an overview of corneal blindness and eye donation dr. preeti matah resident department of...
TRANSCRIPT
An Overview
of Corneal blindness
And Eye donation
DR. PREETI MATAHRESIDENT
DEPARTMENT OF OPHTHALMOLOGY
MYH,INDORE
THE PROBLEM
45 millionTotal blindness in the world
15 millionTotal blindness in our country
+40,000
More cases added every year
2.5 millionCORNEAL 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.
8800 KERATOPLASTY/YR
Utilization=40% only
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 spectaclesThose who have had cataract surgeryDiabetics 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 siteFemoral Artery or vein as last resort
On reaching eye bank
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