本帖最后由 ICBC 于 2024-5-22 15:33 编辑
提供两个（AORN和AAO）资料（做了简单的翻译）供参考
Low-temperature methods of sterilizationshould not be used unless the ophthalmic instrument manufacturer and thesterilizer manufacturer have validated the method for the specific instrumentswith respect to efficacy of sterilization, potential ocular toxicity (e.g.,from oxidation of metals), and instrument functionality. Glutaraldehyde is notrecommended for sterilizing laser contact lenses or intraocular instrumentsbecause of the toxicity of glutaraldehyde residues resulting from inadequaterinsing or contamination during post-sterilization handling. ——Guidelines for the Cleaning and Sterilization of IntraocularSurgical Instruments 2014 除非眼科器械制造商和消毒器制造商对特定器械的灭菌效果、潜在的眼毒性(如金属氧化)和器械功能进行了验证，否则不应使用低温灭菌方法。戊二醛不建议用于激光隐形眼镜或眼内器械的消毒，因为在消毒后处理过程中，不充分的冲洗或污染会导致戊二醛毒素的残留。 ——《眼内手术器械清洁消毒指南》2014
Vaporized hydrogen peroxide： Vaporizedhydrogen peroxide sterilizes devices in pouches or wrapped trays at 122F（55℃） during a55-minute cycle. It requires no special utilities or venting. Don't usevaporized hydrogen peroxide for polymethyl methacrylate or polycarbonateinstruments that will come in contact with the eye.
https://www.aorn.org/outpatient-surgery/article/2012-November-low-temperature-sterilization-are-you-in-the-know 汽化过氧化氢:汽化过氧化氢在122F(55℃)下循环55分钟，对袋装或包装托盘中的设备进行灭菌。它不需要特殊的设施或通风。不要将汽化的过氧化氢用于与眼睛接触的聚甲基丙烯酸甲酯或聚碳酸酯器械。
另；可参考这篇文献：An Epidemic of Corneal DestructionCaused by Plasma Gas Sterilization
Arch Ophthalmol. 2000;118(9):1167-1176. doi:10.1001/archopht.118.9.1167
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发表于 2024-5-21 09:34
