Editorial:
It is a matter of great concern that in-spite of lot of
efforts, the eye collection figure is stagnating around
the 20,000 figure for the last 5 years. This figure will
only cover the freshly added corneal blind. Our efforts
with electronic media and focused campaigns during the Eye
donation Fortnight since 1986 along with conferences & felicitation
of eye donor families have not yielded results as expected
to reach our target of 1 lakh cornea per year by year 2005.
This can only be achieved by doubling the eye donation by
existing working eye banks & to activate the sleeping eye
banks, which are nearly 200 in our country. I strongly feel
that this could be achieved only by implementation of programmes
by the central & state government agencies, which can really
motivate active NGO's, Medical Collages & District Hospitals
to perform together with Cataract Blindness in DBCS.
This is the right time when the EBAI should give the accreditation
to the member eye banks to promote good eye banking & liaison
with Government for funding of awareness programmes and
upgradation & renovation of eye bank. I have been working
in the Central Zone since 1990 in the oldest living city
of earth "Kashi" where lot of people come for salvation,
more voluntary eye donations are received compared to HCRP.
The major Government hospitals with lot of ICU's & high-risk
department like Cancer, Heart, Kidney & others, do not allow
eye banks to start retrieval of cornea from hospital deaths
by motivating the families, in-spite of repeated requests
and reminders. Therefore, it is the duty of Government to
activate & direct the hospitals to start working closely
with eye banks for retrieval of cornea from hospital deaths.
The delay in post-mortem could really affect our efforts
& therefore, needs cooperation from Police personnel. Other
states could follow the paths chosen by Rajasthan & Andhra
Pradesh.
In UP and many states there is no eye bank Cell and therefore
there is no knowledge about NPCB Grants for strengthening
eye banks and also for collection of cornea. In the densely
populated states like UP, MP & Bihar many of the corneal
blindness prevailing in children below 12 years can be prevented
by proper distribution of Vit "A" drops. A survey by Varanasi
Eye Bank Society showed that paramedical staff & medical
practitioners of immunization centers are not aware of Vitamin
A Immunisation. The Government should take up the task of
Vit "A" drops immunization along with "Pulse Polio" with
the help of NGO's.
Direct Corneal Scleral Button in MK Medium, could greatly
increase the life of cornea and can be preserved upto 96
hours after excision. RMP's & trained technicians should
adopt this technique and it would also help in motivating
the family, as the whole eyeball is not removed. The advancement
of the technique of corneal transplantation like deep Anterior
Laminar Keratoplasty does not require healthy Endo Epithelium
of donor and can also solve the problem of low utilization
rate of 41%.
Last but not least eye bank movement should try….try….try
till it succeeds; I think the message of Mr. Shiv Khare
"winners do not different things, They do things differently
can go a long way in motivation of large population and
all religions to alleviate suffering of 2.5 million Corneal
Blind.
| - Dr.Sunil Kumar Sah |
|
| Lalitha Raghuram - A Tribute |
| By Suresh Guptan, Life member, EBAI |
Two people inspired me to be an EBAI Life
Member. One was Lalitha Raghuram and the other was her mentor
Gullapalli N.Rao. I was introduced to her in 1994 by the
S.Asia Director of Sightsavers, D.Nagarajan, as we listened
to flowery speeches by Frederick Griffith of IFEB and others.
She looked naïve and rather lost at the 5-star function
hosted in a downtown Mumbai hotel. No one had told me that
she had weathered Dr.Rao's whiplash anger and passion for
quality while serving as Hospital administrator in charge
of patient care at L.V. Prasad Eye Institute until he had
shrewdly judged her future worth, and released her for the
Executive Director's crown of thorns at EBAI.
We got along together from day one as smoothly as dosa and
chutney. EBAI was virgin territory in those early days and
she saw and relished great challenges everywhere. I remember
my fears when Paramount offered us 'Schindler's List' in
six cities. " Can we do it?" I had asked. EBAI was a bunch
of greenhorns, but she didn't blink. "Sure, we can " she
snapped, and smoothly netted over Rs 5.00 lakhs for the
kitty. Later, when Aishwarya fluttered her green eyes and
said 'Yes' to EBAI, Lalitha again was the one that steadied
the whole show with a supreme " can do" attitude. O & M
funded it and Doordarshan and private companies telecasted
it - something no one believed possible, at near zero-cost.
The next time around she was more of a pro and blithely
bandied words and sallies with the Big B and Jaya Bachchan.
But there was much sweat along with the frolic. I recall
a session that lasted way beyond midnight at VENU Eye Institute
to polish off an appeal for government sponsorship of EBAI's
first ever HCRP Seminar at N. Delhi. And there were the
hectic travels to seed quality eye banking in six towns
at Kerala - II nd class long distance train trips, day long
meetings and seminars, followed by bus rides through half
the night to the next town. Phew ! Such a super strong work
commitment grew from the rock-steady support bestowed by
her parents and husband and mother-in-law and kids. Truly,
her fan following began at home.
Unfortunately, she had to learn about management on-the-job
at EBAI, and never got a sabbatical for the professional
training that she desired. And Dr. Rao said: " Lalitha was
never a 'detail' person". I agreed. So we quarreled often
and hard. But I learnt from her in the process. Starting
as a sensitive vulnerable individual, she had developed
over the years a worthy coolness in crises and a sort of
restrained yet forceful work ethic that I admired. And lesser
ones should have handled 'details' while she kept the big
picture in focus. A corpus of around Rs 50.00 lakhs, a membership
of over 900, a national boost for HCRP with a Rs 740.70
lakhs section 35 a/c IT exemption for hardware and sponsorship
worth Rs 15.00 lakhs, plus office systems and procedures
that boosted EBAI's brand equity, are some highlights of
the legacy she left behind.
Her parting regret was EBAI's collective failure as an NGO
to " value professionals and professionalism". With further
specialized training in the USA and UK, fresh corporate
and NGO challenges, and an entry into the Board of Trustees
of M.O.H.A.N. Foundation (Multi Organ Harvesting Aid Network)
she hopes to continue the nurturing of a switch from "doctors"
to "managers" in NGO interventions. Her move from corneas
to multi organs was both serendipitous and logical and if
social work is a one-way street, Lalitha happily remains
hard on track.
I wish her well.
|
| Statistics of Eye Collection and Utilisation for
the year 2002 |
Another year has rolled by and we are yet
again preparing to analyse the outcome of various initiatives
aimed at augmenting eye collection. Many things haven't
changed viz delays in receiving reports from member eye
banks, sending repeated reminders etc., The silver lining
is trend of increase in eye collection over the previous
year also has not changed and we continue bettering our
performance over the previous year. We wish that our member
eye banks would strive to change the habit of not sending
reports on time and maintain the trend of increased collection!
Unless we have the reports on time we would not be able
to summarise the performance and seek help from various
quarters to overcome the hurdles. Just like increase in
collection is a target for the eye bank, maintenance of
documents and the proper reporting to various agencies involved
in the movement should also be considered as an important
task. We would prefer this exercise to be done voluntarily
rather than be made mandatory through Government orders
or make it a pre condition for availing benefits etc.,
We would like to point out some discrepancies
that have been brought to our notice. We had reported a
total collection of 21697 eyes in the previous year. The
actual collection is 18717. The difference has been due
to dual reporting of collection in Mumbai and Madurai and
Tiruchy. The collection of Arpan Eye Bank, Tarun Mitra Mandal,
PD Hinduja Hospital Eye Bank, Hathibhai Kakalchand Eye Bank
etc, Rotary Arvind International Eye Bank, Joseph Eye Hospital
etc which have been included elsewhere, have been considered
once again against each individual eye bank. The error is
regretted and we thank Mr.Suresh Guptan, Life Member, EBAI
for pointing out this mistake.
We come across many mistakes in the reports sent to us like
cornea usage and cornea collection not tallying or corneas
sent to other eye banks or surgeons not having any utilization
report etc., We request our member eye banks to make sure
that accurate information is given the first time. This
would free some of our valuable manpower resources which
would be unnecessarily engaged in collecting the correct
information.
We have been analyzing the data from various perspectives
and what emerges is quite obvious. The Central, North and
East Zone have to substantially increase their performance
to catch up with other zones.
 |
We have witnessed an increase of 3.3% in
collection of eyes over the previous year. In number terms
we have collected 19352 eyes from all over India. It would
be interesting to note that 2% of the eye banks account
for 41% of all India collection and 76% of the known eye
banks account for only 5% of the total collection. The collection
can increase many fold if the 76% of the existing eye banks
start improving their performance. It is also quite likely
that many eye banks which are included in the 0-50 eyes
collection category may have been included in this category
as they may not have sent collection reports.
 |
 |
An analysis of the contribution of various
zones to the total collection of eyes in the year 2002 throws
up many interesting facts. South Zone has outperformed West
zone and has collected 2% more than West Zone and accounts
for 43% of All India Collection. North Zone has bettered
its previous year performance and accounts for 11% of All
India Collection up 1% from previous year's 10%. Central
Zone and East Zone continue with dismal record of collection.
What is surprising is the country's most populous state
and largest state (including Chhatisgarh and Uttaranchal)
account for a meager 2% of All India Collection. North Zone's
improved performance is also due to increased collection
from the state of Rajasthan. Many NGO's have taken keen
interest in the eye donation movement and have been conducting
various campaigns aimed at augmenting collection and eyes
and spreading awareness about eye donation.
The trend in percentage change in collection is interesting.
Though there is a steady increase in numbers collected the
percentage change over previous year has been oscillating.
The reasons being sudden spurt in collection in some states
and sudden decrease in some states. The eye banks in each
state have to have a common approach to tackle this problem.
EBAI has been for a very long time advocating networking.
If this can be implemented immediately we can ensure that
the eye collection are augmented.
 |
 |
We unfortunately do not have any utilization
report for 36% of the eyes collected and this skews the
utilization totally. From the available reports we find
that 31% of the eyes collected are utilized for OP.PK, 9%
for Th.PK and 1% for L.K while 23% which are found unfit
for surgery are used for practice and research purposes.
Usage of more than one third collection is unknown. This
utilization compares well with that of the advanced countries
like USA etc but we feel that we can be closer to the reality
if the fate of the 36% is also known.
 |
The collection of eyes state wise in each
zone has also brought out many facts. In west zone both
Gujarat Maharashtra have reported decreased collection.
