Mobile ultra-clean unidirectional airflow screen reduces air contamination in a simulated setting for intra-vitreal injection

• Published in: International ophthalmology Vol. 37; no. 1; pp. 131 - 137
• Main Authors: Lapid-Gortzak, Ruth, Traversari, Roberto, van der Linden, Jan Willem, Lesnik Oberstein, Sarit Y., Lapid, Oren, Schlingemann, Reinier O.
• Format: Journal Article
• Language: English
• Published: Dordrecht Springer Netherlands 01.02.2017; Springer Nature B.V
• Subjects: Air Pollution, Indoor - prevention & control; Endophthalmitis - prevention & control; Equipment Contamination - prevention & control; Humans; Infection Control - instrumentation; Infection Control - methods; Intravitreal Injections - methods; Medicine; Medicine & Public Health; Operating Rooms; Ophthalmology; Original Paper; Particulate Matter - analysis; Surgical Wound Infection - prevention & control; Ventilation - methods; Endophthalmitis prevention; Intra-vitreal injections; HEPA filters; Contamination; Unidirectional ultra-clean laminar airflow
• ISSN: 0165-5701; 1573-2630
• DOI: 10.1007/s10792-016-0236-1

The aim of this study is to determine whether the use of a mobile ultra-clean laminar airflow screen reduces the air-borne particle counts in the setting of a simulated procedure of an intra-vitreal injection. A mobile ultra-clean unidirectional airflow (UDF) screen was tested in a simulated procedure for intra-vitreal injections in a treatment room without mechanical ventilation. One UDF was passed over the instrument tray and the surgical area. The concentration of particles was measured in the background, over the instrument table, and next to the ocular area. The degree of protection was calculated at the instrument table and at the surgical site. Use of the UDF mobile screen reduced the mean particle concentration (particles > 0.3 microns) on the instrument table by a factor of at least 100.000 ( p  < 0.05), and over the patient’s eye by at least a factor of 436 ( p  < 0.05), which in clinical practice translates into significantly reduced air contamination. Mobile UDF screen reduces the mean particle concentration substantially. The mobile UDF screen may therefore allow for a safer procedural environment for ambulatory care procedures such as intra-vitreal injections in treatment rooms.