The document discusses the challenges and strategies related to eye donation and corneal transplants in India, highlighting a significant shortfall in donor eyes needed for surgeries. It presents a case study of corneal treatment outcomes and emphasizes the importance of awareness campaigns to increase eye donations. The document also outlines various promotional strategies for engaging the public and healthcare professionals in raising awareness for eye donation.

1. ANAND PARTHASARATHY MS,DNB,FICO
Medical Director, Vasan Eye Bank
Head, Corneal Service and Clinical Research
Senior Consultant Cornea, Cataract and Refractive Surgery
Vasan Eye Care Hospitals, India p.anand9@gmail.com

4. 0
5000
10000
15000
20000
25000
30000
35000
40000
45000
2006 2007 2008 2009 2010 2011 2012 -
2013
28857 30353
34589
37103
41549 41883
44806
12975 12969 13887 15101
17192
19091 20632
COLLECTION UTILIZATION

5. • 56 yr Indian Lady, Mar 2005
- Right eye: Blind (NPL) from Glaucoma
- Left eye: BCVA LE 6/9-Better Eye
Underwent Prophylactic LASER PI
24 Months Back
- IOP RE 40 mm; LE 13 mm on
Timolast 0.5% BE
Case Presentation No 1

6. Follow up
• Nov 2008
• Drop in Vision
• 6/12
• Early Corneal Edema
(Post LASER PI)
• IN THE HEALTHY EYE !! Left eye

7. • Plan Observe- Hypersol, Flur
588

8. Follow Up- 2 months Later
• VA 6/18
• Pt now complaints
of fluctuating Vision

9. After the Cataract Surgery
Now a Total Corneal Decompensation !

10. Think Laterally- The Other Eye
RE
Healthy cornea, and
ocular surface
ECC-2657
LELE

11. Think Laterally- The Other Eye
• Solution Auto Keratoplasty
• RE Donor- LE Recipient
Simultaneous PKs in Both Eyes
RE LE

12. Surgical Procedure
RE LE

13. Follow up on 5/8/2009
RE LE
6/1236 m Post op
•no risk of rejection

14. Follow up 5/8/2012
• ECC Count- 600
6/1236 m Post op

17. 6/9 6/45 6/12 6/12 6/21 6/12

18. Visual Acuity results
p<0.05
Pt No Pre op VA Post Op VA Refraction Follow up
1 CF 6/9 +1.50/0.75x1
00
16 mths
2 HM 6/12 +3/-4x155 6 weeks
3 6/21 6/12 -0.50/-
3.0x125
16 mths
4 CF 6/12 Plano/-
2.25x70
10 mths
5 CF 6/21 +0.50/-3.0x75 5 mths
6 6/120 6/12 Plano/-
1.0x155
3 mths
7 HM 6/45 -2.50/-
0.75x100
11 mths

19. Eye Donation
Present Scenario in India
• We need at least 277000 donor eyes to
perform 100000 corneal transplants in a
year in India
• Currently we are collecting only 44806
eyes per year

20. • Persons with two eyes blind - 1.91 lakhs
(Source-NPCB)
• Persons with one eye blind - 5.91 lakhs
• Persons with corneal opacity - 9.721
lakhs
• Incidence of corneal blindness –
20-25000 per year
• Childhood blindness:
• 1.5 Million children blind in the world
• 1 million children blind in Asia
• 200,000 children blind in India

21. p=0.001
Keratoconus
Post-infectious scar
Trauma
Active Keratitis
Glaucoma
Others
Fuchs’ Dystrophy
Regraft
PBK/ABK
10 yrs
1991 to 2005: 1715 transplants performed at the SNEC
38% of graft
failures are
due to
endothelial
rejection
Singapore Corneal Transplant Study
Tan DT et al. Penetrating keratoplasty in Asian eyes: the Singapore Corneal
Transplant Study. Ophthalmology. 2008 Jun;115(6):975-982

22. Corneal Transplantation- The Indian
Scenario
Dandona L et al, Survival analysis and visual outcome in a large series of
corneal transplants in India. Br J Ophthalmol. 1997 Sep;81(9):726-31.
ABK
Keratoconus
C Dystrophy
C Scar
PBK
Ad Luekoma
Graft Failure
1725 Corneal Grafts over 1987-95 (8 years)

23. VASAN EYE BANK
2012-2013
HCRP VOLUNTARY
59.9% (400) 40.1% (267)

24. Strategies
• In House Promotions
– Patient Waiting Areas
– Surgical Videos, Patient Testimonials
• Public Campaigns
– Involving Schools, Colleges
– Software Companies with Condensed
Powerpoints

25. Patient Waiting Areas

26. Distribute Flyers Content
Eye Donation Slogans

27. Strategies for Healthcare
Professionals
• Conferences, Optometrist Meetings
provide avenues for sending the message
to focused target audience of Eye Care
Professionals
• Interact with Tertiary Care Physicians and
Acute Care Physicians like Cardiologists,
Nephrologists

28. Eye Bank Stall at CME’s

29. Testimonials
• Donor Families
– Felicitation During Eye Donation Fortnights
– Donor Certificates Prominently Displayed
– Eye Donor Family Card
• Recipients
– Annual “Corneal Transplants Recipients Day”

30. Appreciating Donor
Families

31. Promotions
• “Eye Donation Fortnight”
– Need Not Be Restricted to these 14 days
– Give an oppurtunity
• World Sight Day
• World Pensioners Day
• City Marathons
– Run/Walk for Sight
– Avenue for Raising Money

32. Eye Donation
Promo Vehicle

33. Involve “Celebrities”

34. Involve “Celebrities”

35. Join with Service
Organisation

36. Create Awareness Among
Nursing Staff

37. Display E.D. Slogan in
Moving Vehicle

38. Promote SMS Pledge with
Eye Care Tips