Eye donation awareness & keratoplasty


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Eye donation awareness to promote eye donation is need of today. Simultaneously to promote corneal blinds to undergo keratoplasty is need os a hour.

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Eye donation awareness & keratoplasty

  1. 1. Promotion of Eye donation awareness <br />& number of Keratoplastyoperations: <br />Comparative Study.<br />Dr. Baban C. Dolas<br /> M.S. (Ophthalm)<br />Nityaseva Eye Hospital <br />& Global Vision Foundation Eye Bank, Pune.<br />
  2. 2. Introduction:<br />It is a fact that eye donation movement is negligible <br />in our country due to lack of awareness, religious belief <br />& taboos.<br />Increase in Eye donations is need of today but <br />preparation of minds of patients to undergo keratoplasy<br />& also finding such patients through special camps is <br />of more importance.<br />
  3. 3. Objectives :<br /><ul><li>To determine effect of Public awareness on </li></ul> eye donation<br /><ul><li>To compare the Eye donation with </li></ul> Keratoplasty operations <br />
  4. 4. Materials and Methods<br />Eye donation promotion activities adopted by <br />eye banks in Pune and its impact on the rate and <br />quality of tissue procurement was studied prospectively <br />from Jan 2010 to Mar 2011. <br />Teachers and school children were involved in spreading the message on eye donation by holding poster painting competition, slogans writing etc.<br /> <br />
  5. 5. Corporate sectors involved to participate and<br />sponsor activities like sponsoring grief counselor/<br />Medical Social Workers in major hospitals to<br />motivate the family members of the deceased to<br />donate his/her eyes.<br /> <br />Cable operators involved to Flash messages and put<br />Eye donation information through cable network.<br /> <br />Religious institutions and leaders were asked to spread<br />the message of eye donation.<br /> <br />
  6. 6. Eye donation display board/ banners put on<br />mortuaries, cremation grounds, hospitals and the<br />public gathering place like railway stations, bus<br />stops etc.<br /> <br />Support taken from influential persons such as<br />politicians, sports persons and celebrities etc. to<br />promote eye donation.<br /> <br />Awareness campaign on Eye donation done through<br />NGO's, Senior Citizens Group, Youth Association<br />and Resident Welfare Association etc.<br /> <br />
  7. 7. Public awareness was made through print,<br />audiovisual presentation, involvement of NGOs & social workers, observing eye donation fortnight, mobilization of eye donation pledges etc.<br />Also side by side list of patients required to undergo keratoplasty was prepared by regular OPD & by conducting special camps for such patients. <br />
  8. 8. Results :<br />Jan 2010 to Mar 2011, 2056 eyeballs received by <br />Donation…Total no. of keratoplastydone were 754<br />
  9. 9. Total number of public awareness activities taken by<br />Eye banks & District Blindness Control Society from<br />Jan 2010 to Mar. 2011 were 210. Out of that almost<br />52 were taken during eye donation fortnight (25 August to 8 September) that almost 25% of the activities. <br />As compared to eye donation awareness activities, there were no special efforts to find patients for keratoplasty.<br />There were nil special camps to find out such beneficiaries for keratoplasty.<br />
  10. 10.
  11. 11. List of such beneficiaries was made by routine OPD <br />patients. At some places, special cornea OPDs were <br />held to find out such patients but mostly routine OPD <br />patients were referred to such OPDs.<br />On an average at a given time list of such beneficiaries<br /> were not more than 400 including all eye banks & <br />Government setups.<br />
  12. 12. Among 2056 eyeballs collected, 38 eyeballs were<br />Received from one eyebank to other due to unavailability or unwillingness of available patients<br />to undergo keratoplasty.<br />Though total number of collected eyes increased <br />Steadily proving the benefit of eye donation <br />Movement; Comparatively those patients who require keratoplasty were less & also among those almost 25 % were not willing to undergo procedure.<br />90 % among those 25 % were having unilateral <br />problems with other eye having good vision (> 6/24). <br />
  13. 13. DISCUSSION<br />Nearly 10 lacs are corneal blind people in the country.<br />Majority of them are young in the productive age<br />group who have lost their vision either due to injuries,<br />infection/ malnutrition or were congenital in nature<br />etc. <br />The sight can be restored only by corneal<br />transplantation.<br />
  14. 14. Corneal infection is the most common cause of bilateral corneal blindness. There is a high frequency of involvement of one eye with subsequent involvement of the other eye at a later date. This is more commonly seen in the rural population, particularly in those belonging to a lower socioeconomic stratum and those who are illiterate and tend to be ignorant about proper eye care. <br />Pattern of bilateral blinding corneal disease in patients waiting for keratoplasty in a tertiary eye care centre in northern India. Cornea. 2010 Mar;29(3):269-71.Tandon R, Sinha R, Moulick P, Agarwal P, Titiyal JS, Vajpayee RB. Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. <br />
  15. 15. Though there has been progress in Eye Donation,<br />only 42,000 (approx.) eyes were collected last year<br />with the efforts of eye banks in Govt. & Non Government<br />sectors in India put together, whereas our requirement<br />is around 75000 to 100000 corneas per year.<br />Collection of donor materials is low<br />even in metros & big cities where facilities for<br />treatment of corneal blindness are available.<br />
  16. 16. India has largest blind population<br />NEW DELHI: India is now home to the world's largest number of blind people. Of the 37 million people across the globe who are blind, over 15 million are from India.<br />What's worse, 75% of these are cases of avoidable blindness, thanks to the country's acute shortage of donated eyes for the treatment of corneal blindness. <br />Kounteya Sinha, TNN Oct 11, 2007, 02.32am IST<br />
  17. 17. Promoting pledging for Eye Donation has<br />definitely led to increase in public awareness about<br />eye donation. But, since donation can happen only<br />after death, there is no direct relationship between<br />pledging for eye donation and actual collection of the<br />donated eyes.<br />
  18. 18. Conclusions & Recommendation:<br />This study concludes that awareness campaigns promote public for Eye donation, so that such activities should be held more frequently.<br />There is also need for preparation of minds of patients to undergo keratoplasy & also finding such patients through special camps is of more importance.<br />
  19. 19. REFERENCES :<br />1. Pattern of bilateral blinding corneal disease in patientswaiting for keratoplasty in a tertiary eye care centre in northern India. Cornea. 2010 Mar;29(3):269- 71.<br />2. Tandon R, Sinha R, Moulick P, Agarwal P, Titiyal JS, <br /> Vajpayee RB. Dr. Rajendra Prasad Centre for Ophthalmic <br /> Sciences, All India Institute of Medical Sciences, New Delhi, India.<br />3. KounteyaSinha, TNN Oct 11, 2007, 02.32am IST<br />
  20. 20. ACKNOWLEDGEMENT:<br />1. District Blindness Control Society, Pune.<br />2. All eyebanks & Eye donation centers, Pune District<br />3. Health Department, statistical section, Maharashtra.<br />4. Dr. Harshal Pandve, M.D.(P.S.M.)<br />
  21. 21. For your Participation..<br />