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Background: To determine whether there is a significant saving of time when using a digital cataract workflow for digital data transfer compared to a manual approach of biometry assessment, data export, intraocular lens calculation, and surgery time.
Methods: In total, 48 eyes of 24 patients were divided into two groups: 24 eyes were evaluated using a manual approach, whereas another 24 eyes underwent a full digital lens surgery workflow. The primary variables for comparison between both groups were the overall time as well as several time steps starting at optical biometry acquisition until the end of the surgical lens implantation. Other outcomes, such as toric intraocular lens misalignment, reduction of cylinder, surgically induced astigmatism, prediction error, and distance visual acuity were measured.
Results: Overall, the total diagnostic and surgical time was reduced from 1364.1 ± 202.6 s in the manual group to 1125.8 ± 183.2 s in the digital group (p < 0.001). The complete time of surgery declined from 756.5 ± 82.3 s to 667.3 ± 56.3 (p < 0.0005). Compared to the manual approach of biometric data export and intraocular lens calculation (76.7 ± 12.3 s) as well as the manual export of the reference image to a portable external storage device (26.8 ± 5.5 s), a highly significant saving of time was achieved (p < 0.0001).
Conclusions: Using a software-based digital approach to toric intraocular lens implantation is convenient, more efficient, and thus more economical than a manual workflow in surgery practice.
Carapa procera is a wild oil tree species traditionally exploited in Mali for seed oil. Carapa oil is highly sought because of therapeutic, cosmetic, insecticidal and repellent properties. The purpose of this work was to contribute to the understanding of local practices in carapa oil production and local perceptions related thereto. The method used was based on surveys in four production localities and tests of oil production according to the traditional processes practiced by the processors. Two methods of seed storage and oil extraction processes were identified. Women were the main actors in seed collection and oil processing. The average oil extraction efficiency from the seeds was 23.1% and varied among sites. The wet extraction process was the most efficient. In addition to socio-cultural considerations, difficulties related to technology (lack of adequate extraction equipment) and the decrease of carapa populations limit the full development of processing acti- vities. It is necessary to undertake options to improve traditional oil production processes such as education and introduction of shea presses in order to reduce labour intensity, improve efficiency and ensure quality standards. It also requires action for the sustainable management and conservation of the carapa species.