ArticleJapanese journal of ophthalmology2026
Surgical waste and greenhouse gas emissions in cataract surgery: a multicenter interventional study at ten Japanese hospitals.
Article in Japanese journal of ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo quantify waste and greenhouse gas (GHG) emissions from disposable materials used in cataract surgery in Japan and to assess pragmatic, site-selected waste-reduction interventions. STUDY
designProspective multicenter observational and interventional (before and after) clinical study.
methodsTen Japanese sites audited 10 consecutive standard phacoemulsification cases at baseline and after implementing low-risk intervention selected by each site and integrated into routine workflow. Disposable items were collected and weighed. GHG emissions were estimated as a partial footprint attributable to disposable materials, expressed as carbon dioxide equivalents (CO
resultsA total of 201 surgical procedures were analyzed (100 baseline, 101 post-intervention). Baseline mean waste was 2.28 ± 0.40 kg and mean GHG emissions were 9.80 ± 2.14 kg CO
conclusionsCataract surgery in Japanese sites generates substantial disposable-material waste and associated CO
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