EBCRC's concept of centralized collection and processing
center is working well and has reported increase in eye
collection over the previous year. However, the utilization
remains a matter of concern as only 17% of the total collection
has been utilized for optical keratoplasty. This concept
of centralized collection, processing and distribution network
optimizes use of the scantily available resources. EBAI
strongly recommends adoption of such a strategy all over
the country. Pooling of resources can result in augmenting
of eyes collection.
The trend in collection of eyes in South
zone shows higher percentage increase than the overall percentage
increase nationally. South Zone has shown an increase of
27% over the previous year whereas the percentage increase
all over India is only 3.3%.
The trend in collection of eyes in Central
Zone shows decrease of 32% over the previous year. Central
Zone has the potential to surpass the collection of West
zone and South Zone due to the population. The promotional
films on eye donation by Amitabh Bachan & Jaya Bachan and
Aishwarya Rai have the potential to motivate the Hindi speaking
population of Central Zone. The reach of Doordarshan and
Sahara TV on which the films are aired, if utilized properly,
can spread awareness in a big way.
The collection in North Zone shows mixed
trend. Chandigarh and Delhi have reported decreased while
Punjab, Haryana and Rajasthan have reported increased collection
over the previous year.
The major contributor in the East Zone,
West Bengal has reported 23% decreased collection over the
previous year. Overall there has been an increase in collection
of eyes in states like Tamilnadu, Andhra Pradesh, Karnataka,
Punjab, Haryana, Rajasthan, Kerala while states like Uttar
Pradesh, Gujarat, Madhya Pradesh, Delhi, Gujarat, Maharashtra,
West Bengal have reported decreased collection.
| News Items |
UK Children come to the aid of
corneal blind: Donations for corneal Blind from
Children In England |
An appeal made by the Trust Secretary
to friends Mr. and Mrs. V. Utsi in England has had a wholly
unforeseen result. The children of the family heard about
the Hospital. When their school was debating what social
project they would work for during the school year, this
idea of bringing eyes to the blind appealed to them the
most and they adopted The Bihar Eye Bank and Hospital as
their project. When they heard that if they could give 10
lakhs or more, they could have a unit named after their
school, they determined to do that. They have thought of
all sorts of ingenious ways to raise the money little by
little. The children of the Kindergarten Section, for instance,
imprinted their hands on a towel and made copies of these
to be sold to their parents. They also made four "feely"
pictures, which they sent to the Secretary. They have put
paper cuttings and various collage materials on poster paper
so that those who cannot see can feel them. Such thought
on the part of little ones between the ages of three and
five is truly moving. One day it was decided that students
could come to school without uniform if they paid a pound.
Older students had a "pub night" when they dressed up as
older people and drank soft drinks instead of alcohol. In
order to keep track of their progress, they had put up a
thermometer but at the end of the year, it was found that
the thermometer had exploded over the top. The Trust has
been able to undertake essential repairs and fund camps
and operations thanks to the efforts of children far away.
The main doctor's clinic is to be named "King's Ely Room"
in appreciation of their gift.
(Reproduced from letter sent by Dr.Pronoti sinha,
Secretary, Bihar Eye Bank Trust )
HCRP - Hospital Cornea Retrieval Program is gaining acceptance
and garnering excellent support from Sponsors, Hospitals
and Individuals alike. Donations to EBAI for Hospital Cornea
Retrieval Program has been given 100% exemption under Section
35AC.
ORBIS, an international NGO has accepted in principal
to participate in the HCRP programs as a major funding partner.
About 11 eye banks have been shortlisted for HCRP support.
We have had Hyderabad based Margadarsi Chitfunds Limited
sponsoring a five year HCRP, which is performing extremely
well. In the one year of existence it has resulted in collection
of more than 80 tissues.
HCRP sponsored by Allergan India Limited, Bangalore,
being carried out at four hospitals are in progress.
Ambuja Foundation sponsored HCRP at LTMG Hospital,
Mumbai has been found to be successful and the same has
been upgraded for Multi organ retrieval counseling. NTPC
sponsored HCRP for one year at St.Stephen's Hospital, New
Delhi is in progress and is ending shortly.
GKR Charities Mumbai & Chennai sponsored HCRPs are in
progress.
EBAI i nvites contributions to Punarjyoti,
the newsletter. Material may be sent under the following
heads
|
• |
|
Regional News |
|
• |
|
Achievers |
|
• |
|
Life of patient after corneal transplantation |
|
• |
|
View points |
We urge you to share your experiences
and knowledge with our readers and we look forward to your
support and cooperation in bringing out an informative newsletter
Punarjyoti readers have evinced great
interest in sharing their views with regard to different
campaigns for eye donation and eye banking. Some of their
views have been successfully implemented. We would urge
more and more readers to contribute to "View Point " and
make our movement successful.
Plastic Cornea Caps: EBAI now has stocks of Plastic
Cornea Caps to use after corneal excision. They are available
for Rs.8/- per pair. (Postal Charges will be extra). Members
who wish to acquire the caps may write to EBAI headquarters
with a Demand Draft payable to "Eye Bank Association
of India", Hyderabad.
| Slides on: |
1. |
|
Eye Donation - What is it ? |
|
2. |
|
Hospital Cornea Retrieval Programme - What is it ? |
Have been compiled along with a book containing slide notes.
This is available to the members. This has come to you through
the sponsorship of ORBIS. Members who wish to acquire both
the sets of slides may write to EBAI headquarters with a Demand
Draft for Rs.400/ payable to "Eye Bank Association of
India", Hyderabad. This will take care of the handling
and courier expenses.
Artificial Eyes: EBAI has stocks of artificial eyes,
which can be placed after enucleation. These are available
for Rs.120/- per pair exclusive of postage. Members interested
in procuring these may please send Rs.120/- per pair by DD
or M.O.
Thermocole Boxes for safe transportation of Eye Balls Cornea:
These thermocole boxes ensure that the temperature of
the precious tissue within is maintained between 2°C and
8°C inspite of any normal ambient temperature extremes
encountered
anywhere in India. We recommend the regular
use of these thermocole boxes by all our members to help ensure
viability of collected eyeballs / corneas. The thermocole
boxes cost Rs.400 each. Please add postage and handling charges
of Rs.80 for each box ordered.
Moist Chamber Bottles: These are available separately.
Each bottle costs Rs.60/- and postal charges of Rs.40/- per
package of four bottles.
Publicity Material: Limited number of Posters, booklets,
brochures and pledge forms are available at EBAI. Please write
to us for your requirements.
Video cassettes and Video CDs are available on enucleation
and laboratory processing. The following are the details:
Video title: RECOVERY AND MANAGEMENT OF DONOR EYES
Authors: Dr Prashant Garg and Dr Usha Gopinathan
Abstract: The video demonstrates the standard methods of cornea/eye
retrieval from the donor. It illustrates in-situ corneo-scleral
rim excision, enucleation and laboratory processing of the
whole globe. It is a
must-see for anyone who is involved in the procurement of
donor corneas, from Eye Bank Technicians to Ophthalmologists.
Duration: 32:55 minutes English
Cost: Rs 500/-
Formats available: VHS video cassette or VideoCD
Payment must be made by Demand Draft or local cheque payable
at Hyderabad in favour of 'Hyderabad Eye Institute'. Please
enclose your payment along with a request for the video to
the following:
The A-V Producer
Central A-V Unit (CAVU)
L V Prasad Eye Institute
L V Prasad Marg
Hyderabad - 500 034
Andhra Pradesh
email addresses: Our email addresses now are,
ebai@tatanova.com,
ebai83@hotmail.com. Please note the change in e-mail
addresses.
|
• |
|
Have you informed us of your change in
address? If you have email and would like to receive
all correspondence through email, we would be happy
to do so. Just send us your email id. |
|
• |
|
· Have you renewed your membership?
If you have not already renewed membership, please do
it immediately. You may want to convert to life membership.
Consider it. The membership form is available in Punarjyoti.
Just fill it, tear it, make a Demand Draft, and mail
it to us. |
|
• |
|
Have you got the special number 1919 allotted
for the eye bank? Have you got the telephone number
of your Eye Bank printed in the telephone directory
under "Essential Services"? This is the most
important tool to let public know of your existence.
If you have not done it already, please contact the
local Directory Manager right away. |
|
• |
|
· All Eye Banks are requested to
send us the latest telephone numbers, as we would be
incorporating the telephone numbers in the pledge forms.
|
L.V.Prasad Eye Institute in association and support from
ORBIS and Eye Sight International organized Indian Eye Banking
Education Program (IEBEP) on February 14 and February 15 at
L.V.Prasad Eye Institute, Hyderabad. Excerpts from the discussions
and topics at IEBEP is given below:
Mr.P.K.Rath, Assistant Executive Director (Administration)
discussed about basic necessities and the legal aspects of
eye banking. Given below is a summary:
|
• |
|
Hospitals/Institutions (EB/EDC) engaged
in removal of human organs are required to be registered
under this Act |
|
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|
| • |
|
The application for registration
has to be addressed to Appropriate Authority constituted
by the State Government and submitted to the Director
of Health Services of that state. In some states
the DMET has been assigned the responsibility
of registration of eye bank. |
|
|
• |
|
Medical Practitioners can remove, store
or transplant human organs only at a place registered
under this Act. |
|
|
|
| • |
|
However, there is an exception
for eyes and ears, which the Act specifies, can
be removed at any place from the dead body of
any donor, for therapeutic purposes, by a registered
medical practitioner. Registered Medical Practitioner
means a medical practitioner who possesses any
recognized medical qualification as defined in
the Indian Medical Council Act, 1956 and who is
enrolled on a State Medical Register. |
|
|
• |
|
The Act bars all sales of organs (including
cornea) |
|
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| • |
|
However, it does not debar or
restrict anyone from charging for services associated
with collection, processing, distribution and
transplantation. |
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• |
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Inclusion of "Required Request" provision |
|
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| • |
|
Required Request means that
it would be binding on the medical practitioner
attending the patient to request the next of kin
for eye donation in case of death of the patient |
|
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• |
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Removal of corneas from bodies sent
for post mortem |
|
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|
| • |
|
In this case the medical examiner
may provide the cornea to eye bank if no objection
by the next of kin is known by him/her, and if
the removal of cornea does not hinder/alter the
post mortem findings |
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|
• |
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Allowing Eye bank technicians to enucleate |
|
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|
| • |
|
At present only the registered
medical practitioner is allowed to remove corneas
which is practically not a feasible thing and
hampers the progress of eye banking |
|
|
• |
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Cooperation from the Police Department
in Medico-legal cases. |
|
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| • |
|
This is a pro-active measure
by EBAI in procuring circulars from the Police
Department Heads to their subordinates instructing
them to provide clearance for enucleation/excision
in medico-legal cases where the consent of the
relatives has been taken and to provide immediate
assistance to eye banks seeking information about
the relatives of the deceased in such cases.
