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 Total blindness in our country

2.5 million CORNEAL BLINDNESS IN INDIA +40,000 More cases added every year 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.

8800 KERATOPLASTY/YR Utilization=40% only 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 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 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

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 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