Safety Of The Toul Operio Mobile Air Filtration System In Cataract Surgery

We report our experience of the Toul Operio Mobile sterile air unit in a large series of patients undergoing cataract and lens surgery demonstrating the safety of this cost-effective air filtration system. The device provides a sterile laminar air flow over the surgical instruments and operated eye during cataract surgery.

An independent clinic and operating facility providing cataract and other ophthalmic surgery.

We retrospectively reviewed all episodes of cataract and lens surgery in our facility since starting use of the Toul system. We searched our clinic records to identify any patients developing post-operative endophthalmitis.

We identified 3710 consecutive episodes of cataract and lens surgery since first starting use of the Toul system on 8/10/20 until 11/11/24. Over this period there were no cases of postoperative endophthalmitis recorded.

This is the largest reported series of cataract surgery cases using the Toul Operio Mobile sterile air unit. It demonstrates an excellent safety record with no patients developing postoperative endophthalmitis. The Toul system provides a safe operating environment for cataract surgery and is a cost effective alternative to integrated whole theatre air filtration systems. The cost of the device compared to a conventional air handling system is in the region of 5-10%, which has implications for the cost-effective provision of cataract surgery globally.