Disinfection of measuring prisms and contact glasses
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1 Disinfection of measuring prisms and contact glasses 24. Juni 2011 HS-Präsentation 1 Background Please note, and inform all personnel who may be involved, that the use of any Goldmann Tonometer Measuring Prism or Contact Glass which displays any of the following signs of damage should be immediately discarded. Failure to do so may result in damage to the eye of the patient. Scratches on the contact surface (Patient s side) Sharp edges on the contact surface (Patient s side) Cracks Leaks in the housing/prism 24. Juni 2011 HS-Präsentation 2 1
2 How can I check tonometer measuring prisms? We strongly recommend a constant examination of the measuring prisms and/or contact lenses through the microscope of the slit lamp prior to each usage. If damage is observed, or even suspected, the prism or the contact lens should immediately be discarded. 24. Juni 2011 HS-Präsentation 3 How can I see whether the prism is defective or not? You have to check them very thoroughly. The most important part to check is the surface of the prism/lens which will be in contact with the patients cornea. Make sure, that the housing is not leaky. 24. Juni 2011 HS-Präsentation 4 2
3 How can I see whether it s defective or not? The surface of the prism which is in contact with the human eye is destroyed. Why? Wrong disinfectant Use of alcohol or acetone! 24. Juni 2011 HS-Präsentation 5 How can I see whether it s defective or not? The protective glass of the prism is broken off. Why? Excess pressure inside the housing. Great differences in temperature, mostly trough use of alcohol. 24. Juni 2011 HS-Präsentation 6 3
4 How can I see whether it s defective or not? The conical part of the prism shows cracks. The inner parts are defective. Why? Mechanical effect from outside. Age of the prism. (In this specific case the prism is far too old) 24. Juni 2011 HS-Präsentation 7 How can I see whether it s defective or not? The prism wall is damaged resulting in a leaky prism. Why? Improper handling of the prism. (Refer to the instructions for use) 24. Juni 2011 HS-Präsentation 8 4
5 Most common problems Scratches on contact surface Sharp edges on contact surface Damaged edges Cracks Leaks Defective filling Contamination Age of the prism 24. Juni 2011 HS-Präsentation 9 What can I do, if I recognize such a damage? I have to mention the damage to the user and explain him the reason. I have to inform the user about the possibilities to avoid such a damage. I have to mark the defective measuring prims and/or contact glasses. I have to describe the damage and the effects for the patient in in writing. 24. Juni 2011 HS-Präsentation 10 5
6 Life span of Haag-Streit measuring prisms Though having a life span of 5 years, the prism should have a maximum period of use of two years! 24. Juni 2011 HS-Präsentation 11 Possibilities to avoid such damages Use of only recommended disinfectants (see our list) Proper handling according to the instructions for use and our restrictions 24. Juni 2011 HS-Präsentation 12 6
7 Disinfection of glasses and tonometer prisms The following slide shows a list of those disinfectants which HAAG- STREIT have tested & approved. We do not accept responsibility for damage caused by the use of other disinfectants. The disinfection list can be found at: Juni 2011 HS-Präsentation 13 List of recommended disinfectants HAAG-STREIT recommends the following disinfectants for use with the measuring prisms: Sodium Hypochlorite Sodium Hydroxide Hydrogen Peroxide Acrylan Almyrol Cidex plus Dakin's Solution Deconex 53 Instrument Deconex 53 Plus Endo Septol FF Gigasept AF Gigasept AF forte Gigasept FF NEW Hibitane Jiaen 6% "Yoshida" Mucocit -T NU-CIDEX PeraSafe Peraxylens Perfektan TB Sekusept Activ Sekusept Activ NEW Sekusept forte S Sekusept PLUS Stabimed Sterihyde L Find out more about the concentration in the disinfectant list at: Juni 2011 HS-Präsentation 14 7
8 How to disinfect Goldmann tonometer prisms HAAG-STREIT recommends the use of a disinfecting process sheet which is available in seven languages at: Juni 2011 HS-Präsentation 15 Thank You! 24. Juni 2011 HS-Präsentation 16 8
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