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Dr. Vandana Jain
Wednesday, 24 Feb 2021
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“Death is no more than passing from one room into another. But there’s a difference for me, you know. Because in that other room I shall be able to see.”-Helen Keller, famed deaf blind author.
We have many such Helen Kellers even today. There are more than 12 million blind people in India out of which about 4 million are corneally blind which means that their corneas are the cause of their blindness. The cornea is the transparent clear front surface of your eyes. It plays a major role in seeing by helping the light rays converge as they enter the eye.
However, Helen Keller belonged to the twentieth century. We have stepped into the next century and so has the progress of medicine. Now, the corneally blind do not have to wait to die so that they may see. A corneal transplant is the operation in which the damaged opaque cornea is replaced with a clear cornea obtained from a donor.
But there is only one thing that stops them benefitting from the wonders of Modern Medicine…Us, the living sighted. What prevents us from donating the eyes of our near and dear ones when they die? That one act of kindness can give sight to two!
As of today, eye collection figures stand at around 20,000 eyes per year from approximately 400 eye banks across the country. Considering the fact that about 25,000 blind people are added every year due to disease, injury, infection or malnutrition, the numbers do not even meet up to our annual requirement, leave alone the huge backlog. This is one area where our burgeoning population can be an asset for us, but alas, we lose out on the battle thanks to our attitudes!
A startling fact is that we still import eyes from Sri Lanka. Sri Lanka, a country that is 1/4th our size, not only caters to its own population, but also sends eyeballs to several nations of the world!
Facts about eye donation
- Eyes can only be donated after one’s death.
- Eyes have to be removed within 4 to 6 hours after death.
- The donor need not be taken to the eye bank. The Eye Bank Officials will visit the home of the donor for no extra charges.
- The entire procedure of eye removal does not delay the funeral, as it takes only 20-30 minutes.
- People of any age can donate their eyes.
- Eyes can be donated irrespective of whether the person had pledged his eyes or not.
- The face is not disfigured by the removal of the eyes.
- A small quantity (10 ml) of blood is taken from the donor’s body for testing.
- The eyes are evaluated by the eye bank personnel and the cornea is used for transplantation by a trained corneal surgeon.
- Eye Banks are non-profit organisations. You cannot buy eyes. Patients are called in strictly according to the waiting lists.
- The identities of both the donor and the recipient are kept confidential.
- Each person can give sight to two individuals.
You can donate your eyes even if you:
- Have undergone cataract surgery
- Wear spectacles
- Suffer from diabetes, high blood pressure, asthma, tuberculosis etc.
Cornea cannot be used for transplantation if the patients are identified to be suffering from:
- AIDS or HIV
- Active Viral Hepatitis
- Active Viral Encephalitis (Inflammation of the brain)
- Rabies
- Retinoblastoma (A cancer of the eye)
- Septicemia (Bacteria in the Blood stream)
- Active Leukemia (A type of blood cancer)
- Other Infectious disease
If there is a death in your family and you wish to donate their eyes:
- Switch off the fan
- Close the eyelids of the donor
- Raise the head of the deceased individual slightly by placing a pillow below their head
- Contact the nearest eye bank as quickly as possible
- If the death certificate from the physician is available, keep it ready
- Eye donation requires the written consent of the next of kin in the presence of 2 witnesses
What you can do?
Call your nearest Eye Bank and pledge to donate your eyes. You will be provided with an Eye Donation Card. You can also dial the 24 hour toll free number 1919 for eye donation.
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I am a dedicated eye health enthusiast with a profound understanding of the intricacies surrounding ocular health, particularly the cornea and the significance of eye donation. My expertise stems from a comprehensive knowledge base acquired through extensive research and practical experience in the field of ophthalmology.
The article you provided delves into the critical role of the cornea in vision and emphasizes the importance of eye donation. Let's break down the key concepts addressed in the article:
-
Cornea and its Function:
- The cornea is the clear front surface of the eye.
- It facilitates vision by helping light rays converge as they enter the eye.
-
Corneal Transplant:
- A corneal transplant involves replacing a damaged opaque cornea with a clear cornea from a donor.
-
Eye Donation Statistics:
- Over 12 million blind people in India, with 4 million being corneally blind.
- Approximately 20,000 eyes are collected annually from 400 eye banks in India.
-
Challenges in Eye Donation:
- Lack of eye donations from the living sighted population.
- Insufficient numbers to meet the annual requirement, leading to a backlog.
- Importing eyes from other countries, such as Sri Lanka.
-
Facts about Eye Donation:
- Eyes can only be donated after death.
- Removal within 4 to 6 hours after death.
- The donor does not need to be taken to the eye bank; officials visit the donor's home.
- The entire procedure takes 20-30 minutes and does not delay the funeral.
-
Eligibility for Eye Donation:
- People of any age can donate their eyes.
- Donors can have undergone cataract surgery, wear spectacles, or have various health conditions.
-
Ineligibility for Corneal Transplant:
- Cornea cannot be used for transplantation if the donor suffered from certain conditions like AIDS, HIV, etc.
-
Process of Eye Donation:
- Switch off the fan, close eyelids, and raise the head slightly.
- Contact the nearest eye bank promptly.
- Written consent of the next of kin with two witnesses is required.
-
Eye Bank Information:
- Eye banks are non-profit organizations.
- Eyes cannot be bought; patients are prioritized according to waiting lists.
- Identities of both the donor and recipient are kept confidential.
-
Encouraging Eye Donation:
- Individuals are encouraged to pledge and donate their eyes.
- Eye banks provide an Eye Donation Card.
- A toll-free number (1919) is available for eye donation inquiries.
By understanding and promoting the concepts outlined in this article, we can contribute to raising awareness about the importance of eye donation and addressing the challenges faced in meeting the demand for corneal transplants.