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...

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Main Authors: Kavitha Chikkanayakanahalli Venugopal, Suresh Ramappa Melsakkare, Sahana R. Manipur, Pavana Acharya, Lakshmi Bomalapura Ramamurthy
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2015-08-01
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
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author Kavitha Chikkanayakanahalli Venugopal
Suresh Ramappa Melsakkare
Sahana R. Manipur
Pavana Acharya
Lakshmi Bomalapura Ramamurthy
author_facet Kavitha Chikkanayakanahalli Venugopal
Suresh Ramappa Melsakkare
Sahana R. Manipur
Pavana Acharya
Lakshmi Bomalapura Ramamurthy
author_sort Kavitha Chikkanayakanahalli Venugopal
collection DOAJ
description 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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spelling doaj.art-fae287807354414398ba6cfd3f5e853e2022-12-22T00:59:33ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-08-0198NC05NC0710.7860/JCDR/2015/14304.6385Potential for Hospital Based Corneal Retreival in Hassan District HospitalKavitha Chikkanayakanahalli Venugopal0Suresh Ramappa Melsakkare1Sahana R. Manipur2Pavana Acharya3Lakshmi Bomalapura Ramamurthy4Professor and Head of Department, Department of Ophthalmology, Hims, Hassan, Karnataka, India.Professor and Head of Department, Department of General Medicine, Hims, Hassan, Karnataka, India.Post Graduate Student, Department of Ophthalmology, Hims, Hassan, Karnataka, India.Senior Resident, Department of Ophthalmology, Hims, Hassan, Karnataka, India.Post Graduate Student, Department of Ophthalmology, Hims, Hassan, Karnataka, India.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.https://jcdr.net/articles/PDF/6385/14304_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdfcorneal blindnessdonor contraindicationseye donationhcrp
spellingShingle Kavitha Chikkanayakanahalli Venugopal
Suresh Ramappa Melsakkare
Sahana R. Manipur
Pavana Acharya
Lakshmi Bomalapura Ramamurthy
Potential for Hospital Based Corneal Retreival in Hassan District Hospital
Journal of Clinical and Diagnostic Research
corneal blindness
donor contraindications
eye donation
hcrp
title Potential for Hospital Based Corneal Retreival in Hassan District Hospital
title_full Potential for Hospital Based Corneal Retreival in Hassan District Hospital
title_fullStr Potential for Hospital Based Corneal Retreival in Hassan District Hospital
title_full_unstemmed Potential for Hospital Based Corneal Retreival in Hassan District Hospital
title_short Potential for Hospital Based Corneal Retreival in Hassan District Hospital
title_sort potential for hospital based corneal retreival in hassan district hospital
topic corneal blindness
donor contraindications
eye donation
hcrp
url https://jcdr.net/articles/PDF/6385/14304_CE(RA1)_F(T)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf
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