgeon), 00:05:13 (p=0.001) total case time (surgeon) and 00:07:57 (p=0.02) total case time (patient). One year later, there was additional time savings from femto complete to phaco start of 00:03:42 (p=<0.001) in the sterile model as a result of minimizing the turnover time required to move from the non-sterile to sterile workflow.
Conclusions
Laser cataract surgery in the sterile single room model demonstrated superior efficiency to the single room non-sterile model. There was significant time saving for the surgeon, staff and patients. One year after implementation of the new workflow, additional time savings and efficiencies were realized and are only expected to increase.