ArticleThe Lancet. Planetary health2022
Addressing the environmental sustainability of eye health-care delivery: a scoping review.
Article in The Lancet. Planetary health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 28 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Decarbonizing surgical care: a qualitative systematic review guided by the Congruence Model.BMC health services research · 2024Pooled it
- Strategies and tactics to reduce the impact of healthcare on climate change: systematic review.BMJ (Clinical research ed.) · 2024Pooled it
- Dropless after cataract surgery (DACS): concepts, evidence and clinical potential.Eye (London, England) · 2026Review
- Sustainability in vitreoretinal surgery: environmental impact and carbon emission reduction strategies.International ophthalmology · 2026Review
- Applying Abstract Text Mining as a Complement to PRISMA in Reviewing the Scope of Healthcare's Circular Economy Comment on "A Review of the Applicability of Current Green Practices in Healthcare Facilities".International journal of health policy and management · 2026Article
- Sustainability practices made easy.Eye (London, England) · 2025Review
- Sustainable ophthalmology: an overview of concepts and practices.Eye (London, England) · 2025Review
- The role of environmental impact assessments in hospital care: Healthcare professionals' views on research and implementation priorities.Health research policy and systems · 2025Article
- Analysis of sustainability strategies in cataract surgery and surgeon perspective in reducing carbon footprint.International ophthalmology · 2025Review
- Sustaining Ophthalmic Practices for the Future: A High-Value Care Approach to Environmental Responsibility.Ophthalmology and therapy · 2025Review
- Patients' perspective on the environmental impact of the severe dry eye disease healthcare pathway.Eye (London, England) · 2025Article
- [Systemic barriers prevent competence-based teaching in the field of planetary health : An online survey among students and descriptive analysis of the National Competence-based Catalogue of Learning Objectives for Medicine 2.0].Die Anaesthesiologie · 2025Article
- The Royal College of Ophthalmologists' National Ophthalmology Database study of cataract surgery: report 19, a comparative study of the cost and carbon footprint of local anaesthesia techniques for cataract surgery.Eye (London, England) · 2025Article
- Strategies for Sustainability and Cost Optimization in Corneal Transplantation: From Surgeons’ PerspectiveTurkish journal of ophthalmology · 2025Review
- Review
- Environmental impact of patient travel for cataract surgery.International journal of ophthalmology · 2025Article
- Greening vision: balancing clinical excellence and ecological sustainability in eye health.Frontiers in public health · 2025Review
- The environmental impact and sustainability of infection control practices: a systematic scoping review.Antimicrobial resistance and infection control · 2024Article
- Greener intravitreal injections: a narrative review.Eye (London, England) · 2024Review
- The Royal College of Ophthalmologists' National Ophthalmology Database Study of Cataract Surgery: Report 13, monitoring post-cataract surgery endophthalmitis rates-the rule of X.Eye (London, England) · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
Abstract
The demand for eye care-the most common medical speciality in some countries-is increasing globally due to both demographic change and the development of eye health-care services in low-income and middle-income countries. This expansion of service provision needs to be environmentally sustainable. We conducted a scoping review to establish the nature and extent of the literature describing the environmental costs of delivering eye-care services, identify interventions to diminish the environmental impact of eye care, and identify key sustainability themes that are not yet being addressed. We identified 16 peer-reviewed articles for analysis, all published since 2009. Despite a paucity of research evidence, there is a need for the measurement of environmental impacts associated with eye care to be standardised along with the methodological tools to assess these impacts. The vastly different environmental costs of delivering clinical services with similar clinical outcomes in different regulatory settings is striking; in one example, a phacoemulsification cataract extraction in a UK hospital produced more than 20 times the greenhouse gas emission of the same procedure in an Indian hospital. The environmental costs must be systematically included when evaluating the risks and benefits of new interventions or policies aimed at promoting safety in high-income countries.
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Registered trials
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.