Multicenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery

Javier Mendicute,1 Lucia Bascarán,1 Luis Pablo,2 Cédric Schweitzer,3 Laurent Velasque,4 Christine Bouchet,5 Aldo A Martinez5 1Department of Ophthalmology, Hospital Universitario Donostia, San Sebastián, Spain; 2Department of Ophthalmology, Hospital Universitario Migu...

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Autores principales:	Mendicute J, Bascarán L, Pablo L, Schweitzer C, Velasque L, Bouchet C, Martinez AA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	cataract surgery intraocular lens delivery time monarch ultrasert Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0115db723e6d46b085e9fdfd4ceb787c
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spelling	oai:doaj.org-article:0115db723e6d46b085e9fdfd4ceb787c2021-12-02T12:18:09ZMulticenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery1177-5483https://doaj.org/article/0115db723e6d46b085e9fdfd4ceb787c2021-02-01T00:00:00Zhttps://www.dovepress.com/multicenter-evaluation-of-time-operational-and-economic-efficiencies-o-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Javier Mendicute,1 Lucia Bascarán,1 Luis Pablo,2 Cédric Schweitzer,3 Laurent Velasque,4 Christine Bouchet,5 Aldo A Martinez5 1Department of Ophthalmology, Hospital Universitario Donostia, San Sebastián, Spain; 2Department of Ophthalmology, Hospital Universitario Miguel Servet, Zaragoza, Spain; 3Department of Ophthalmology, Bordeaux University Hospital, Bordeaux, France; 4Centre Retine Gallien, Bordeaux, France; 5Alcon Research LLC, Fort Worth, TX, USACorrespondence: Javier MendicuteDepartment of Ophthalmology, Hospital Universitario Donostia, Paseo Dr. Beguiristáin, 115, San Sebastián, 20014, SpainTel +34-943322233Email mendicutejavier@gmail.comPurpose: To evaluate intraoperative intraocular lens (IOL) delivery time and total surgical case time using the UltraSert preloaded delivery system (System U) during routine cataract surgeries and to compare with the manually loaded Monarch delivery system (System M). Physician satisfaction with System U was also assessed.Patients and Methods: In this prospective observational study, subjects ≥ 18 years old underwent cataract surgery in 1 eye and received the AcrySof IQ IOL via the manually loaded System M (n=103) or the AcrySof IQ IOL model AU00T0 via the preloaded System U (n=93). Procedures were digitally recorded by an external camera or by a camera within the operating microscope. Device preparation, IOL delivery, and IOL positioning times were evaluated by 2 independent graders. Pearson χ2 test or Fisher exact test was used for categorical variables and Student’s t-test or Wilcoxon rank-sum test for continuous variables (all tests were 2-sided and performed at a 5% α-level). Physician satisfaction levels were assessed using questionnaires.Results: Lens delivery time was similar for System U and System M (12.9± 5.1 and 12.2± 6.3 s; P=0.412). Mean device preparation time for System U was significantly shorter compared with System M (30.3± 6.6 versus 59.8± 31.0 s; P< 0.05). This resulted in a significantly shorter total intraoperative time (device preparation + lens delivery) with System U versus System M (43.0± 8.6 versus 72.0± 32.5 s; P< 0.05). Total surgical case time (device preparation + lens delivery + lens positioning and unfolding) was shorter for System U versus System M (56.6± 12.6 versus 89.6± 34.6 s; P< 0.05). Physicians reported greater satisfaction levels with System U compared with other devices.Conclusion: Use of the preloaded delivery system (System U) resulted in faster device preparation and reduced total surgical time compared with the manually loaded system (System M). System U was intuitive to use, and physicians preferred it to other devices.Keywords: cataract surgery, intraocular lens delivery time, Monarch, UltraSertMendicute JBascarán LPablo LSchweitzer CVelasque LBouchet CMartinez AADove Medical Pressarticlecataract surgeryintraocular lens delivery timemonarchultrasertOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 591-599 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cataract surgery intraocular lens delivery time monarch ultrasert Ophthalmology RE1-994
spellingShingle	cataract surgery intraocular lens delivery time monarch ultrasert Ophthalmology RE1-994 Mendicute J Bascarán L Pablo L Schweitzer C Velasque L Bouchet C Martinez AA Multicenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery
description	Javier Mendicute,1 Lucia Bascarán,1 Luis Pablo,2 Cédric Schweitzer,3 Laurent Velasque,4 Christine Bouchet,5 Aldo A Martinez5 1Department of Ophthalmology, Hospital Universitario Donostia, San Sebastián, Spain; 2Department of Ophthalmology, Hospital Universitario Miguel Servet, Zaragoza, Spain; 3Department of Ophthalmology, Bordeaux University Hospital, Bordeaux, France; 4Centre Retine Gallien, Bordeaux, France; 5Alcon Research LLC, Fort Worth, TX, USACorrespondence: Javier MendicuteDepartment of Ophthalmology, Hospital Universitario Donostia, Paseo Dr. Beguiristáin, 115, San Sebastián, 20014, SpainTel +34-943322233Email mendicutejavier@gmail.comPurpose: To evaluate intraoperative intraocular lens (IOL) delivery time and total surgical case time using the UltraSert preloaded delivery system (System U) during routine cataract surgeries and to compare with the manually loaded Monarch delivery system (System M). Physician satisfaction with System U was also assessed.Patients and Methods: In this prospective observational study, subjects ≥ 18 years old underwent cataract surgery in 1 eye and received the AcrySof IQ IOL via the manually loaded System M (n=103) or the AcrySof IQ IOL model AU00T0 via the preloaded System U (n=93). Procedures were digitally recorded by an external camera or by a camera within the operating microscope. Device preparation, IOL delivery, and IOL positioning times were evaluated by 2 independent graders. Pearson χ2 test or Fisher exact test was used for categorical variables and Student’s t-test or Wilcoxon rank-sum test for continuous variables (all tests were 2-sided and performed at a 5% α-level). Physician satisfaction levels were assessed using questionnaires.Results: Lens delivery time was similar for System U and System M (12.9± 5.1 and 12.2± 6.3 s; P=0.412). Mean device preparation time for System U was significantly shorter compared with System M (30.3± 6.6 versus 59.8± 31.0 s; P< 0.05). This resulted in a significantly shorter total intraoperative time (device preparation + lens delivery) with System U versus System M (43.0± 8.6 versus 72.0± 32.5 s; P< 0.05). Total surgical case time (device preparation + lens delivery + lens positioning and unfolding) was shorter for System U versus System M (56.6± 12.6 versus 89.6± 34.6 s; P< 0.05). Physicians reported greater satisfaction levels with System U compared with other devices.Conclusion: Use of the preloaded delivery system (System U) resulted in faster device preparation and reduced total surgical time compared with the manually loaded system (System M). System U was intuitive to use, and physicians preferred it to other devices.Keywords: cataract surgery, intraocular lens delivery time, Monarch, UltraSert
format	article
author	Mendicute J Bascarán L Pablo L Schweitzer C Velasque L Bouchet C Martinez AA
author_facet	Mendicute J Bascarán L Pablo L Schweitzer C Velasque L Bouchet C Martinez AA
author_sort	Mendicute J
title	Multicenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery
title_short	Multicenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery
title_full	Multicenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery
title_fullStr	Multicenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery
title_full_unstemmed	Multicenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery
title_sort	multicenter evaluation of time, operational, and economic efficiencies of a new preloaded intraocular lens delivery system versus manual intraocular lens delivery
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/0115db723e6d46b085e9fdfd4ceb787c
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Multicenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery

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