Potential for Hospital Based Corneal Retreival in Hassan District Hospital
Context: In developing countries, corneal diseases are the second leading cause of blindness. This corneal blindness can be treated through corneal transplantation. Though the present infrastructure is strong enough to increase keratoplasty numbers at a required rate, India has largest corneal b...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/6385/14304_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Context: In developing countries, corneal diseases are the
second leading cause of blindness. This corneal blindness can
be treated through corneal transplantation. Though the present
infrastructure is strong enough to increase keratoplasty numbers
at a required rate, India has largest corneal blind population in the
world. So a constant supply of high quality donor corneal tissue
is the key factor for reduction of prevalence of corneal blindness.
Considering the magnitude of corneal blindness and shortage of
donor cornea, there is a huge gap in the demand and supply.
Aim: To study the potential for hospital based retrieval of donor
corneal tissue in Hassan district hospital after analysing the
indicated and contraindicated causes of deaths, so that hospital
corneal retrieval program in Hassan district hospital can be
planned.
Materials and Methods: The cross-sectional, retrospective and
record-based study included all hospital deaths with age group
more than two years occurred during one year period (January
2014 to December 2014). Data regarding demographic profile,
cause of death, treatment given and presence of any systemic
diseases were collected. The causes of deaths which are
contraindicated for the retrieval of corneas were analysed and
noted. The contraindications were based on the NPCB guidelines
for standard of eye banking in India 2009.
Results: Out of 855 deaths, number of deaths in males (565)
was greater than females (290). Numbers of deaths were highest
between 41-60 years age group (343). Deaths due to HIV,
septicaemia, meningitis, encephalitis, disseminated malignancies
were contraindicated for corneal retrieval. Corneas could be
retrieved from 736 deaths out of 855. Potential for corneal retrieval
in a period of one year in Hassan District hospital was 86%.
Conclusion: Hospital corneal retrieval program has got a great
potential to bridge the gap between the need for the cornea and
actually collected corneas which will contribute enormously in
eliminating corneal blindness. In present study there was 86%
potential for corneal retrieval among the hospital deaths. |
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| ISSN: | 2249-782X 0973-709X |