Evidence map›Paper›PMID 32587387›Full record

ArticleEye (London, England)2021

Assessing visible aerosol generation during vitrectomy in the era of Covid-19.

Sidath Liyanage, Pathma Ramasamy, Omar Elhaddad, Kieren Darcy, Andrew Hudson, Johannes Keller

Open access · bronzeAbstract read
In one paragraph

Article in Eye (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Evidence of SARS-CoV-2 Transmission Through the Ocular Route.Clinical ophthalmology (Auckland, N.Z.) · 2021
    Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sidath LiyanageBristol Eye Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK. sidath@doctors.net.uk.
Pathma RamasamyBristol Eye Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Omar ElhaddadBristol Eye Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Kieren DarcyBristol Eye Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.ORCID http://orcid.org/0000-0002-6806-8437
Andrew HudsonSchool of Chemistry and The Leicester Institute of Structural and Chemical Biology, University of Leicester, Leicester, UK.
Johannes KellerBristol Eye Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK. johannes.keller@uhbw.nhs.uk.
University Hospitals Bristol NHS Foundation Trust · GBUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess visible aerosol generation during simulated vitrectomy surgery.

methodsA model comprising a human cadaveric corneoscleral rim mounted on an artificial anterior chamber was used. Three-port 25 gauge vitrectomy simulated surgery was performed with any visible aerosol production recorded using high-speed 4K camera. The following were assessed: (1) vitrector at maximum cut rate in static and dynamic conditions inside the model, (2) vitrector at air-fluid interface in a physical model, (3) passive fluid-air exchange with a backflush hand piece, (4) valved cannulas under air, and (5) a defective valved cannula under air.

resultsNo visible aerosol or droplets were identified when the vitrector was used within the model. In the physical model, no visible aerosol or droplets were seen when the vitrector was engaged at the air-fluid interface. Droplets were produced from the opening of backflush hand piece during passive fluid-air exchange. No visible aerosol was produced from the intact valved cannulas under air pressure, but droplets were seen at the beginning of fluid-air exchange when the valved cannula was defective.

conclusionsWe found no evidence of visible aerosol generation during simulated vitrectomy surgery with competent valved cannulas. In the physical model, no visible aerosol was generated by the high-speed vitrector despite cutting at the air-fluid interface.

Indexed as

MicrobubblesSARS-CoV-2VitrectomyAerosolsCommunicable Disease ControlCOVID-19Disease Transmission, InfectiousHumansPatient SimulationAerosols

Identifiers

PMID32587387
PMCPMC7316166
OpenAlexW3037563424

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.