1. An Overview of Corneal blindness And Eye donation
DR. PREETI MATAH
RESIDENT
DEPARTMENT OF OPHTHALMOLOGY
MYH,INDORE

2. THE
PROBLEM

3. 45 million Total blindness in the world
Total blindness in our country

4. 2.5 million CORNEAL BLINDNESS IN INDIA
+40,000
More cases added every year
2.5 million CORNEAL BLINDNESS IN INDIA

5. 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.

6. 14.9 out of every 1000 people in India are blind as compared to just 3 per 1000 in developed countries.

7. 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

8. CAUSES OF CORNEAL BLINDNESS

9. Injuries
Infections
Chemical burns
Corneal dysrophies/degeneration Malnutrition
Post-operative complications or infections

10. WHO
CAN DONATE

11. 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

12. WHO
CAN'T
DONATE

13. death due to unknown cause
Poisoning
Malignancy
Septicemia
AIDS
Active tuberculosis

14. Rabies
Syphilis
Infectious hepatitis
Septicemia
Creutzfeld jacob disease
Leukemias
Reye’s syndrome

15. Cornea from patient with anterior segment surgery may be used if screened by specular microscopy and meet the eye bank’s endothelial standards.

16. PRESENT SCENERIO
EYE DONATION

17. STANDS NOWHERE
TOPS

18. Reasons for poor eye donation in India
Unawareness regarding eye donation
Religious misconceptions
Existing laws – only doctors (MBBS) can perform the procedure

19. SOURCE OF DONOR EYES

20. Consented donor eyes
Pledged eyes
Eyes from unclaimed bodies

21. 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.

22. OCULAR TISSUE RETREIVAL

23. Nobody is charged for making eye donation
Nobody is charged for making eye donation. The only cost to encounter is one local telephone call.

24. Enucleation to be performed
Within 24 hrs of death if body is refrigerated
Within 6 hrs of death if body is not refrigerated

25. 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

26. PROCEDURE

27. 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

28. 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

29. On reaching eye bank

30. 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.

31. 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

32. Let the others see the rainbow through your eyes, pledge & donate your eyes

33. BRING LIGHT INTO SOMEONE’S DARK LIFE! LET THEM SMILE THROUGH YOUR EYES
Thank you