About awareness of eye donation. Author is assistant professor in Ayurvedic Ophthalmology MES Ayurved Mahavidyalaya and consulting ayurvedic ophthalmologist at Shree Vyankatesh Netralay Chiplun.
About awareness of eye donation. Author is assistant professor in Ayurvedic Ophthalmology MES Ayurved Mahavidyalaya and consulting ayurvedic ophthalmologist at Shree Vyankatesh Netralay Chiplun.
TONOMETRY • Tonometry is the procedure performed to determine the intraocular pressure (IOP).
3. CLASSIFICATION TONOMETRY DIRECT INDIRECT Indentation Applanation Manometer
4. APPLANATION Contact Non-contact Goldmann Perkins Air-puff Pulse air
5. INDENTATION TONOMETER • It is based on fundamental fact that plunger will indent a soft eye more than hard eye. • The indentation tonometer in current use is that of Schiotz . • It was devised in 1905 and continued to refine it through 1927.
6. PROCEDURE • Patient should be anaesthetising with 4% lignocaine or 0.5% proparacaine. • with the patient in supine position, looking up at a fixation target while examiners separates the lids and lower the tonometer plate to rest on the cornea so that plunger is free to move. •
ORIENTATION PROGRAMON EYE DONATION
1)Do you know...
There are approximately 1.2 crore blind people in India.
Of these around 20 lakh corneally blind are in need of corneal transplantation.
As against an annual requirement of 75,000 to 1,00,000 corneas, only 22,000 corneas are donated in India at present.
2)Facts about eye donation:
Eyes can be donated only after death.
Eyes must be removed within 4 - 6 hours after death.
Eyes can be removed by Registered Medical Practitioner only.
The eye bank team will remove the eyes from the home of the deceased or from a hospital.
A small quantity of blood will be drawn to rule out communicable diseases.
The identities of both the donor and the recipient are kept confidential.
3) What is an eye bank?
An eye bank is the link between the donor and recipient/eye surgeon. It is an organization recognized by government to collect and distribute human eyes to those who require cornea transplants.
5. Who can donate eyes?
Eye donors could be of any age group or sex. People who use spectacles, diabetics, patients with high blood pressure, asthma patients and those without communicable diseases can donate eyes.
Persons with AIDS, Hepatitis B and C, Rabies, Septicaemia, Acute leukemia (Blood cancer), Tetanus, Cholera, and infectious diseases like Meningitis and Encephalitis cannot donate eyes.
6.What is an Eye Donation?
Donating eyes after death.
7.How can I become a donor?
A donor card can serve as an indication to your family, your legal representative and hospitals of your intention to be an eye donor.
Prospective donors should indicate their intention on donor cards and driver's licenses. Perhaps the most important single thing you can do is make your next-of-kin aware of your wishes to make sure they are carried out.
8. How quickly should eyes be removed after death?
As soon as possible, but eyes can be removed up to 6 hours after death. However, in places where the climate is hot, such as India, a shorter duration, preferably 2-4 hours is advisable.
9. Is it necessary to transport the donor to the hospital after death?
No. Eyebanks have personnel who will come to the donor’s home and remove the eyes. The procedure takes about 30-40 minutes.
10. How to donate eyes?
For donors:
Discuss your intention of eye donation with your family doctor and relatives.
The eye bank has registration cards.Fill your details in the registration cards.
Keep one part of the card in your wallet/purse.Place the second part of the card at home and inform all members of your family about your precious gift to society.
For the donor’s relative:
You have the authority and moral responsibility to donate the eyes of the deceased
Get the vital death certificate quickly.Contact your nearest eye bank as soon as possible. Close the eye lids. Cover the closed lids with moist cotton wool.Switch off the fan (Switch on the air conditioner if possible.)Raise the donor’s head by
complete information about the refractive errors due to the problem in the acomodation of eye lense , disturbed image formation in the retina, contains -types of disease condition .
TONOMETRY • Tonometry is the procedure performed to determine the intraocular pressure (IOP).
3. CLASSIFICATION TONOMETRY DIRECT INDIRECT Indentation Applanation Manometer
4. APPLANATION Contact Non-contact Goldmann Perkins Air-puff Pulse air
5. INDENTATION TONOMETER • It is based on fundamental fact that plunger will indent a soft eye more than hard eye. • The indentation tonometer in current use is that of Schiotz . • It was devised in 1905 and continued to refine it through 1927.
