Evidence map›Paper›PMID 36889466›Full record

ReviewOphthalmology2023

How Ophthalmologists Can Decarbonize Eye Care: A Review of Existing Sustainability Strategies and Steps Ophthalmologists Can Take.

Brooke Sherry, Samuel Lee, Maria De Los Angeles Ramos Cadena, Gregory Laynor, Sheel R Patel, Maxine dellaBadia Simon, Eric G Romanowski, Sarah E Hochman, Joel S Schuman, Christina Prescott and 1 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Patients' Perspectives on Climate Change, Health, and Sustainability in Ophthalmology.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Sustainability practices made easy.Eye (London, England) · 2025
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
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

11 authors.

Brooke SherryNYU Langone Health, NYU Langone Hospitals, New York, New York.
Samuel LeeNYU Langone Health, NYU Langone Hospitals, New York, New York.
Maria De Los Angeles Ramos CadenaNYU Langone Health, NYU Langone Hospitals, New York, New York.
Gregory LaynorNYU Langone Health, NYU Langone Hospitals, New York, New York.
Sheel R PatelNYU Langone Health, NYU Langone Hospitals, New York, New York.
Maxine dellaBadia SimonNYU Langone Health, NYU Langone Hospitals, New York, New York.
Eric G RomanowskiResearch Director of The Charles T. Campbell Ophthalmic Microbiology Laboratory, Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Sarah E HochmanNYU Langone Health, NYU Langone Hospitals, New York, New York; Department of Medicine, Division of Infectious Diseases and Immunology, NYU Grossman School of Medicine, New York, New York.
Joel S SchumanNYU Langone Health, NYU Langone Hospitals, New York, New York; Department of Ophthalmology, NYU Grossman School of Medicine, NYU Langone Health, New York University, New York, New York; Center for Neural Science, College of Arts and Science, New York University, New York, New York; Departments of Biomedical Engineering and Electrical & Computer Engineering, Tandon School of Engineering, New York University, New York, New York; Neuroscience Institute, NYU Grossman School of Medicine, NYU Langone Health, New York University, New York, New York.
Christina PrescottNYU Langone Health, NYU Langone Hospitals, New York, New York; Department of Ophthalmology, NYU Grossman School of Medicine, NYU Langone Health, New York University, New York, New York.
Cassandra L ThielNYU Langone Health, NYU Langone Hospitals, New York, New York; Department of Ophthalmology, NYU Grossman School of Medicine, NYU Langone Health, New York University, New York, New York. Electronic address: cassandra.thiel@nyulangone.org.

Funding

Barriers to efficient supply utilization in cataract surgeryR56EY033779 · NEI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI THIEL, CASSANDRA · 2022 to 2022
$410k
NEI NIH HHS R56 EY033779
6 · The paper itself

Abstract

topicUnderstanding approaches to sustainability in cataract surgery and their risks and benefits. CLINICAL RELEVANCE: In the United States, health care is responsible for approximately 8.5% of greenhouse gas (GHG), and cataract surgery is one of the most commonly performed surgical procedures. Ophthalmologists can contribute to reducing GHG emissions, which lead to a steadily increasing list of health concerns ranging from trauma to food instability.

methodsWe conducted a literature review to identify the benefits and risks of sustainability interventions. We then organized these interventions into a decision tree for use by individual surgeons.

resultsIdentified sustainability interventions fall into the domains of advocacy and education, pharmaceuticals, process, and supplies and waste. Existing literature shows certain interventions may be safe, cost-effective, and environmentally friendly. These include dispensing medications at home to patients after surgery, multi-dosing appropriate medications, training staff to properly sort medical waste, reducing the number of supplies used during surgery, and implementing immediate sequential bilateral cataract surgery where clinically appropriate. The literature was lacking on the benefits or risks for some interventions, such as switching specific single-use supplies to reusables or implementing a hub-and-spoke-style operating room setup. Many of the advocacy and education interventions have inadequate literature specific to ophthalmology but are likely to have minimal risks.

conclusionsOphthalmologists can engage in a variety of safe and effective approaches to reduce or eliminate dangerous GHG emissions associated with cataract surgery. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references.

Indexed as

CataractCataract ExtractionLens, CrystallineOphthalmologistsOphthalmologyHumansCarbon emissionsCataractsClimate changeEfficiencyGreenhouse gasesHealth care deliveryLife cycle assessmentQualitySurgerySustainabilityValue

Identifiers

PMID36889466
PMCPMC10293062

What OpenQuestion holds

Textmetadata
LicenceTDM
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.