|
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|
• |
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The Ministry of Law, Justice & Company
Affairs has agreed to: |
|
-- |
|
Include "Required Request" provision |
|
-- |
|
Removal of corneas from bodies sent
for post mortem |
|
-- |
|
Circulars from DIG, Jaipur Range, Rajasthan
& SP, Khammam District, AP to all SHOs/Inspectors. |
|
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| • |
|
EBAI would be writing to all
DGs requesting for similar circulars. |
|
BASIC NECESSITIES
Recommendation of the Study Group Meeting 1999 |
|
• |
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EYE BANK |
|
EYE DONATION CENTRE |
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Human Resource |
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-Panel of ophthalmic surgeons
|
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Panel of ophthalmic surgeons |
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-Oph. Technician 1 |
|
Oph. Technician 1 |
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-Social Worker cum Health Educator
1 |
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Social Worker cum Health Educator |
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-Driver cum projectionist 2 |
|
Driver cum projectionist 1 |
|
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Eye Bank |
|
Eye Donation
Centre |
|
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Board of directors |
Yes |
|
No |
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Medical director |
Yes |
|
No |
|
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Executive Director |
Yes |
|
Yes |
|
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EB Manager |
Yes |
|
No |
|
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EB Technician |
Yes |
|
No |
|
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ED Counsellor |
Yes |
|
No |
|
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Secretary |
Yes |
|
No |
|
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Telephone Operator
|
Yes |
|
No |
|
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Panel of RMPs |
Yes |
|
Yes |
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Eye Bank |
|
Eye Donation
Centre |
|
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Slit Lamp |
Yes |
|
No |
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Refrigerator |
Yes |
|
Yes |
|
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Laminar Flow Hood |
Yes |
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No |
|
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Instruments set 6 |
Yes |
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Yes |
|
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Telephone |
Yes |
|
Yes |
|
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Serological Equipment
|
Yes(Access) |
|
Yes(Access) |
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Autoclave |
Yes |
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Yes(Access) |
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Specular Microscope
|
Yes |
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No |
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|
• |
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Excision set |
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(autoclaved) |
|
• |
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Enucleation set |
|
(autoclaved) |
|
• |
|
Linen pack |
|
(autoclaved) |
|
01. |
|
Betadine |
--- |
1 Bottle |
|
02. |
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Surgical Spirit |
--- |
1 Bottle |
|
03. |
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Normal Saline |
--- |
1 Unit |
|
04. |
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Genetamicin eye drops |
--- |
2 Vials |
|
05. |
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Bandage Rolls |
--- |
4 nos. |
|
06. |
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Meditape |
--- |
1 Roll |
|
07. |
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Massage Pads |
--- |
Sufficient |
|
08. |
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Gloves- 6, 61/2,7, 71/2,8 |
--- |
Each size 2 pairs |
|
09. |
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Surgical Blades Nos. 11 &
15 |
--- |
Sufficient |
|
10. |
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Scissors |
--- |
1 no. |
|
11. |
|
Disposable Syringe-10 cc |
--- |
2 or 3 nos. |
|
12. |
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Vaccutainer |
--- |
2 or 3 nos. |
|
13. |
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Polythene Covers |
--- |
2 nos. |
|
14. |
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Reusable Caps |
--- |
1 no. |
|
15. |
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Disposable Masks |
--- |
2 nos. |
|
16. |
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Soap Solution |
--- |
1 Bottle |
|
17. |
|
Artificial Eyes |
--- |
4 pairs (Different Sizes) |
|
18. |
|
Transparent Eye Caps |
--- |
10 nos. |
|
19. |
|
Torch with fresh Batteries |
--- |
1 no. |
|
20. |
|
Cotton swabs |
--- |
Sufficient |
|
21. |
|
Pledge forms |
--- |
10 or 15 |
|
22. |
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Visiting cards |
--- |
25 |
|
23. |
|
Sterile Buds |
--- |
15 nos. |
|
01. |
|
S.S Tray |
--- |
1 |
|
02. |
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Spring Scissor |
--- |
1 |
|
03. |
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Strabismus Scissors |
--- |
1 |
|
04. |
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Enucleating Scissors |
--- |
1 |
|
05. |
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fixation forceps |
--- |
1 |
|
06. |
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Artery forceps |
--- |
1 |
|
07. |
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Enucleating spoon |
--- |
1 |
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08. |
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Muscle Hook |
--- |
1 |
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09. |
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Needle holder |
--- |
1 |
|
10. |
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4-0 Sutures |
--- |
1 |
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11. |
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Moist Chambers (Eye Jars) |
--- |
2 |
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12. |
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Speculum |
--- |
1 |
|
01. |
|
S.S Tray(Small) |
--- |
1 |
|
02. |
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Spring Scissor |
--- |
1 |
|
03. |
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Castro-viejo Corneal Scissors
(L&R) |
--- |
1 (each) |
|
04. |
|
fixation forceps |
--- |
2 |
|
05. |
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Iris forceps |
--- |
1 |
|
06. |
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Spring Speculum |
--- |
1 |
|
07. |
|
Wire Speculum |
--- |
1 |
|
08. |
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B.P. Blade Handle |
--- |
1 |
|
09. |
|
Lens Spoon |
--- |
1 |
|
10. |
|
Surgical Blades (11 & 15) |
--- |
1 (each) |
|
01. |
|
S.S. Bowl with 4 Cotton Balls |
--- |
1 |
|
02. |
|
Sponge Holder |
--- |
1 |
|
03. |
|
Eye Towel |
--- |
1 |
|
04. |
|
Small Drapes |
--- |
4 |
|
05. |
|
Body Drape and Head Drape
|
--- |
1 (each) |
|
06. |
|
Gown |
--- |
1 |
| Strategies to Increase Eye Donation |
In the recently concluded IEBEP-2003 (Indian Eye Bankers Education
Program) held at L.V.Prasad Eye Institute on 14& 15th
February one of the topics for discussion was strategies to
increase eye donation and the discussion was conducted and
moderated by
Monty Montoya, Chief Executive Officer, Northwest
Lions Foundation for Sight & Hearing, Northwest Lions
Eye Bank, Seattle, Washington.
It was a lively discussion and generated tremendous interest
among the audience. All the participants involved themselves
actively in the discussion.
Mr. Monty Montoya asked the participants to suggest various
ways and means to increase eye donation.
The following are some of the suggestions from the participants:
Support from Local Celebrity
Support from Religious leader
Media Participation
Uniform Phone number
Professionalism in attending to eye donation calls. Better
availability of staff to attend to calls supported by peripheral
eye donation centers.
Awareness creation in rural areas
Involving youth
Increasing number of trained corneal surgeons
Publishing of recipient stories
Education and propaganda among hospital staff
Pro active legislation
Promotion through postal stamp
To include a line in death certificate so that certifying
physician has to seek the consent from close relatives of
the deceased before issue of death certificate
Networking of all eye banks
Pro active legislation like Presumed consent law
Family pledges promotion
Support from Police
Eliminate duplication and pool resources
Provide incentives for pledges
When put to vote, participants identified the following as
most effective tools:
|
1. |
|
Nation wide networking |
|
2. |
|
Training of hospital staff for HCRP |
|
3. |
|
Religious leader support |
| |
4. |
|
Media support |
|
5. |
|
Better availability of staff |
|
6. |
|
Unified phone no. |
When Mr. Monty Montoya exhorted the participants to further
narrow the choice the participants unanimously felt that a
nation wide networking of eye banks is a must followed by
comprehensive education of hospital staff for HCRP followed
by support from Religious leaders.
An interesting aspect about the participants is that they
were from all parts of the country. The outcome goes to show
that there is a convergence of views.
What remains is gradual evolution of a strong network of
eye banks and eye donation centers at various levels, working
towards elimination of duplication and pooling of resources
and educate the health care personnel coupled with Religious
leader's support.
We hope we would be able to discuss about the success of
such an initiative during the next IEBEP.
EBAI participated in a few exhibitions and also put up
a stall at National Games venues. Some of the photographs
are given below:
Eye Donation Fortnight Celebrations
Seventeenth Eye Donation Fortnight was observed from 25th
August to 8th September 2002 and the last day of the fortnight
was celebrated as Eye Donation Day.
Various Eye Banks, Voluntary organizations and NGO's all
over the country conducted various programs to popularize
eye donation and also to spread eye donation. Seminars, Talk
shows on Radio, television and cable tv network, rallies,
painting and essay competitions for school and college students
on eye donation, felicitation of eye donors, messages from
religious, political leaders during the fortnight, recorded
message on the telephone services etc were some of the campaigns
carried out by member eye banks and voluntary organizations.
Given below are some of the photographs of the various events:
Articles
An Unmatched Donation / Donate Eyes - Live Twice
Mrs. Jyoti Gurwara |
Donations are an essential part of our Indian culture. When
a person dies, his relatives donate monies food and the like
to ensure the peace of the departed soul. Religious agents
have taken the maximum advantage of this sentiment and belief
and have benefited materially from the same. The chautha (fourth
day), dasvi (tenth day), teharvi (thirteenth day) and the
anniversaries are celebrated in a grandiose way and the food
served is enjoyed by one and all in the name of the departed
soul. Uneducated and poor people are forced to borrow money
on heavy interest and perform these rituals because they fear
social boycott. Some actually believe that these rituals will
ensure the tranquility of the soul. The poor living souls
die a different kind of death, struggling to repay these debts.
The renowned Hindi writer Munshi Premchand wrote several stories
and novels based on this subject.
With better awareness and educational facilities, the situation
has changed slightly. However, the slight change is not enough.
Even today, highly educated people donate cows, land, gold,
grocery, clothes and other material things on the death of
their near and dear ones. Though the spirit of donation needs
to be appreciated, the significance of the donation is lost
if it is given to an undeserving person. But unfortunately,
that is what happens in most of the cases and those who receive
objects of desire without any effort on their part tend to
become lazy and inactive.