6. PROCEDURE • Patient should be anaesthetising with 4% lignocaine or 0.5% proparacaine. • with the patient in supine position, looking up at a fixation target while examiners separates the lids and lower the tonometer plate to rest on the cornea so that plunger is free to move. •
ORIENTATION PROGRAMON EYE DONATION
1)Do you know...
There are approximately 1.2 crore blind people in India.
Of these around 20 lakh corneally blind are in need of corneal transplantation.
As against an annual requirement of 75,000 to 1,00,000 corneas, only 22,000 corneas are donated in India at present.
2)Facts about eye donation:
Eyes can be donated only after death.
Eyes must be removed within 4 - 6 hours after death.
Eyes can be removed by Registered Medical Practitioner only.
The eye bank team will remove the eyes from the home of the deceased or from a hospital.
A small quantity of blood will be drawn to rule out communicable diseases.
The identities of both the donor and the recipient are kept confidential.
3) What is an eye bank?
An eye bank is the link between the donor and recipient/eye surgeon. It is an organization recognized by government to collect and distribute human eyes to those who require cornea transplants.
5. Who can donate eyes?
Eye donors could be of any age group or sex. People who use spectacles, diabetics, patients with high blood pressure, asthma patients and those without communicable diseases can donate eyes.
Persons with AIDS, Hepatitis B and C, Rabies, Septicaemia, Acute leukemia (Blood cancer), Tetanus, Cholera, and infectious diseases like Meningitis and Encephalitis cannot donate eyes.
6.What is an Eye Donation?
Donating eyes after death.
7.How can I become a donor?
A donor card can serve as an indication to your family, your legal representative and hospitals of your intention to be an eye donor.
Prospective donors should indicate their intention on donor cards and driver's licenses. Perhaps the most important single thing you can do is make your next-of-kin aware of your wishes to make sure they are carried out.
8. How quickly should eyes be removed after death?
As soon as possible, but eyes can be removed up to 6 hours after death. However, in places where the climate is hot, such as India, a shorter duration, preferably 2-4 hours is advisable.
9. Is it necessary to transport the donor to the hospital after death?
No. Eyebanks have personnel who will come to the donor’s home and remove the eyes. The procedure takes about 30-40 minutes.
10. How to donate eyes?
For donors:
Discuss your intention of eye donation with your family doctor and relatives.
The eye bank has registration cards.Fill your details in the registration cards.
Keep one part of the card in your wallet/purse.Place the second part of the card at home and inform all members of your family about your precious gift to society.
For the donor’s relative:
You have the authority and moral responsibility to donate the eyes of the deceased
Get the vital death certificate quickly.Contact your nearest eye bank as soon as possible. Close the eye lids. Cover the closed lids with moist cotton wool.Switch off the fan (Switch on the air conditioner if possible.)Raise the donor’s head by
complete information about the refractive errors due to the problem in the acomodation of eye lense , disturbed image formation in the retina, contains -types of disease condition .
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2. VISIBILITY TOWARDS THINGS
IS THE PRECIOUS GIFT GIVEN BY GOD TO US,
TO LIGHTEN AND BRIGHTEN UP THE BLIND
WORLD
WE SHOULD DONATE THAT GIFT TO THE
NEEDED ONE 👀
3. WHAT DOES EYE DONATION MEANS?
• Eye donation is considered one of the most noble acts of
humanity by helping to provide vision to the blind.
• The whole eye is not used for the transplant. Only a thin
transparent layer called CORNEA is used.
4. CORNEA
• CLEAR TRANSPARENT TISSUE
• COVER’S THE FRONT PART OF AN EYE
• IF CORNEA BECOMES CLOUDY, VISION IS DRAMATICALLY REDUCED OR LOST.
6. INCIDENCE AND PREVALANCE OF GLOBAL
BLINDNESS
1. VISUAL IMPAIRMENT (BLINDNESS + LOW VISION =314 MILLION)
2. FEMALE TO MALE BLINDNESS RATIO VARIES = 1.5 TO 2.2:1
3. CORNEAL BLINDNESS = 4.6 MILLION
7. CORNEAL TRANSPLANTATION
OR
CORNEAL GRAFTING
• IT’S A SURGICAL PROCESS WHERE A DAMAGED OR DISEASED CORNEA IS
REPLACED BY DONATED CORNEAL TISSUE(THE GRAFT).
• THE FIRST CORNEAL TRANSPLANT TOOK PLACE IN 1905 BY EDURICH
8. Penetrating
keratoplasty
• Full thickness
of cornea is
replaced.
