The EBAI CME 2013 - 21st and 22nd of September 2013, Golden Valley Resort, Ghodbunder Road, Thane West, Mumbai.

1. Greetings
P.V.Narayana
Manager
Mohsin Eye Bank
L.V.Prasad Eye Institute
Visakhapatnam

2. Topic:
Documentation of Donor Records
(Register / Log Forms, etc.)

3. Eye Donor Forms

4. Donor Call response log
the following columns are there in this record
S.No Date & Time of By Whom receivedTeam Left from Time Lamps Team Return Technicians Names Signature Remarks
call received the call eye bank

5. Serology Register
the following columns are there in this record
S.No Case ID Date & Time of Age Sex Name of the Donor Collected by Date of SeroDate & Time of Test of Sign
Sample collection Name of Tech logy Done Report Received result

6. Specular Microscope
Evaluation Record
S.No Case ID Date & Time of OD Date & Time of OS Name of Tech Sign
Specular - OD Cell Count Specular - OS Cell Count

7. Slit Lamp Evaluation Record
S.No Case ID Date & Time of OD- Suitability OS-Suitability Evaluation done Sign
Slit Lamp evaluation Grade Grade by

8. Tissue Movement Register
Date & Time of Tissues Evaluated Serology Rejected Accepted Issued
Received OD OS By On Positive/Negative ID Reason Optical Therepeut ID Date

9. Local Donor Register
S.No Case ID Date & Time of No of Tissues Age Sex MR No Date of Surgery Utility If Rejected Sign
Received OD OS OD OS OD OS Reason

10. Tissue Distribution Record
Tissue ID OD Tissue send to OD Tissue sendMode of Transport OS Tissue send to OS Tissue sendMode of TransportDistribution papers received Remarks
Surgeon Name Hospital Name Date & Time & by whom Surgeon NameHospital Name Date & Time & by whom Date Time

11. Other Records
• Other Eye Bank/Eye collection record
• Rejected tissue record
• Complaint & Accident Record
• Bin Cleaning Log
• Instruments cleaning log
• Laminar Flow log
• Lab cleaning
• Sterilization record
• Refrigerator temperature record

12. Mohsin Eye Bank
• Mohsin Eye Bank is a Community Eye Bank in
North Coastal Andhra Pradesh
• 2012-13 we have collected 730 corneas
Utilisation 533 corneas
• 2nd place in Andhra Pradesh in Cornea
collection and utilisation
•

13. Thank you