Why should one not go about donating in a more purposeful
manner?
|
1. |
|
Grocery could be donated to orphanages
/ old age homes where it is more needed and will be
appreciated. |
|
2. |
|
Bearing the expenses for education of
a poor but deserving student can be another manner in
which one could express the desire to donate. |
|
3. |
|
Books, furniture and other such objects
could be donated to educational institutes |
|
4. |
|
Trees can be planted to keep the memory
alive but also improve the environment and give shade. |
|
5. |
|
Fruits and medicines and the like can
be provided to the sick and needy in hospitals. |
Thus, there are many such ways through which donations can
be made in the memory of the dead. Though they are different
from the traditional rituals, they are more purposeful, effective,
meaningful and appreciated.
In this context there is another type of donation, which
is 'eye donation'. Generally, when a person dies, the last
rites are performed by either burning or burying the body.
Would it not be a pleasant feeling to know that the eyes
of your near and dear one, who is no more, can still see
and are alive in someone else's body? Would it also not
give you satisfaction that you have been able to convert
someone's life form a dark and dreary one into one full
of colour and form?
If others can utilize an otherwise perishable part of our
body in this way after we have died, why should we then
not take a step towards this universal good?
In India there are approximately 40 lakh people who suffer
from blindness due to some defect in the cornea. 60% of
such cases are found in children below the age of 12 years.
Cornea is a thin transparent layer on the eye ball. When
a person donates his eyes, a healthy cornea is transplanted
in the place of a sick cornea. This transplantation is possible
only If the dead person has previously arranged for donating
his eyes after death.
It is ironical that the number of deaths in India are much
higher than the number of such blind people. If every person
decides to donate his/her eyes after death, there shall
be no blind person left in this country.
There are a few myths about eye donation among certain people.
Some people think that if they donate their eyes, it will
leave holes in the place where their eyes existed. This
is not true. For the cornea transplant, the whole eye is
not removed. In fact only a small part of the centre of
the eyeball is removed. Externally, the appearance of the
face of the deceased remains the same.
Some other people are of the opinion that if they donate
their eyes in this life, they shall be born blind in the
next life. This also is not true. Re-incarnation is a popular
belief among hindu's but what proof is there of a next life?
Also, even if the same soul does take re-birth, how can
the same body be used when it has been burnt on a pyre and
the ashes have been immersed into a river? What about the
organs like the kidney, liver or uterus which has been removed
during this life due to a disease or a limb which has been
cut off due to an accident? Christians and muslims, anyway
do not believe in re-birth. Why then, do they not donate
their eyes for a higher purpose? Eye donation is truly a
good deed and a good deed always begets good.
Some people hesitate to donate eyes during their life worrying
about how their relatives will react. Such people should
keep in mind that a little resistance should not hinder
the good deed that one is performing. As the awareness of
eye donations increases and the myths are exploded, people
will understand that donating ones eyes is justified and
indeed is a good deed. Today, wise educated men appreciate
such an act and eye donors are applauded in newspapers.
That is the reason renowned people propound the idea of
eye donation on television too.
All religious institutions support eye donation and consider
it as one of the best donations a person can do.
If you want to donate your eyes after you die, the procedure
is a simple one. The telephone numbers of eye donation institutes
are available in telephone directories. Family members should
be made aware of your desire to donate eyes after you die.
If a person expires in a hospital, the hospital authorities
can ensure that eye donation (or for that matter any other
organ donation) can take place smoothly.
Imagine the blessing a person gets when the blind begins to
see. There is a long queue in every hospital where people
are waiting for some eye donor to donate eyes or other organs,
which can be transplanted.
To take the message of eye donation and organ donation
further, some such suggestions as given below could be followed.
|
1. |
|
Banners and posters can be displayed
at public places like cinema halls, bus stands, temples,
exhibitions clubs, schools etc. |
|
2. |
|
In hospital, the declaration form
filled in by the patients family members should have
columns / options on eye donation (and other organ donations) |
|
3. |
|
Lessons on organ donations should
be included in textbooks in schools and colleges. Declamations
and debates should be organized on this topic. |
| |
4. |
|
Students could be asked to collect
declaration forms from their relatives or even start
a door-to-door campaign for the same. |
|
5. |
|
Religious leaders and politicians
should be asked to promote the idea of eye and organ
donation. |
|
6. |
|
Famous personalities, religious people
and politicians should lead by example by making such
donations themselves. |
Always remember that eye donation is one of the greatest
donations that one can ever make.
And that is why a poet rightly wrote
"Eyes are a precious gift to man.
But the same eyes bring misery when misused or when they
are lost.
A wise man utilizes this gift while alive and on death too."
The author is Principal, Sherwood Public School, Punjagutta,
Hyderabad.
Eye donation in the defence services.
By Sandesh Sheth (Ex Major)
Synopsis: There are 10 million
blind people in India out of which about 4 million are corneally
blind. At least 50% of them can gain vision by means of
a corneal transplant. However inspite of a large population
we have not been able to root out the malady. The army with
its vast human resource potential and medical infrastructure
is capable of making a vast contribution. The author and
his Commanding OfficerCol.R.D.Deshmukh while being
posted in BEG & Centre, Roorkee motivated and collected
3000 pledges for eye donation from recruits. The aim was
to collect around 5000 pledges as a hallmark of the Bicentenary
Celebrations that were to be held in 2003. During this mission
they interacted with Eye Bank Association of India (EBAI).
Officials of EBAI interacted and conducted lectures in the
Regimental Centre. The feedback obtained during this drive
from the recruits was unbelievable. Every recruit was of
the opinion that once we are dead the best thing to gift
this world is our eyes.. This article is based on their
experiences and the feedback given by Eye Bank Association
of India (EBAI).
The Indian army with its large human resource pool and excellent
medical setup of hospitals catering to over 10 million serving,
retired and dependant patients can be the solution to uprooting
of this malady. This seemingly impossible job is feasible
because if the army is entrusted a job and given a free
hand it always succeeds.
The role of the defence services:
The army is the backbone of the country. It has always stood
as a rock and provided stability whenever the need has arisen.
The human resource is disciplined, educated and motivated.
They understand the importance and value of eye donation
Vision: To enable the army to
contribute to a very large extent in enabling donation of
eyes given its reach, infrastructure availability and motivated
personnel.
Mission: To create a pool of
motivated and informed volunteers for eye donation and make
the army hospitals as the pivot for cornea collections.
Strategy: The strategy is two
pronged. On one hand it is important to create awareness
about the need and importance of pledging eyes resulting
in a large base of potential eye donors. And on the other
hand creating a facility that can exploit the capability
of the army hospitals. The goal of the strategy is to synergise
the two prongs and make possible the translation of the
pledges into actual corneal donations.
Creation of potential eye donors:
There are two targets in focus. These are the ones who are
already serving in the army and those who will serve in
future. For the existing serving personnel it is necessary
to target the individual units. The best occasion for such
a collection drive is the Unit Raising Day. Nothing can
replicate the satisfaction and thrill of having enabled
the entire unit to pledge their eyes.
It is an ideal occasion to launch such a scheme. The Colonel
Commandants of the Corps can be the pivot and mast for all
such drives. He is the ideal authority for ensuring the
success of this mission. From him can flow the motivation
and interest that will urge the units to achieve results.
For those waiting to join army the Regimental Training Centres
are the best option. On the basis of the movement started
in BEG & Centre it is feasible to target the recruits
in the Basic Military phase of training (BMT phase).
Methodology:
Initiation of the project: The
most important aspect for the success of this venture is
the interest and enthusiasm of the senior most officer.
Top-level involvement is vital since it ensures the availability
of all resources and help to implement the mission.
Formation of a cell: An adhoc
team under an officer needs to be set up at company level
in the battalions. The aim of this team will be to interact
with the eye bank and form a nucleus for furtherance of
all plans. One officer, one JCO and a clerk can operate
the cell if ably supported by the company commanders. In
the training centres the training team under the Training
Officer can be responsible for the collection of pledges.
Stimulation of interest: The
units can contact the nearest eye bank. These eye banks
are eager to conduct lectures and slide shows to impart
knowledge and create awareness about eye donation. Posters
in all languages are available with them free of cost that
can be displayed in places of common interest. The posters
can be put up in places that include the WET canteen, the
recreation rooms, the motivation halls, the auditoriums
where movies are screened, during ladies welfare meets,
etc. The aim is to stimulate interest in the soldiers.
Appealing through religious teachers:
The role of the religious teachers is important. Through
the various parades they can impress on the people the need
to donate eyes upon death. In fact the reason for success
of this movement in Sri Lanka is that in Buddhism it is
considered very pious by the heads to donate eyes. In Egypt,
Saudi Arabia, Jordan, Pakistan, etc the religious heads
have passed 'Fatwaa' in support of the eye donation.
Pledging of eyes: Though forms
are printed by the eye banks there is no need to fill up
the form since it will entail a large amount of effort.
The EBAI has agreed to accept a nominal roll of personnel
if it is counter- signed by the individuals. This whole
nominal roll can be directly sent to the eye bank. This
will ensure that the donor cards are sent to the unit itself
rather than the home address of the individuals. The unit
can thereby monitor the progress of the movement.
Pledge cards attached to identity cards.
Every soldier has an identity card. The eye donation pledge
cards can be attached to this card. The same holds good
for ex-servicemen. It will be still better if the identity
cards can be modified so as to provide for some space for
recording the pledge for eye donation. For troops on active
duties the identity oval and round disc can be modified
to carry an imprint of the pledge.
Limitations of pledging.
Collecting Pledge cards- a limited
impact on actual procurement. It is not sufficient
to collect pledge cards. While such cards may be helpful
in creating awareness in favour of eye donations, their
effectiveness in getting the actual eye donations is generally
quite limited. Usually, so much time elapses between the
filling up of such a card and the occurrence of actual death
that in due course many people even forget having ever filled
up such a card. A pledge for eye donation from a young man
of say 20 years of age may not have any significant meaning
for the eye bank if his death were to take place 40 to 50
years later.
Enabling success. The motive
of collecting the pledges is manifold. The primary motive
is twofold, firstly it educates the soldiers on the need
and importance of eye donation and secondly it creates a
future support system that will be useful many years hence.
However this is not the end in itself. The goal is to target
the dependants of the soldier in which the parents occupy
the most important target group. Through the soldier we
are aiming at the parents who are in the age group of 50
years plus. They will be the actual contributors to this
whole scheme. Reaching them directly is very difficult.
Hence the need to create a network.
Networking: Assuming that each
soldier has both parents alive and in addition a grandparent
too, each pledge amounts to three pledges of potential immediate
donors and four to five pledges of his wife, brothers, sisters,
etc. The soldier while sent home on leave can carry a form
of the EBAI. This form has space for six names. It can be
attached to the leave certificate and handed over to the
individual. On his reporting back it can be collected and
dispatched to the eye bank.
