From the Altos Eye Physicians (Chang), Los Altos, California, and the John A. Moran Eye Center (Mamalis), University of Utah, Salt Lake City, Utah, USA.
From the Altos Eye Physicians (Chang), Los Altos, California, and the John A. Moran Eye Center (Mamalis), University of Utah, Salt Lake City, Utah, USA.
J Cataract Refract Surg. 2018 Jun;44(6):765-773. doi: 10.1016/j.jcrs.2018.05.001. Epub 2018 Jun 13.
These Guidelines for the Cleaning and Sterilization of Intraocular Surgical Instruments were written by the Ophthalmic Instrument Cleaning and Sterilization (OICS) Task Force, comprised of representatives of the American Society of Cataract and Refractive Surgery, the American Academy of Ophthalmology, and the Outpatient Ophthalmic Surgery Society. These consensus subspecialty guidelines include evidence-based recommendations regarding issues that may be unique to the cleaning and sterilization of intraocular instrumentation. A newly published OICS Task Force study supports the safety of common short-cycle instrument processing practices for sequential same-day anterior segment surgery. Other studies substantiate the risk of toxic anterior segment syndrome from routine use of enzymatic detergent, whose microscopic residues are difficult to eliminate from intraocular instrumentation. Finally, based on published international outcomes and endophthalmitis rates, future studies should critically evaluate a variety of operating room protocols that may increase cost, waste, and carbon footprint, without any actual safety benefit.
本《眼科手术器械清洗消毒指南》由白内障与屈光手术学会、眼科学会和门诊眼科手术学会代表组成的眼科器械清洗与消毒（OICS）工作组编写。本共识专科指南包含了针对可能与眼内器械清洗消毒相关的特殊问题的循证推荐意见。一项新发表的 OICS 工作组研究支持常见的短周期器械处理实践应用于连续同一天的前节手术的安全性。其他研究证实，常规使用酶清洁剂会有发生毒性前节综合征的风险，其微观残留物难以从眼内器械中清除。最后，根据已发表的国际结果和眼内炎发生率，未来的研究应该严格评估各种可能增加成本、浪费和碳足迹，但没有实际安全益处的手术室方案。