Lamellar
keratoplasty
• Partial
thickness
• Layer of
stroma are
replaced.
Types of corneal transplantation
Optically Therapeutic Structural Cosmetic
INDICATION
Contraindication1. DRY EYE.
2. MARKED CORNEAL STROMAL VASCULARIZATION.
3. ABSENCE OF CORNEAL SENSATION.
4. DISEASE OF POSTERIOR SEGMENT OF EYE.
5. ABNORMALITIES OF LIDS.
10. • EYES CAN BE DONATED ONLY AFTER DEATH.
• EYES MUST BE REMOVED WITHIN 4-6HOURS AFTER DEATH.
• THE EYEBANK TEAM WILL VISIT THE HOME OF THE DECEASED OR THE HOSPITAL
TO REMOVE THE EYES.
• EYE REMOVAL DOESNOT DELAY THE FUNERAL SINCE THE ENTIRE PROCEDURE
TAKES 5 TO 10 MINS ONLY.
• A SMALL QUANTITY OF BLOOD WILL BE DROWN TO RULE OUT COMMUNICABLE
DISEASE.
• EYE RETRIEVAL DOESNOT CAUSE DISFIGUREMENT.
• RELIGIONS ARE NOT FOR EYE DONATION.
• THE IDENTITIES OF BOTH DONAR AND THE RECIPIENT ARE KEPT CONFIDIENTIAL.
11. EYE DONATION PROCEDURES INCLUDE
Relative
of the
deceas
sed
Eye
bank
team
Preserv
ation
criteria
Registe
red
medical
praction
er
12. OBJECTIVE OF EYE BANK
1. COLLECTION OF DONAR’S EYE.
2. PRESERVATION OF DONAR’S CORNEA.
3. DISTRIBUTION OF HIGHEST QUALITY OF DONAR’S TISSUE FOR
CORNEA TRANSPLANTATION.
4. PROMOTION,AWARENESS ABOUT EYE DONATION FROM
POTENTIAL DONARS.
13. WHAT ROLE IS PLAYED BY EYEBANK TEAM?
Eye
bank
Collect Store Availa
bility
14.
15. EQUIPMENTS FOR AN EYE BANK
COMPULSORY DESIRABLE
• Refrigerator with temperature
recording device(4degC)
• Incubator
• Operation theatre • Specular microscope
• Slit lamp • Ice machine
• Sterlization facilities • Microbiology facilities
• Enucleation and corneal
excision instruments
• Centrifuge
16. WHO CAN DONATE EYES?
Any age
Any
group
Any sex
Person without
communicable
disease
17. HOW SOON AFTER DONATION MUST A
CORNEA BE TRANSPLANTED?
• CORNEA TRANSPLANT USUALLY PERFORMED WITHIN 4 DAYS AFTER
TRANSPLANTATION.
• DEPENDING UPON THE METHOD OF CORNEAL PRESERVATION.
20. FROM THE NEWS SECTION:
50./. DONATED EYES GOING TO WASTE(HEALTH
MINISTRY)
FROM NEWDELHI:
DONATED EYE=51,384 IN YEAR 2013-14
FROM THOSE 22,384(USED FOR TRANSPLANT)
DATA FROM AIIMS SHOWED THAT:
NO OF EYE DONATION INCREASED FROM 680 IN 2009 TO 1,321 IN
2013.
21. STATEMENTS SAID BY
OPHTHALMOLOGIST
• DR.AMIT SINGHAL : CONSULTANT AT CITY BASED SHARP SIGHT GROUP OF EYE
HOSPITAL.
“USUALLY WHEN THE EYES ARE DONATED THEY EITHER GET INFECTED WITH DISEASES OR
ARE NOT STORED IN THE EYE BANKS ON TIME. THE BIGGEST PROBLEM IS THAT WINDOW
LAPSES AS EYES FROM A DEAD PERSON HAVE TO BE RETRIEVED WITHIN SIX HOURS AFTER
DEATH”.
• DR SAMIR SAHU : SAID THAT:
“IN OUR COUNTRY WE NEED TO ENCOURAGE VISUALLY IMPAIRED (IF THEY ARE NOT
CORNEAL BLIND ) TO COME FORWARD FOR EYE DONATIONS AND DISPEL A COMMON
MYTH THAT A BLIND PERSON CANNOT DONATE HIS EYES”.
22. EYE NEVER DIE
DONATE EYE
LEAVE YOUR “I” WHEN YOU LIVE
AND LEAVE YOUR “EYE” WHEN YOU LEAVE .