Will it work? The essence of
the pudding lies in its eating. Mere pledging of eyes is
not sufficient unless it translates into actual donations.
This is where the hospitals play an important role of converting
the pledges into donations. The pledges are an attempt to
make the people aware but it is the hospitals that will
transform this awareness into reality. The deaths whenever
they occur will occur in the hospitals in case of trauma
victims or sudden deaths. The hospital is also aware of
the terminal patients and the elderly and aged who seek
treatment for various illnesses. It is here where the hospital
can make a difference.
Hospitals as a pivot. The services
have an excellent set up of hospitals all over the country.
The base and command hospitals basically cater to the referred
cases of serving personnel and the ex-servicemen and their
families. Many of these hospitals have an eye department
and an ophthalmologist on the panel. The hospitals can work
on two different levels. Firstly they can be the nucleus
of the eye donation campaigns since most of the donations
are expected to come from the likely donor patients admitted
in the hospital. Secondly they can act as Eye Donation Centers.
Level of cooperation. A full
fledged eye bank needs staff and facilities to collect eye
reliably on a 24 hour basis, the space and equipment to
test for AIDS and Hepatitis B contamination and the means
to transport them to eye surgeons on a first-come-first
served basis.
The simpler option is Eye Donation Centers (EDCs). EDCs
can be affiliated to the nearby eye banks and perform the
supporting role of extending the reach of eye banking facilities
to the defence community. It can focus on spreading eye
donation awareness, respond to telephone calls from donors,
motivate eye donation and send the collected tissue to the
parent eye bank for testing and distribution. All this is
possible in less costs and overheads.
Hospital Cornea Retrieval Programme:
This is a proactive programme initiated in some hospitals,
across the country, which has been found to be effective.
In this programme, a specially trained social worker, Grief
Counselor (GC) is positioned at a hospital round the clock
at the ICCUs, Trauma units, Nephrology centers, etc to build
up rapport with the attendants, staff and doctors. When
the death occurs, after the bereaved family has reconciled
itself to the tragic reality, the GC makes a sensitive request
for the donation of eyes. It has been found out by EBAI
that the success rate is good.
Role of Red Cross: Red Cross
members are posted in big hospitals. The duty of motivating
the admitted patients to pledge their eyes can be entrusted
to them. This will also add value to their jobs. To be able
to serve a noble purpose is a very satisfying prospect.
Involvement of the Commandant of the
Hospital: For the success of this project direct
interest and desire of the Commandant is of utmost importance
especially in the start up phase. Once the team is set up
monitoring the collection will be the top priority.
Conclusion:
It will be of interest to note that eye donation campaign
in our tiny neighboring country Sri Lanka has proved to
be so successful that besides catering to its own requirement,
the eyeballs are sent by it to several other countries.
Over the last quarter of the century it has flown over 21000
eyeballs to nearly 135 centres in the various countries
of the world. In USA the number of eye donations every year
exceeds one hundred thousand. In fact there is practically
no patient wait list as of today. India, which has almost
over one billion people, there should practically be no
requirement for any person to stay corneally blind. It is
within us. The army can take the centre stage. Till date
the total number of pledges in India are around eight hundred
thousand. The defence services can within themselves easily
contribute at least five million pledges. And it is quite
within our reach to translate these pledges into actual
corneal donations.
About the author: Sandesh
Sheth is an alumnus of NDA, Pune. He took premature retirement
on medical grounds after 11 years of service. He has served
in two CI tenures in addition to the duties in peace. Presently
he is pursuing his MBA studies. His interests are Total
Quality Management (TQM) and seeking new ideas and innovations
to improve the existing systems.
Acknowledgements: Col.R.D.Deshmukh, Commanding Officer,
BEG & Center, Roorkee
WHY MANY EYEBANKS ARE NOT PERFORMING?
(Ram Nath Prasad) |
The eye banks barring few have not been so successful. One
needs to find out the reason. In my opinion, what eye bank
lacks is leadership. Too much emphasis is given on technical/medical
part and in the process, the need for managerial leadership
is ignored. Very few eye banks realize that its success depends
on the vision and commitment on part of the management. The
things are left to doctors/ophthalmologists, who mostly concern
themselves with technical/medical part. Such a situation can
never trigger the growth of eye bank.
If the common masses are not aware, vigorous attempt must
be made to do so. Are we doing it? Organizing seminars/conferences
for select people do not solve the problem. Eye bank needs
committed full-time leader/manager repeat full-time leader/manager
who keeps the entire team motivated, go to schools/colleges/religious
gatherings and educate the people. Therefore, bring qualified
management professional to man the eye bank. Money must not
be a hurdle. Eye banks should make all efforts to find sponsors
who can take care of the remuneration/salary of their managers/staff.
Working in charity institutions does not mean free service.
It does not yield results. However, the salary package need
not be high but reasonable. If an MBA from a good institute
agrees to devote himself at charity institution, say eye bank,
at a salary, say Rs.12000/- a month, it should be considered
a reasonable compensation.
Also, the publicity by celebrities from film/sports does not
change the heart of the people. It has temporary effect only.
The followers of these celebrities may pledge but may not
commit to it. Instead, seek help from spiritual leaders. They
can have lasting impact on the minds of people because these
people have abilities to induce positive changes in one's
thoughts. Pledges by positive people will encourage others
to follow suit.
So, professional management with spirituality inbuilt into
it is the necessity of the day.
(The author is an alumnus of IIT Kharagpur. He is associated
with healthcare sector and contributes regularly to healthcare
journal- Express Healthcare Management. He can be reached
at
shpl_eye_ad1@sancharnet.in)
| Corneal transplant plagued by Human Organs
Act
|
| Reproduced from an article by Rita Dutta, Mumbai which appeared in Express Healthcare Management |
WHILE eye-donation in India needs that big push to bridge
the yawning gulf between demand
and supply of corneas, experts feel all efforts are futile
with the existing Transplantation of Human Organs Act, 1994.
Corneal transplant has been severely plagued by improper legislation.
It may be recalled that the first legislation with regard
to eye donation in India was enacted by the then Bombay state
under the name 'the Bombay Corneal grafting Act. 1957', which
was followed by several legislation in other states. To remove
the lacunae in the various legislation, Eye Bank Association
of India (EBAI), a registered body representative of all eye
banks in the country, founded in 1988 prepared the Corneal
Grafting Act 1991.
Jashwant Mehta, former president, EBAI recalls, "Overwhelmed
by the success of Maryland State, US in eye banking, EBAI
modeled the Corneal Grafting Act on the Maryland Act. Though
eye banking in India started in 1945, it went on a very sluggish
pace till late 80's as awareness level was poor and success
of corneal transplant was not more than 20 percent. We lobbied
vigorously to convince the Government to accept Corneal Grafting
Act. However the government felt it convenient to introduce
Transplantation of Human Organs Act, dealing a big blow to
eye-donation."
Experts feel that it is improper to include eye-donation in
the Organs Act as unlike organ donation which requires a live
donor, the donee to have anti rejection drug through out his
life-time, involves 'tissue matching', eye-donation is relatively
easy requiring a deceased donor, no tissue-matching and no
anti-rejection drug.
Experts deride the improper framing of "Presumed consent"
under section six in the Organs Act, which focuses on the
consent of the deceased than on the relatives. "Presumed
consent" as practiced in developed countries implies
that for medico legal cases unless there is a pre recorded
objection or an intimation of objection from the next of kin
deceased prior to his death, corneas can be removed as needed.
In the US, where the first eye bank was established in 1945,
the real momentum for growth of eye banking and keratoplasty
took place after the legislation included "Presumed consent"
in 1975. As against the total of 20,000 cornea transplants
performed in the US between 1961 and 1971, the number of transplants
touched a figure of 36,900 in 1988 as against 6,000 eye-donations
received in 1967, the figure jumped to 83,758 in 1987.
However, the Organs Act in India states that the person authorised
to remove cornea can perform provided that he is satisfied
that the deceased person had not expressed, before his death,
any objection to any of his human organs being used, for therapeutic
purposes."
This improper legislation has been denounced, as the wish
of the deceased donor has no relevance under law. It is the
consent of two relatives of the deceased, which enables the
person authorized to remove the cornea. "No eye-balls
could be collected under this improper legislation. This has
turned to be a huge loss as corneas received from medico-legal
cases constitute the most concentrated source of excellent
quality tissue from relatively young donors and it makes the
chief pathologist the pivotal figure in determining whether
the eye collection will succeeded or not. As compared to this
the quality of corneas procured from the dead body of a person
dying due to old age is generally poor as the endothelium
cell count, which is vital for a successful transplant especially
in the case of a penetrating graft deteriorates as the age
advances, explains Mr. Mehta.
While in the developed countries enucleation can be performed
by the dy chief or asst medical examiner as the case may be
(unless there is a pre-recorded objection of an intimation
of objection from the next of the kin of the deceased), in
India enucleation is restricted to only registered medical
practitioner. Rekha Mehta administrator, Eye Bank Co-ordination
and Research Centre (EBCRC), Mumbai says, "The limitation
of enucleation to only RMPs is an unwise decision as it is
difficult for a doctor to spend a minimum of two to three
hours for attending to a call for enucleation of corneas from
a dead body, in cases where the cornea is to be enucleated
at the residence of the deceased. Sometimes such calls may
be received at odd hours when it is impossible for a medical
practitioner to leave his practice and rush to the spot where
the dead body is lying for the purpose of enucleation."
Experts have also expressed dissatisfaction over the unavailability
of corneas of unclaimed body. Sec 5 (1) of the act provides
for removal of human organs including eyes from the dead body
only after 48 hours from the time of death. Sec 5 (2) of the
act further provides that the authority for the removal of
human organs including eyes cannot be given even after the
lapse of 48 hours after the occurrence of death if the person
is competent to give such authority has reasons to believe
that any relative of the deceased person is likely to claim
the body even after the lapse of 48 hours in question. Experts
feel this is a damaging provision as the cornea removed after
4 to 6 hours of death has no viability for the purpose of
transplant.
The scenario may change if the amendments to include "
Presumed consent" and "Required request" as
suggested by EBAI is approved by the Parliament. Experts feel
that with the amended act India can be on par with the US
where there is no dearth of corneas or even for that matter
Sri Lanka which apart from meeting its own demand flows eye
balls to nearly 135 cities. It is another story, however,
that the success rate of transplants are not more than 20
to 30 percent in states like Assam, West Bengal, Bihar and
other eastern part of India in the absence of processing centers.
