Preloaded IOL delivery system results in time savings per case, surgeon

Take-home message: Use of a new preloaded IOL delivery system for routine cataract surgeries in a multicenter study resulted in time savings per case and per surgeon that could reduce costs per case or increased profit.

 

By Nancy Groves; Reviewed by Guillermo Rocha, MD, FRCSC

 

Brandon, Manitoba, Canada-Significant reductions in total case time and surgeon lens time for a new preloaded IOL delivery system (Tecnis iTec, Abbott Medical Optics) were confirmed in a recent study.

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The multisite time and motion study compared a manually loaded delivery system with the preloaded device, which was designed to improve efficiency in the operating room.

Third-party observers collected intraoperative time and motion data for all surgical staff before and after adoption of the system at three centers: a single-operating room set-up in Manitoba, Canada, where about 10 or 11 cataract procedures were performed per day; a two-operating room set-up in France, capable of handling about 18 cases per day; and a two-room site in Iowa where about 25 procedures could be performed per day.

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A minimum of 20 cataract surgeries with manually loaded IOLs were performed, followed by training for the physicians and surgical staff on use of the system, then an additional series of surgeries using the preloaded device. About 154 surgeries were performed in all.

Guillermo Rocha, MD, FRCSC, GRMC Vision Centre, Brandon, Manitoba, Canada, performed all the surgeries at the Manitoba site; Jason J. Jones, MD, was the surgeon at the U.S. site, and Serge Zaluski, MD, performed the procedures in France.

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