Survey of the use of laser protective eyewear among international retina specialists: a European vitreoretinal society study

BMJ Open Ophthalmol. 2021 Mar 5;6(1):e000647. doi: 10.1136/bmjophth-2020-000647. eCollection 2021.

Abstract

Objective: To report the trends for the use of eye protection methods during retinal laser in clinic and operating room.

Methods and analysis: Retrospective analysis of a 14-item survey questionnaire submitted to the European Vitreoretinal Society members.

Results: Responses from 630 members were analysed. Most of the respondents practised in Europe (52.7%), followed by North America (21.0%). The majority of respondents had laser filters in the microscope for the operating surgeon (92.1%), or used protective goggles (6.8%). Only 38.9% of respondents indicated that auxiliary staff in the operative room used protective goggles during laser treatment. Three-dimensional retina viewing system was used by only 22.5% of respondents, of those, 34.5% reported use of laser protection goggles by the operating surgeon. Rates of laser protection by auxiliary staff were 62.9% for indirect laser and 60.8% for slit lamp laser. We found a higher rate for use of laser protection by auxiliary staff in North America-based practices for endolaser (p<0.00001), laser indirect ophthalmoscope (p<0.00001) and slit lamp laser (p=0.00033) compared with the rest of the world.

Conclusion: The use of laser protection methods is routinely adopted by the physicians in the operating room and clinic, but less so by their assisting or auxiliary staff.

Keywords: retina; treatment lasers; treatment surgery; vitreous.