■为了评估人工晶状体(IOL)植入过程中人工晶状体(IOL)浪费的发生率和成本,以及它的原因。
■对2016-2020年中国一家三级眼科医院的485名患者的数据进行了回顾性分析。主要结果是发病率,成本,以及IOL特性不同的原因。检查病例以确定IOL材料,设计,程序细节,和浪费的原因。
■在研究期间,在73,246例IOL植入中,有485例(6.62‰)发生了IOL废物。在研究期间,人工晶体废物的总费用为429,850.26元人民币(CNY),每个程序的平均费用为2,442.33元人民币。人工晶状体性能比较表明,聚甲基丙烯酸甲酯(PMMA)材料(39,2.05%),三件式设计(142,1.49%),和继发性IOL植入(26,2.16%)与IOL浪费有关,差异有统计学意义。人工晶体浪费的原因是损坏(107,60.80%),患者原因(37,21.26%),无菌错误(22,12.50%),IOL质量问题(8,4.55%),和损失(2,1.14%)。
■人工晶状体废物的发生率低,但由于大量的白内障手术,仍然会导致巨大的成本负担。PMMA材料,三件套设计,和二次植入被确定为增加IOL浪费的因素。损害成为浪费的主要原因,很大程度上归因于人为错误。因此,制定减轻IOL浪费的策略势在必行.
UNASSIGNED: To evaluate the incidence and cost of intraocular lens(IOL) waste during IOL implantation, as well as the reasons for it.
UNASSIGNED: A retrospective analysis was conducted on the data of 485 patients from the IOL waste registers of a single tertiary eye hospital in
China during 2016-2020. The primary outcomes were the incidence, cost, and reasons for different IOL properties. Cases were examined to ascertain IOL material, design, procedural details, and causes of
waste.
UNASSIGNED: IOL waste occurred in 485 (6.62‰) of the 73,246 IOL implantations during the study period. The total cost of IOL
waste was 429, 850.26 Chinese Yuan (CNY) related to
waste with an average cost of 2, 442.33 CNY per procedure during the study period. Comparisons between IOL properties showed that polymethyl methacrylate (PMMA) material (39, 2.05%), three-piece design (142, 1.49%), and secondary IOL implantation (26, 2.16%) were associated with IOL wastage, and the difference was statistically significant. The causes of IOL waste were damage (107, 60.80%), patient reasons (37, 21.26%), aseptic errors (22, 12.50%), IOL quality problems (8, 4.55%), and loss (2, 1.14%).
UNASSIGNED: The incidence of IOL waste is low, but still leads to a significant cost burden due to a large number of cataract surgeries. PMMA material, three-piece design, and secondary implantation were identified as factors increasing IOL waste. Damage emerged as the primary reason for
waste, largely attributed to human error. Therefore, the development of strategies to mitigate IOL
waste is imperative.