Physical effects of reuse and repeated ethylene oxide sterilization on transscleral cyclophotocoagulation laser G-probes

J Glaucoma. 2002 Feb;11(1):21-5. doi: 10.1097/00061198-200202000-00005.

Abstract

Purpose: The authors documented the physical effects of reuse and repeated ethylene oxide sterilization on transscleral cyclophotocoagulation laser G-probes.

Methods: Transscleral cyclophotocoagulation was performed using G-probes on fresh porcine eyes. Each of two G-probes was used for four transscleral cyclophotocoagulation procedures, with three cycles of ethylene oxide sterilization in between. The power output from the G-probes was measured by a laser output meter before and after each transscleral cyclophotocoagulation procedure. The G-probes were also examined under a slit lamp for signs of physical damage.

Results: Repeated use of the G-probe in transscleral cyclophotocoagulation, with ethylene oxide sterilization in between, resulted in an average decrease of 3% in laser energy delivered per repeated cycle of use up to the fourth cycle. No signs of physical damage were found.

Conclusions: Laser G-probes remain functional after repeated use and ethylene oxide resterilization for up to four cycles. No visible physical damage to the probes was identified. It is safe and cost-effective to reuse G-probe for transscleral cyclophotocoagulation with ethylene oxide sterilization, provided the surgeon stays alert for signs of probe damage. This alertness should be retained regardless of whether new or old G-probes are used.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Ciliary Body / surgery*
  • Cost-Benefit Analysis
  • Equipment Reuse
  • Ethylene Oxide / pharmacology*
  • Glaucoma / surgery
  • Intraocular Pressure
  • Laser Coagulation / economics
  • Laser Coagulation / instrumentation*
  • Recurrence
  • Sclera
  • Sterilization / methods*
  • Swine

Substances

  • Ethylene Oxide