Transcript Corneal Blindness & Eye Donation

An
Overview
of
Corneal blindness
And
Eye donation
DR. PREETI MATAH
RESIDENT
DEPARTMENT OF OPHTHALMOLOGY
MYH,INDORE
THE
PROBLEM
45 million
Total blindness in the world
15 million
Total blindness in our country
2.5 million
CORNEAL BLINDNESS IN INDIA
• In India, there are approximately 10 million
blind in both the eyes & 5 million blind in one
eye, that makes one-third of the total blind
population of the world.
• 14.9 out of every 1000 people in India are
blind as compared to just 3 per 1000 in
developed countries.
Annual requirement of corneas in
India:1,00,000.
Average annual collection of eyes
in India - 22,000.
CAUSES
OF
CORNEAL BLINDNESS
 Injuries
 Infections
 Chemical burns
 Corneal
dysrophies/degeneration
Malnutrition
 Post-operative
complications or infections
WHO
CAN
DONATE
Any age & sex
Those who wear spectacles
Those who have had cataract surgery
Diabetics and hypertensive
Blind from retinal or optic nerve provided the
cornea is clear
WHO
CAN'T
DONATE
death due to unknown cause
Poisoning
Malignancy
Septicemia
AIDS
Active tuberculosis
Rabies
Syphilis
Infectious hepatitis
Septicemia
Creutzfeld jacob disease
 Leukemias
 Reye’s syndrome
Cornea from patient with anterior
segment surgery may be used if screened
by specular microscopy and meet the eye
bank’s endothelial standards.
PRESENT SCENERIO
EYE DONATION
STANDS NOWHERE
TOPS
Reasons for poor eye donation in
India
• Unawareness regarding eye donation
• Religious misconceptions
• Existing laws – only doctors (MBBS) can
perform the procedure
SOURCE OF DONOR EYES
• Consented donor eyes
• Pledged eyes
• Eyes from unclaimed bodies
PLEDGING
• Eye donation can
happen irrespective of
whether a person has
pledged his/her eyes
or not
• Pledging is for creating
awareness and it acts
as a reminder to do this
job.
OCULAR TISSUE RETREIVAL
Nobody is charged
for making eye
donation. The only
cost to encounter is
one local telephone
call.
Enucleation to be performed
• Within 24 hrs of death if body is refrigerated
• Within 6 hrs of death if body is not
refrigerated
Till corneal retreviation team arrives-- Place wet cotton with ice
over the closed eye lids. It
will keep the tissue moist.
 Raise Head with a pillow.
 Switch off the fans
 If possible, antibiotic eye
drops may be periodically
instilled in the eyes in
order to reduce chances
of infection
PROCEDURE
 Consent form - should be completely
and correctly filled
 Eye jar and blood test tubes should be
labelled with-
 Eye ( laterality)
 Time & date of death
 Time & date of enucleation
 Cause of death
 Name of enucleator
10-30 cc blood for serological testing
Subclavian artery or vein is the preferred site
Femoral Artery or vein as last resort
• HIV
• HBsAg
• HCV
Tissues are examined, processed and used for
corneal transplant operation as early as
possible.
The needy patients are contacted in
accordance with the waiting list.
Eyes are a precious gift to a
person. But the same eyes
bring misery when misused or
when they are lost. A wise man
utilizes that gift while alive
and on death too
Let the others see the
rainbow through your eyes,
pledge & donate your eyes
BRING LIGHT INTO SOMEONE’S
DARK LIFE!
LET THEM SMILE THROUGH YOUR
EYES
Thank you