"Ten years back the success rate of transplants in India
was dismal as we did not have any processing centre. Disturbed
by the poor success I met with Mr. Federick N Griffith , CEO,
International Federation of Eye Banks, US and what emerged
from the discussion was that US has attained 80 to 90 percent
success in transplant after opening processing centers,"
says Mr. Mehta. Though over the years around eight processing
centers have sprung up in India, the east is still deprived
of one. Experts say it is important to send the eyes for processing
before transplant as 80 percent of corneas are not fit for
transplant.
Reportedly, while the eastern states do not perform the necessary
blood test of the donor before enucleation, some hospital
authorities do not send the corneas for processing even if
a processing centre is not too far away. In the US where corneal
transplant comes under health insurance and the eye bank charges
are as much as 1.500$ all the corneas are processed. Perhaps,
India has to wait that long for health insurance to take corneal
transplant in its purview to usher in light in the world of
all the visually impaired.
| TRANSPLANTATION OF HUMAN
ORGANS ACT |
| Proposed amendments to give eye donation a shot in the arm
Reproduced from a article by Rita Dutta, Mumbai which appeared in Express Healthcare Management
|
'REQUIRED request' and 'Presumed consent' may soon be mandatory
on the part of the Hospital nursing home authorities under
the proposed amendment of Transplantation of Human Organs
Act, 1994. The amendment is expected to give a fillip to eye
donation, which continues to be gloomy even after the passage
of more than five decades since eye banking started in Chennai
in 1945 and the mushrooming of over 150 eye banks in India.
While 12 to 13 million people die every year only around 7,500
corneas are collected as against a demand of ten million people
who are blind, an estimated 25,000 to 30,000 people who are
added to this backlog each year and 20,000 cornea further
required for people whose corneas are damaged due to accidents.
The Bill has been approved by the ministry of law and ministry
of Health and Family Welfare. The initiative to amend the
Organ Transplant Act was taken by Eye Bank Association of
India (EBAI), a registered body representative of all eye
banks in India.
'Presumed consent' as practiced by European and Anglo-American
countries implies that for post-mortem cases unless there
is pre-recorded objection or an intimation of objection from
the next of kin deceased prior to the death, corneas can be
removed as needed. This is expected to boost eye collection,
as nine out of ten relatives do not record objections. The
amended Act would modify 'Presumed consent' under sec 6. In
the parent act the condition imposed on the person authorized
to perform e-nucleation is "provided that he is satisfied
that the deceased person has not expressed, before his death,
any objection to any of his human organs being used."
The amended act would state that the person authorized to
conduct the e-nucleation can do so "unless he has reason
to believe that the deceased had expressed before his death,
any objection to any of his human organs being used.
By 'Required request' it would be binding on hospital and
nursing home authorities to solicit eye donation from the
next of kin of patients in all cases of death. Hospitals like
P. D. Hinduja, R.N. Cooper and H.N. Hospital, which voluntarily
practice 'Required request', have achieved phenomenal success
by collecting 212, 133 and 226 eye balls respectively last
year.
The legislation would mainly tap corneas from government and
municipal hospitals, which show lukewarm response. "
Hospitals have the largest number of deaths and hence it provides
best potential to collect eye-balls. However, the disturbing
fact is that most of the hospitals do not evince much interest
in eye-collection. 90 percent of corneas are collected from
private eye banks," says Jashwant Mehta, former president
of Eye Bank Association of India.
The biggest failure is King Edward Memorial Hospital, Mumbai
which collected eight eye balls in 2001 with around 4,000
death annually and a cornea transplant ward run with qualified
doctors. Even Rajawadi hospital with only one eye ball and
JJ hospital with 17 eye balls collected last year fair miserably
in collection.
EBAI submitted a proposal to the government to include 'Presumed
consent', 'Required request', to enable trained officials
in eye-banking to perform e-nucleation and to collect eyes
of unclaimed bodies within six hours of the death in the amended
Act. 1994. After renewed lobbying EBAI convinced the ministry
of law and Ministry of Health and Family Welfare to include
only two of their proposals- 'Required request' and 'Presument
consent' in the amended Organs Act. "Like the US, India
would soon have no waiting list of patients, if the act comes
into force," says Mr. Mehta.
| Rajasthan Plus: Newspaper cutting to be scanned and printed. |
| Crusaders of Eye Donation |
Dr.B.Nirmala, HOD, Hindi, Maharani Science College, has motivated
more than 1000 students, colleagues, friends and associates
to pledge their eyes with Mysore Eye Bank and Research Center,
Mysore. She has earlier received the State's best NSS officer
award for the year1998-99 for her social service activities
and initiatives.
| Sampuran Singh : Newspaper cutting to be scanned and printed in this space. |
Mr. Vishwanath Bose : A motivated volunteer of eye
donation, has strenuously worked for the last five years in
staging over 300 shows named 'Aage Aana Hoga', all over the
country on his own, from Assam to Mumbai in Schools, Anathalayas,
Slums, Jails, Hospitals Street corners and Bazars about eye
donation & Vitamin "A" drops immunisation to
children.
We would like to congratulate Dr.Pronoti Sinha, Secretary,
Bihar Eye Bank Trust for the untiring efforts in making available
community eye care to the needy. January 2003 saw a new phase
of activity in the Bihar Eye Bank and Hospital (which is soon
to be renamed "Jharkhand Eye Bank, Hospital and research
Centre"). The Hospital has been running on a skeleton
staff almost wholly dependent on donations since August
2000. With meagre resources, the past two years had seen about
25 camps, 600 free cataract operations and 6 eyes transplanted
apart from school/institutional screenings for students. On
4th January, an ambulance was donated to the Hospital for
the transportation of rural patients by Sri C. P. Singh, M.
L. A. and Chief Whip, B.J.P. Financial support from abroad
has enabled the Trust to appoint Dr. D. N. Singh, who is trained
in cornea grafting, on a full time basis from 15 January 2003.
The Trust was fortunate to have a Visiting Specialist, Dr.
Sushant Sinha, CEO and Director, Macon County Eye Center and
Clinical Assistant Professor, Southern Illinois School of
Medicine, from 21 January to 12 February 2003. During this
time, 11 camps were held and about 150 cataract and other
operations were performed by the two doctors. Two of these
were on young people who had complications and could not see.
Operations restored sight to one eye at least. A boy of six
could not close his right eye due to facial burns - skin from
his chest was grafted on his eye to repair this fault.
We congratulate
Lion's Eye Bank Sirsa for their untiring efforts
in bringing out 'Anmol Nethra', month after month without
fail. Dr.Vinod Gupta informs us that about 2000 copies are
circulated to all the NGO's, Doctors, District Officials,
Schools, 318 Sarpanches of nearby villages, Higher Secondary
Schools and Colleges, District Blindness Control Society of
Punjab, Haryana and Himachal Pradesh and People of the town.
Dr.Vinod Gupta has also informed us that the present circulation
is being doubled to accommodate demands from various quarters.
Hemvin Industries, Vadodara has taken upon itself the
noble task of spreading awareness about body donation, eye
donation and blood donation by printing a message on their
envelopes in the best interests of the society. We had mentioned
about the initiatives taken by
Gujarat Cables and UTI Bank
to promote the cause of eye donation. This was in the
form of letterheads or /and the envelope carrying the message
of eye donation. The thought that thousands of people receive
this message was great and all without our seeking that support.
Mr.Percy Ghaswala, Managing Trustee, Ghaswala Vision Foundation,
Mumbai. He can be contacted by email:
percy@ghaswalafoundation.org
or www.ghaswalafoundation.org
The Editorial by Dr. Sunil Kumar Sah in Punarjyoti (May 2001-
June 2002) was long overdue and also lacked several critical
issues which are constantly raised by the community.
He rightly pointed out that while EBAI is taking big strides
at popularizing eye donation through celebrities, it did not
affect the "actual number" of eye balls collected
in reality. This also goes to show that the community is not
only aware about eye donation but has a few searching (rather
burning) questions for the eye banking fraternity. It is therefore
important for eye bankers like us to confront reality and
combat corneal blindness with a different approach.
"We Indians are too polite. I do not see the ability
to confront reality. We are afraid to confront our reality.
Our reality sucks. We do not care about improving the lives
of ordinary people. We get carried away by intellectual debates".
- Professor C. K. Prahalad, Harvey C. Fruehauf Professor of
Business Administration,
University of Michigan, Ann Arbor, USA. Founder, PRAJA Inc.
While the burden of eyeball collection from the deceased still
remains with the eye banks, the cost of eyeball processing,
surgery and hospitalization remains with the blind recipient
(barring government hospitals)--------and ironically yet remains
termed as an "eye donation". As a matter of fact,
the "loudest whisper" amongst social workers and
voluntary doctors- "eyes are donated to whom? ----Surgeon,
the eye bank, the hospital or the recipient",
Although, the final responsibility of technical performance
of any eye bank rests entirely with the Medical Director,
the performance of eye banks in the entire State of Maharashtra
is pathetic. According to a recent report from the Directorate
General of Health Services, a total number of 121 eye banks
are approved by the DGHS, MH State, out of which only 71 eye
banks submitted their report to DGHS for the period April
- July 2002. Out of 71 Eye banks who submitted their report
only 25 eye banks were found to
actually collect, store or perform Keratoplasty.
"Eye Donation" is a community effort and the number
of eyeballs collected will depend on the "accountability
and transparency' of the existing eye bank wherever it may
be. Networking is a much later step. "Faith" is
a virtue that can be easily understood by the literate as
well as illiterate class of our community and eye donation
will not occur until "their faith" is very firmly
routed in the cause.
" I am a big believer in forcing change on large institutions
for the sake of forcing change. The longer an organization
stays intact, the less successful it is"
- Louis Gerstner, Former Chairman & CEO, IBM Corp.
To achieve the goal of transparency and accountability, computerized
electronic enabled (e-enabled) eye banking is the need of
the hour. Information and Communication Technology (ICT) which
will not only make the entire system transparent and accountable
but will also provide a means to measure performance in real
time. This paperless system will prevent duplication of work
and records, enable timely analysis, generate reports and
also measure performance in real time so that corrective action
can be taken immediately. It is simply meaningless to report
an operational flaw in the system, which happened months or
years ago. This information will be available at any time
from anywhere. E-enabled eye banking will make the system
completely transparent and every eyeball collected will be
accounted for. The browser-based software can be initially
tested and used in one single eye bank as a stand-alone model
and later networked with eye banks throughout the country
and the globe.
