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PURPOSE: To quantify the atomization of liquid over the cornea during flap creation using microkeratome using high speed shadowgraphy SETTING:: Laboratory investigational study DESIGN:: Laboratory study METHOD:: In an experimental set-up, flap creation was performed on enucleated goat\'s eyes (n=8) mounted on a stand using One-Use Plus SBK Moria microkeratome (Moria SA, Antony, France) to assess the spread of aerosols and droplets using high speed shadowgraphy Two conditions were computed A constant air flow assumed uniform air velocity throughout the room A decaying jet assumed that local air velocity at the site of measurements was smaller than the exit velocity from the air duct RESULTS: With the advancement of the microkeratome across the wet corneal surface the atomization of balanced salt solution was recorded on shadowgraphy The minimum droplet size was 90 μm The maximum distance traversed was ∼1 8 m and ∼1 3 m assuming a constant air flow (setting of refractive surgery theater) and decaying jet condition (setting of an operating theater with air-handling unit), respectively CONCLUSION: The microkeratome assisted LASIK flap creation does appear to cause spread of droplets The droplet diameters and velocities did not permit the formation of aerosols Therefore, the risk of transmission of the virus to the surgeon and surgical personnel due to the microkeratome procedure appears to be low
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Journal_of_cataract_and_refractive_surgery
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Aerosol and droplet creation during oscillatory motion of the microkeratome amidst COVID-19 and other infectious diseases
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