Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 Oct 13.
doi: 10.1038/s41433-025-04046-z. Online ahead of print.

Sustainability practices made easy

Affiliations
Review

Sustainability practices made easy

Francesc March de Ribot et al. Eye (Lond). .

Abstract

Climate change is a significant challenge worldwide, with implications ranging from extreme weather events to rising sea levels and ecosystem disruptions. Addressing these issues requires a shift towards sustainable practices and global solutions. Healthcare and ophthalmology have a significant responsibility and an opportunity to reduce greenhouse gas emissions and waste, increase efficiency, and maintain safety and quality. Ophthalmology impact is relevant for the high number of patients and procedures, high patient volumes requiring travel to clinics, and extensive use of single-use disposable materials. Eye practices can be more sustainable by optimizing ventilation, using alcohol-based hand rubs, reducing drug waste by reusing medications, and reducing packaging waste. In patient management, we can reduce postoperative visits, evaluate bilateral surgeries, and minimize SF6 gas. The ophthalmology community should critically reassess daily practices to enhance sustainability.

PubMed Disclaimer

Conflict of interest statement

Competing interests: The authors declare no competing interests.

References

    1. Wong YL, Noor M, James KL, Aslam TM. Ophthalmology going greener: a narrative review. Ophthalmol Ther. 2021;10:845–57. - DOI - PubMed - PMC
    1. Buchan JC, Thiel CL, Steyn A, Somner J, Venkatesh R, Burton MJ, et al. Addressing the environmental sustainability of eye healthcare delivery: a scoping review. Lancet Planet Health. 2022;6:e524–34 - DOI - PubMed
    1. Tennison I, Roschnik S, Ashby B, Boyd R, Hamilton I, Oreszczyn T, et al. Health care’s response to climate change: a carbon footprint assessment of the NHS in England. Lancet Planet Health. 2021;5:e84–92. - DOI - PubMed - PMC
    1. Sherry B, Lee S, Ramos Cadena MLA, Laynor G, Patel SR, Simon MD, et al. How ophthalmologists can decarbonize eye care: a review of existing sustainability strategies and steps ophthalmologists can take. Ophthalmology. 2023;130:702–14. - DOI - PubMed
    1. Maheshwari A, Dave VP, March de Ribot F, et al. Sustainable ophthalmology: an overview of concepts and practices. Eye (Lond). Published online September 24, 2025. https://doi.org/10.1038/s41433-025-03999-5 .

LinkOut - more resources