Reducing visible aerosol generation during phacoemulsification in the era of Covid-19

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Abstract

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  1. SciScore for 10.1101/2020.05.14.20102301: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    No key resources detected.


    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    This model allows simulated surgery for lamellar graft procedures using human cadaveric tissue and addresses the above limitations of other experimental models. We utilised a novel application of this model to consistently demonstrate the aerosol or ‘vapour’ plume that is observed in the real world setting during phacoemulsification with a 2.75mm tip. The plume appears to originate from the corneal wound. This may be due to vibration transmitted from the phacoemulsification probe to the lip of the corneal wound. It is impossible to determine whether the aerosol generation seen with this experimental set up is due to agitation of moisture on the surface of the cornea or small amounts of BSS that can egress through the corneal wound around the probe. Visible aerosol following emulsification with a dry cornea supports the latter. The reduction in visible aerosol seen with the 2.2mm tip may be explained by less wound leakage. This was noted in an ex vivo study comparing wound leakage in an ex vivo comparison of 2.2mm and 2.75mm tips (13). Following this, we evaluated different methods of attenuating this aerosol plume and demonstrate two potential approaches. The first approach involves forced air directed at the microsurgical field to disperse the aerosol downwards and laterally. In a operating theatre, this set up would be challenging as the air would have to be filtered and humidified to prevent infection and corneal drying respectively with the setup of the microsurgical fiel...

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

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