The UNDP- Geneva, Digital Partners, USA, Azim Premji Foundation,
India, as well as many other organizations have started such
initiatives which help the local community benefit from ICTs.
For example, drishtee.com (that provides rural Internet access),
Gyandoot (extending e-governance services to villagers), SEWA
(the women's group from Gujarat) or SKS (Working in micro-credit)
in Andhra Pradesh. 'Gyandhoot' in Madhya Pradesh has received
the Stockholm Challenge Award for empowering villagers and
changing the socio-economic status with the help of ICT. Surely
eye banking has a lot to gain from ICT if implemented correctly.
The need of the hour therefore is "accountablility",
"transparency" and "measurement of performance
in real time" and not just awareness campaigns which
help in conveniently projecting unscrupulous operators and
manipulators as celebrities.
| Mr.Sunil Savla, Tarun Mitra Mandal: |
|
1) |
|
Archies Gallery has collaborated with
different organizations such as CRY, CARE etc., So why
don't we proceed to make collaboration with them as
this will give us nation wide platform. I also suggest
to send one sample of each card to EBAI members so that
they can show these cards to local dealers and promote
the cards. |
|
2) |
|
In Mumbai, our organization uses IGLOO
Ice Box (Made in USA) instead of Thermocole boxes for
safe transportation of eye balls. The same thing is
used all over USA and Europe as this is more sturdy
and handy than traditional thermocole boxes. I suggest
that all Eye Banks should try to get this box through
their contacts abroad. The cost of box in U.S.A is $5.
And also instead of ice, all eye banks should start
using ICE PACK which has got many advantages over traditional
ice - does not melt, reusable any number of times, maintains
temperature for 4 to 5 hours. The name is "Rubbermaid",
model no.1026 or Gutt Corporation, Kansas, model no.1080.
The cost of icepack is less than one dollar. Both IGLOO
ice box and ice pack are available at all grocery shops
all over USA. |
|
3) |
|
I suggest that suitable law be passed,
making it mandatory for every medical student undergoing
internship to attend one eye donation call during internship.
As a result every Doctor will become volunteer for Eye
Donation movement and wherever he / she starts practice
will promote eye donation to the families before certifying
a death. If this type of law is passed, in a short period
of time we will have surplus cornea in every eye bank.
|
| Mr. Suresh Guptan , Life member - EBAI, Mumbai ;
|
Additional points to be noted by Eye Banks / Eye Donation
Centers before sending applications for government grants
to get Non-Recurring Assistance of Rs.5.00 lakhs and Rs.50,000
respectively plus recurring grants of Rs.500 and Rs.250 per
eye collected respectively. These points are noted after seeing
faulty application forms being submitted to DGHS, Delhi:
|
1) |
|
All application forms must be accompanied
by a covering letter on the Eye Bank / Eye Donation
letters's official letterhead. |
|
2) |
|
Eye Banks cannot apply for grants unless they are registered by their respective State Health Ministries under the Human Organ Transplantation Act 1994. |
|
3) |
|
It is mandatory that even functioning
Eye Banks must be re-registered formally under this
Act. This involves a written application for such registration
under this Act to be made to respective State Health
Ministry, payment of Rs.1000/- fee for inspection, and
receipt of a certificate of registration. |
|
4) |
|
Eye Banks should make sure that their
2nd grant application copy forwarded to DGHS, New Delhi,
through their State Health Ministry, specifically mentions
that such registration under the 1994 Act has been recorded. |
|
5) |
|
Follow-up of grant applications at
Nirman Bhavan, Room 342-A, New Delhi, 110 001 can be
done over the phone with Mr.R.K.Sharma, Tel No.011 230
22200, Extension 2772 or Tel No. 011 230 14594. His
senior officer is Dr.Brij Bhushan, Asst Director General,
Room 453 A, Nirman Bhavan, New Delhi. |
Two PGDM students from T.A.Pai Management Institute as part
of their summer training project undertook Design and Development
of Membership Information System at Eye Bank Association of
India (EBAI), Hyderabad
|
|
Write-up on the Students: A.SivaPrakash
& A.Seshadri |
 |
|
|
| A.SivaPrakash, is PGDM student
of T.A.Pai Management Institute, Manipal. He holds an
engineering degree from P.S.G College of Technology,
Coimbatore and had been the college Secretary of National
Service Scheme (NSS) and has involved himself in a lot
of community activities and social services. During
his stint as secretary, he has organized various one
day and ten day camps for free medical and eye check-ups
at remote villages, cloth collection and distribution
to the poor, sanitation facilities etc. Subsequently,
he has worked at Kirloskar Systems Ltd., Bangalore for
two and a half years during which he had an opportunity
of getting trained at Toyota Motor Corporation, Japan.
His professional interests include TQM, Macroeconomic
Analysis, Systems Design and Improvement. His other
interests are in social and community services which
call for his professional and management capabilities.
|
|
 |
|
A.Seshadri completed B.Sc in Mathematics,
physics and chemistry in April 1999 from Osmania University.
On completion of GNIIT course from NIIT secunderabad,
he took up a job with NIIT as the network administrator.
After nearly 1 year of learning experience with NIIT,
he moved into GE-iProcess, where he was working as the
IT analyst in their helpdesk operations. He is currently
pursuing his PGDM at T.A.Pai Management Institute, Manipal.
Cartoons and sports form a major part of his hobbies. |
Eye Donation movement has become stronger through the contributions
of the following donors.
|
1. |
|
Y.Sambasiva Rao, Hyderabad |
|
2. |
|
Jagannath Padhy |
|
3. |
|
Priyadarshini Biswal, Calcutta |
| |
4. |
|
IDBI Bank, B. Hills, Hyderabad |
|
5. |
|
Shodana Laboratories Ltd., Hyderabad |
|
6. |
|
P.V.K. Engineer Pvt. Ltd., Hyderabad |
|
7. |
|
Vinkaps Products, Hyderabad |
|
8. |
|
Super Olefins Pvt. Ltd. |
|
9. |
|
M. G. Jhangiani, Mumbai |
|
10. |
|
H. Veer Kumar, Bangalore |
|
11. |
|
Allergan India Ltd., Bangalore |
|
12. |
|
Dr. K. Madhukar Reddy, Hyderabad |
|
13. |
|
P.K.Rath, Hyderabad |
|
14. |
|
Parage Agarwal |
We are being regularly supported by M/s.First Flight Couriers,
who have extended their valuable and professional services
to EBAI for the past few years. Any amount of praise would
seem less for the kind of service they have been providing
to us.
| Institutional Annual (Upto 31-03-2003) |
|
South Zone: |
|
Eye Bank, Guntur General Hospital, Guntur,
Netra Eye Bank, Tirupati, Malabar Eye Hospital and Research
Center, Calicut, Rotary Community Service Trust, Vuyyuru,
Krishna Hospital, Cuddalore, Vision Mission Eye Bank,
Chennai |
|
North Zone: |
|
Subhkarman Manav Seva Society, Mohali,
Lok Jagruti Sansthan, Jodhpur |
|
Central Zone: |
|
Bharat Vikas Parishad, Farukkabad, Navsrajan
Sansthan, Shahjahanpur, Man Pariwar Seva, Kanpur, Roshni
Eye Bank, Saharanpur, Jain Charitable Hospital, Saharanpur,
Department of Ophthalmology, LLRM Medical College, Meerut |
|
West Zone: |
|
Dhamecha Eye Hospital and Gokhani Eye
Bank, Porbandar |
|
East Zone: |
|
Sri Aurobindo Anusilan Society, P.O.Suri,
Birbhum, SMILE, Sonepur, Eye Bank Association of Orissa,
Bhubaneshwar, Suvendu Memorial Seva Pratisthan, Nadia,
W.B, |
| Institutional Life member (Upto March 31, 2003) : |
|
South Zone: |
|
Dr.Babus Eye Clinic & Phaco Surgery
Center, Payyanur, Father Mueller Medical College &
Hospital, Mangalore, Frontline Satellite Eye Hospital,
Chennai, Rajavalli Radharaman Lions Eye Hospital, Palakole,
Carewell Rotary Eye Collection Center, Kasaragod, Jaya
Hospitals, Hanamkonda, Khammam District Police Eye Bank,
Khammam, K.S.Hegde Medical Academy, Mangalore, Social
Welfare Institute of Mankind, Davanagere, Jai Mata Seva
Samithi, Hyderabad, D.B.C.S District Eye Hospital, Machilipatnam,
Rotary Eye Care center, Gudur, Lotus Eye Bank, Coimbatore |
|
North Zone: |
|
Eye Bank Society of Rajasthan, Jaipur,
Kangra District Red Cross Society, Dharmashala (H.P),
Dera Sacha Sauda, Sirsa |
|
Central Zone: |
|
SRMS Eye Bank, Bareilly, Jaunpur Eye Welfare
Society, Jaunpur |
|
West Zone: |
|
The Sathaye Foundation Trust, Jam Nagar,
Dr.Sushila Nayar Eye Bank, Sewagram, R.N.C.Free Eye
Hospital Eye Bank, Valsad, Divya Jyot Eye Bank, Dahanu
Road, Ghaswala Vision Foundation, Mumbai, Samsan Vyausta
Samiti Eye Bank, Jamnagar, Andh Apang Manav Kalyan Society,
Mandvi, Kutch, Shree Dombivli Manav Kalyan Kendra, Thane, |
