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National programme for control of blindness eye bank

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National programme for control of blindness eye bank

  1. 1. National Programme for Control of Blindness Presented by:- Dr. Siddhartha Niyogi ADHS (Ophth.) & SPO – NPCB, WB Contact No:- 98301 87870 (M) 033 2357 4074 (O)
  2. 2. NPCB Guideline for Eye Bank • Objective – The objective of this scheme is to promote Eye banking activity in the country through Government facilities / NGOs to get adequate tissue for corneal transplantation for treatment of corneal blindness.
  3. 3. NPCB Guideline for Eye Bank Eligibility criteria : The organization should: – Satisfy general eligibility conditions mentioned i.e. should be registered under Society Act, CE Licence Act etc. – Should fit into the definition of Eye Bank as mentioned. – Organizations having experience in providing eye care services will be given preference. – Should have collected at-least 100 Eye Balls in any of the preceding two years of application. – In case of difficult terrain (eg. North eastern states), relaxed criteria of 25 Pair of Eyes shall be applicable OR – Should have conducted at least 600 cataract operations including other eye disease operations in the proceeding two years. In case of difficult terrain (eg. North eastern states), relaxed criteria of 300 cataract operation including other eye disease operations shall be applicable.
  4. 4. NPCB Guideline for Eye Bank Infrastructure Requirement: • Manpower Requirement: – Ophthalmic Surgeons (Full time / on Panel) 1 – Ophthalmic Technician 1 – Eye Donation Counsellor / Social Worker / Health Educator / Clerk 2
  5. 5. NPCB Guideline for Eye Bank Required Equipment/Furnishing – Slit Lamp Microscope – Specular Microscope – Laminar Flow – Serology Equipment – Instruments for corneal excision and enucleation including containers – Autoclave – Keratoplasty instruments – Transport Facility ( One 2 Wheeler) – Refrigerator – Computer & Accessories – Telephone Line – Air-Conditioner – Renovation, Repair, Furniture & Fixtures
  6. 6. Pattern of Assistance for 12th Five Year Plan Assistance provided by GOI under NPCB for Eye Banks & Eye Donation Centers  Recurring assistance to the Eye Bank @ Rs. 2,000/- per pair of eyes would be paid towards consumables including preservation material & media, transportation/ travel cost/POL and contingencies. The Eye Bank will reimburse to the Eye Donation Center @ Rs. 1,000/- per pair of eyes for the eyes collected by them. No fund would be released to the Eye Donation Center directly.  Recurring assistance of Rs. 15,000/- per month for appointment of one Eye Donation Counselor on contract.
  7. 7. Pattern of Assistance for 12th Five Year Plan Assistance provided by GOI under NPCB for Eye Banks & Eye Donation Centers  Non-recurring assistance upto Rs. 25 lakh for equipments and furnishing towards Strengthening / developing Government Eye Bank.  Non-recurring assistance upto Rs.1 lakh for strengthening/developing Eye Donation Centre.
  8. 8. Eye Ball Collection & Utilization from 2008 – 09 upto 2014 – 15 (June’ 14) Year April – March Target set by GOI No. of Cornea Collected No. of Cornea Used for Keratoplasty Utilization Percentage 2008 – 09 2500 1370 509 37.6% 2009 - 10 3000 1682 680 40.4% 2010 - 11 3500 2152 1242 57.71% 2011 - 12 3500 2920 1535 52.57% 2012 - 13 3000 3039 1437 47.29% 2013 – 14 3000 3355 1985 56.48% 2014 – 15 (upto June’ 14) 3000 694 396 57.06%
  9. 9. Eye Ball Collection & Utilization from 2008 – 09 upto 2013 - 14 1147 1258 1614 1259 1370 1682 2152 2920 3039 3355 304 498 736 376 509 680 1242 1535 1437 1895 26.50 39.50 45.60 29.80 37.60 40.40 57.71 52.57 47.29 56.50 70.00 60.00 50.00 40.00 30.00 20.00 10.00 0.00 4000 3500 3000 2500 2000 1500 1000 500 0 2004 - 05 2005 - 06 2006 – 07 2007 - 08 2008 - 09 2009 - 10 2010 - 11 2011 - 12 2012 - 13 2013 - 14 Utilization % No. of Corneas Year No. of Cornea Collected No. of Cornea Used for Keratoplasty Utilization Percentage
  10. 10. Observations • It is observed that there is a wide variation between collection of donated eyes and its utilization. It varies from around 30% to 70%. • In our State itself more than 50% of the collected corneas are not utilized for keratoplasty. • The increase in cornea collection in the Sate is due to performance of Eye Banks and Eye Donation Centers in the Govt. & NGO Sectors is due to effective implementation of HCRP (Hospital Corneal Retrival Programme).
  11. 11. Suggestive steps to increase cornea collection and utilization • More and continuous IEC programme to generate awareness among mass at rural areas. The IEC programmes should be conducted by Govt. as well as NGO sectors. • There should be a tie up of Eye Donation Centers with the nearest Eye Bank so that the loss of time between collection and transplantation of cornea could be minimized and corneas could be used effectively. • The Eye Banks at NGO Sectors should implement HCRP and coordinate with the nearest Govt. Hospitals for collection of cornea.

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