PATIENTS WEARING FACE MASKS DURING INTRAVITREAL INJECTIONS MAY BE AT A HIGHER RISK OF ENDOPHTHALMITIS. 2020

Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
Department of Ophthalmology, Rabin Medical Center, Petah Tikva, Israel; and.

OBJECTIVE To investigate the safety of face masks worn by patients during intravitreal injections. METHODS A prospective, qualitative, interventional study performed in a tertiary university hospital. Healthy volunteers were asked to wear three different professional surgical face masks while air leaks around the eyes were monitored. Three types of masks were investigated as follows: 1) surgical face mask with four tying strips, 2) surgical face mask with elastic ear loops and 3) 2200 N95 tuberculosis particulate face mask. For each session the periocular area was inspected for air leak during normal respiration, speech, and deep respiration. Detection of air leak was performed using the following two professional thermal cameras: FLIR A310-thermal camera and EyeCGas 2.0-super sensitive infrared camera used for detection of minute fugitive emissions of industrial gases. RESULTS Ten healthy volunteers were enrolled in this study. The experiment was repeated 45 times for each camera; 3 times for each of 3 mask types, on 5 volunteers, for a total of 90 trials. Air jets were detected originating from the superior edges of the masks radiating toward the eyes in 81% (73/90) of cases in total; 71% (32/45) with the FLIR camera and 91% (41/45) with the OPGAL camera. Air leaks were detected with all investigated mask types. CONCLUSIONS Patients wearing face masks during intravitreal injections may be at a higher risk of endophthalmitis. Until further data are available, we recommend verifying proper face mask fitting and either taping the upper edges of the face masks with a medical adhesive tape or using an adhesive surgical drape around the injected eye.

UI MeSH Term Description Entries
D008397 Masks Devices that cover the nose and mouth to maintain aseptic conditions often for the prevention of the spread of infections (e.g. COVID19) or to administer inhaled anesthetics or other gases. Mask
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009877 Endophthalmitis Suppurative inflammation of the tissues of the internal structures of the eye frequently associated with an infection. Ophthalmia,Infectious Endophthalmitis,Endophthalmitides,Endophthalmitides, Infectious,Endophthalmitis, Infectious,Infectious Endophthalmitides,Ophthalmias
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor

Related Publications

Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
January 2023, Journal of ophthalmic & vision research,
Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
December 2011, Archives of ophthalmology (Chicago, Ill. : 1960),
Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
November 2007, Eye (London, England),
Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
February 2021, Journal of cataract and refractive surgery,
Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
January 2007, Retina (Philadelphia, Pa.),
Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
January 2006, Comprehensive ophthalmology update,
Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
January 2015, International ophthalmology clinics,
Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
April 2012, Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie,
Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
September 2009, Expert opinion on pharmacotherapy,
Amir Hadayer, and Alon Zahavi, and Eitan Livny, and Orly Gal-Or, and Assaf Gershoni, and Karin Mimouni, and Rita Ehrlich
September 2022, Acta ophthalmologica,
Copied contents to your clipboard!