|
East Zone: |
|
Netaji Eye Hospital, Ramachandrapur Ashram
P.O, Dist.Purulia, |
Corporate Member
South Zone: IDBI Bank Limited |
| Individual Life Member (Upto 31-03-2003) |
|
South Zone: |
|
Shri.Bobby Gabriel, Amalapuram, Dr.A.M.Murali
Krishnamachary, Hyderabad, Dr.M.Vanathi, Chennai, Dr.Elankumaran.P,
Bangalore, Penmetsa Subba Raju, Jinnuru |
|
North Zone: |
|
Shri.J.D.Rawtani, Delhi, Dr.Sunil Gupta,
Jaipur, Dr.Jaswinder Pal Singh Sodhi, Patiala, Ms.Tanuja
Joshi, Delhi |
|
Central Zone: |
|
Mohd.Rezwan Khan, Shahjahanpur, Hafeezuddin
Khan, Shahjahanpur, Dr.T.T.Prasad, Ballia, Rajesh Kapoor,
Gopigunj, Bhadohi Dist, Dharmendra Saxena, Shahjahanpur,
Jitendra Saxena, Shahjahanpur, Dr.Vishnu Prakash Mishra,
Budaun City, U.P, Dr.Kumar Niranjan, Chandauli, U.P,
Dr.Vandana Mishra, Lucknow, Dr.Deepak Kumar, Varanasi,
Ramesh Paigwar, Jabalpur, Dr.Sunil Kumar Sah, Varanasi |
|
West Zone: |
|
Mr.Kaluram Bhansali, Thane, Dr.Uma.R.Pradhan,
Sholapur, Dr.Sangita Wagh, Pune, Mrs.Sushila N Sirur,
Pune, Dr.Mrs.Sudha P Kankaria, Rtn Surendra Kapur, Mumbai,
Dr.Divyang N Patel, Ahmedabad, Dr.M.A.Killedar, Sangli,
Dr.Shriram Bhakhare, Satara, Dr.Mitali N Garg, Surat,
Dr.Nitin K Garg, Surat |
|
East Zone: |
|
Mr.Bikramjit Singh Rohel, Siliguri, Priyadarshini
Biswal, Kolkatta, Vivek Kumar Singh, Kolkatta, Dr.Samar
K Basak, Barrackpore, Dr.Sujata Das, Berhampur, Subrat
Nanda, Angul |
| Individual Annual Member (Upto 31-03-2003)
|
|
South Zone: |
|
Mr.Sajish Verghese Mathai, Ernakulam,
Mr.Sadasivan, Aluwa, Veer Kumar, Bangalore, S.Ganesan,
Tiruvarur, Ln.Dr.V.Narasimha Reddy, Warangal, T.Roshid,
Tellichery, Ln.Dr.K.Pandarinath, Warangal, Ln.Dr.T.Jothendranath,
Warangal, Mr.T.L.N.Murthy, Hyderabad, Basavaraj Akki,
Bagalkot, Purnima S Nair, Kottayam, Dr.C.V Andrews Kakkanati,
Trichur, P.Narasimhaiah, Tadipatri, Dr.K.nagaraju, Repalle,
Guntur, JC HGF K.V.Prasad, Gudivada, B.Chiranjeevi Reddy,
Hyderabad, P.C.Obul Reddy, Hyderabad, R.P.Raghuram,
Bangalore |
|
North Zone: |
|
Mr.Sachin Davar, Hoshiarpur, Mr.Vikram
Singh Rawat, Rampur, H.P, Mr.Gurpreet Singh, Kapurthala,
Mr.Naseem Ahmed Siddiqui, Rae Bareilly, Robert, Jullundhur,
Dr.Ravi, Faridkot, Meenakshi Soni, Gurgaon, Deepak Khurana,
Kapurthala, Gaurav Gupta, Chandigarh, Virendra Pal Singh,
Rai Singh Nagar, Navin Kumar Bhather, Jodhpur, Dr.Ramnath,
New Delhi, Dr.Anil Batra, Baran, |
|
Central Zone: |
|
Mr.Vinod Kumar Agrawal, Philibit, Mr.Gajendra
Kashyap, Ferozabad, Mr.Vineet Kumar Verma, Farukkabad,
Mr.A.B.Chattopadhyay, Bhopal, Vishnu Narayan Arora,
Farukkabad, Amit Bharadwaj, Nainital, Ajay Kumar Mourya,
Champa, Chhatisgarh, Vijay Kumar Mourya, Champa, Chhatisgarh,
Dr.Urmila Kharpure, Chhindwara, Pratibha Jain, Tundla,
Neeraj Oswal, Ganj Basoda, Prabhat Srivastava, Farukkabad,
Krishna Kumar Gupta, Chhatisgarh, Vijay Kumar Pal, Lucknow,
Jeetendra Kumar Verma, Budaun, Vinod Mani gautam, Shahjahanpur,
Ashish Kumar Shrivas, Raipur, Dr.Prakash Gupta, Jhansi,
Satyam Bansal, Ghaziabad, Moyank Gupta, Ghaziabad |
|
West Zone: |
|
Mr.Rajesh Nahata, Surat, Jain Pradeep
Uttam Chand, Dhule, Mr.Chintamani, Mumbai, Manoj Bansilal
Gujarathi, Aurangabad, Alex Verghese, Kalyan, Vijay
Patel, Jalgaon, Arjun R Sondarva, Gandhinagar, Adv.manoj
Gajanan Pande, Nagpur, Dr.Santosh Bhide, Pune, |
|
East Zone: |
|
Mr.Jagannath Padhy, Bhubaneshwar, Mr.Ujwal
Kumar Nayak, Dhanbad, Jharkhand, Dr.Shyamal Gupta, Kolkatta,
Sudesh Chand Sharma, Shillong, Rabindranath Nath Routray,
Bhubaneshwar, Om Ladia, Kolkatta, Ajay Kumar Bhootra,
Kolkatta Balaji Pradhan, Khurda, Pradeep Kumar Daimary,
Udalguri, Assam, Anand Kumar, Malda, Amit Kumar Aggrawal,
Bhubaneshwar, |
Foreign Members - Individual Life
Ms.Soumi Sinha, Kuwait, Bachitter Choudhary, Dubai
|
It has come to our notice that the logo of EBAI is being printed
by the member eye banks. While we appreciate the enthusiasm
and the motive behind it, we would like to draw everyone's
attention to the fact that the logo is protected by copyright
laws. The logo's size, the color and the message at the bottom
have been specially designed.
It is also of great concern that the design and size are changed
to suit the users' requirements. Copying of the logo without
a written permission / consent from the Eye Bank Association
of India headquarters, Hyderabad, and/or distortion in the
reproduction of the same, are tantamount to violation of the
copyright laws.
|
Back Cover |
|
16 cm x 16 cm |
|
Rs.15000/- |
|
Inside First / Last Cover |
|
21 cm x 16 cm |
|
Rs.10000/- |
|
Full Page B/W |
|
21 cm x 16 cm |
|
Rs.7000/- |
|
Half Page B/W |
|
21 cm x 8 cm |
|
Rs.3500/- |
|
Quarter Page |
|
11.5 cm x 8 cm |
|
Rs.2000/- |
Scheme for assistance to eye banks
and eye donation centers in voluntary sector
|
(a) |
|
Condition for eligibility: |
|
|
|
| 1. |
|
It must be registered
under the Society's Registration Act of 1860 or
any other statute. |
| 2. |
|
It should be non-governmental
and should not be run for profit to any individual
or group of individuals. |
| 3. |
|
Its work and financial
position should be satisfactory and it should
not be involved in any corrupt practices. |
| 4. |
|
The eye bank (EB) should
be recognized by Eye Bank Association of India. |
| 5. |
|
It should have its
own infrastructure to carry out the eye bank activities
as indicated in the enclosed application form. |
| 6. |
|
The eye donation centre
(EDC)/eye bank (EB) should have good track record
in terms of eye collection which should not be
less than 25/50 eyes per year, respectively. |
| 7. |
|
The organization should
have the necessary minimum staff as mentioned
below: |
|
|
|
|
|
|
EDC |
|
EB |
|
a. |
|
Panel of honorary ophthalmic
surgeons |
--- |
-- |
|
1 |
|
b. |
|
Ophthalmic technician |
--- |
1 |
|
1 |
|
c. |
|
Social Worker cum Health Educator |
--- |
1 |
|
1 |
|
d. |
|
d. Driver cum Projectionist |
--- |
1 |
|
2 |
Note: For seeking financial Assistance for Eye Bank from Government
of India, the application (Annexure - A) fulfilling all the
above mentioned conditions should be routed through the State
Health Department.
|
(b) |
|
Pattern of Assistance |
|
|
|
| (I) |
|
EYE BANK |
| a. |
|
Non
Recurring Assistance: Non recurring assistance
upto Rs.5.00 lakhs for the setting up / strengthening
of eye banks. Non-recurring expenditure may be
incurred on the following items: |
|
|
| S.No. |
|
Item |
| 1. |
|
Vehicle |
| 2. |
|
Refrigerator |
| 3. |
|
Enucleation Set |
| 4. |
|
Containers for
corneal set |
| 5. |
|
Corneal sets |
| 6. |
|
Autoclave |
| 7. |
|
Slide Film Projector
(Portable) or any other Electronic media
for Health Education activities. |
| 8. |
|
Slit Lamp Microscope |
| 9. |
|
Laminar Flow |
| 10. |
|
Operating Microscope |
|
|
|
|
| b. |
|
Recurring
Assistance: Recurring Assistance @ Rs.500/-
per eye collected may be incurred on the following
items. |
|
|
| 1. |
|
Preservation
Material (like MK Media) for preserving
donor eyes. |
| 2. |
|
Payment of Honorarium
to Surgeon, technician, social worker, etc. |
| 3. |
|
Expenditure on
transportation/POL, maintenance of vehicles
etc. when used for collection of eyes. |
| 4. |
|
Rent of telephones |
| 5. |
|
Other expenses
such as laying of wreaths, garlands, stone
eyes etc. |
|
|
The sanctioned grant-in-aid has to be utilized for the purpose
for which it was sanctioned and in case the amount is not
utilized by the Eye Bank according to the Government of India's
Guidelines, the same amount is required to be refunded to
Government of India. Only after the receipt of unspent balance,
the further recurring grants-in-aid will be released to the
Eye Bank.
|
|
|
| (II) |
|
EYE DONATION CENTRES |
| a. |
|
Non Recurring Assistance: Non Recurring Assistance up to Rs.50,000 for
development of Eye Donation Centre subject to the condition that minimum
25 eyes are collected in a year. Non-recurring expenditure may be incurred
on the following items:
|
|
|
| S.No. |
|
Item |
| 1. |
|
Refrigerator |
| 2. |
|
Enucleation Kit |
| 3. |
|
Containers for
corneal sets |
| 4. |
|
Corneal sets |
| 5. |
|
Autoclave |
| 6. |
|
Film Projector
with slides/strips (portable) or any other
Electronic media for Health Education activities
|
|
|
|
|
| b. |
|
Recurring
Assistance: Recurring assistance @Rs.250 per eye collected may be incurred on the following items. |
|
|
| 1. |
|
Preservation
Material (like MK Media) for preserving
donor eyes. |
| 2. |
|
Payment of Honorarium
to Surgeon, technician, social worker, etc. |
| 3. |
|
Expenditure on
transportation/POL, maintenance of vehicles
etc. when used for collection of eyes. |
| 4. |
|
Rent of telephones |
| 5. |
|
Other expenses
such as laying of wreaths, garlands, stone
eyes etc. |
|
|
