Corneal transplantation and eye banking practices during COVID-19-related lockdown period in India from a network of tertiary eye care centers.
Identifieur interne : 000F92 ( Main/Corpus ); précédent : 000F91; suivant : 000F93Corneal transplantation and eye banking practices during COVID-19-related lockdown period in India from a network of tertiary eye care centers.
Auteurs : Arvind Roy ; Sujata Das ; Sunita Chaurasia ; Merle Fernandes ; Somasheila MurthySource :
- Indian journal of ophthalmology [ 1998-3689 ] ; 2020.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Child (MeSH), Corneal Diseases (surgery), Corneal Transplantation (methods), Coronavirus Infections (transmission), Disease Transmission, Infectious (prevention & control), Eye Banks (methods), Eye Banks (statistics & numerical data), Female (MeSH), Humans (MeSH), India (epidemiology), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (transmission), Practice Guidelines as Topic (MeSH), Quarantine (statistics & numerical data), SARS-CoV-2 (MeSH), Tertiary Care Centers (MeSH), Tissue Donors (supply & distribution).
- MESH :
- geographic , epidemiology : India.
- methods : Corneal Transplantation, Eye Banks.
- prevention & control : Disease Transmission, Infectious.
- statistics & numerical data : Eye Banks, Quarantine.
- supply & distribution : Tissue Donors.
- surgery : Corneal Diseases.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Adolescent, Adult, Aged, Betacoronavirus, COVID-19, Child, Female, Humans, Male, Middle Aged, Pandemics, Practice Guidelines as Topic, SARS-CoV-2, Tertiary Care Centers.
Abstract
Purpose
The purpose of this study was to discuss the guidelines and modification of practices with respect to corneal transplantation and eye banking during the COVID-19 pandemic lockdown period and beyond, at a network of tertiary care centers in India.
Methods
Descriptive study of the challenges faced in eye banking during the lockdown, and practices adopted to overcome the critical aspects in the clinical care of patients who presented with emergency corneal diseases requiring keratoplasty.
Results
Complete lockdown orders from the Indian government, as a strategy to control the Coronavirus pandemic, resulted in drastic reduction of all types of elective corneal transplants and eye banking activities from March 24, 2020 to May 31, 2020. The sudden cessation of eye banking resulted in an acute demand and supply imbalance of fresh donor corneas for transplants during this time. Our network of eye banks addressed this issue by adopting glycerol preservation of donor corneas, which were subsequently utilized for tectonic penetrating keratoplasty. The donor cornea retrieval was resumed in a strategized manner 3 weeks prior to the date of exit of the lockdown, with modified guidelines on donor suitability, screening, retrieval, processing, and harvesting from various sources. A triage of keratoplasty priority was formulated to tide over the post lockdown shortage of corneas. We performed 31 therapeutic keratoplasties during the nationwide lockdown among our network of tertiary eye care centers.
Conclusion
The study highlights the approach and strategies to manage and tide over an unprecedented crisis situation faced by corneal surgeons in general and, specifically, the eye banking community.
DOI: 10.4103/ijo.IJO_2258_20
PubMed: 33120619
PubMed Central: PMC7774160
Links to Exploration step
pubmed:33120619Le document en format XML
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Eye Institute, Hyderabad, Telangana, India.</nlm:affiliation></affiliation></author><author><name sortKey="Fernandes, Merle" sort="Fernandes, Merle" uniqKey="Fernandes M" first="Merle" last="Fernandes">Merle Fernandes</name><affiliation><nlm:affiliation>Cornea and Anterior Segment Services, L V Prasad Eye Institute, Vishakapatnam, Andhra Pradesh, India.</nlm:affiliation></affiliation></author><author><name sortKey="Murthy, Somasheila" sort="Murthy, Somasheila" uniqKey="Murthy S" first="Somasheila" last="Murthy">Somasheila Murthy</name><affiliation><nlm:affiliation>Cornea and Anterior Segment Services, L V Prasad Eye Institute, Hyderabad, Telangana, India.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33120619</idno><idno type="pmid">33120619</idno><idno type="doi">10.4103/ijo.IJO_2258_20</idno><idno type="pmc">PMC7774160</idno><idno 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uniqKey="Chaurasia S" first="Sunita" last="Chaurasia">Sunita Chaurasia</name><affiliation><nlm:affiliation>Cornea and Anterior Segment Services, L V Prasad Eye Institute, Hyderabad, Telangana, India.</nlm:affiliation></affiliation></author><author><name sortKey="Fernandes, Merle" sort="Fernandes, Merle" uniqKey="Fernandes M" first="Merle" last="Fernandes">Merle Fernandes</name><affiliation><nlm:affiliation>Cornea and Anterior Segment Services, L V Prasad Eye Institute, Vishakapatnam, Andhra Pradesh, India.</nlm:affiliation></affiliation></author><author><name sortKey="Murthy, Somasheila" sort="Murthy, Somasheila" uniqKey="Murthy S" first="Somasheila" last="Murthy">Somasheila Murthy</name><affiliation><nlm:affiliation>Cornea and Anterior Segment Services, L V Prasad Eye Institute, Hyderabad, Telangana, India.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Indian journal of ophthalmology</title><idno type="eISSN">1998-3689</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>COVID-19 (MeSH)</term><term>Child (MeSH)</term><term>Corneal Diseases (surgery)</term><term>Corneal Transplantation (methods)</term><term>Coronavirus Infections (transmission)</term><term>Disease Transmission, Infectious (prevention & control)</term><term>Eye Banks (methods)</term><term>Eye Banks (statistics & numerical data)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>India (epidemiology)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (transmission)</term><term>Practice Guidelines as Topic (MeSH)</term><term>Quarantine (statistics & numerical data)</term><term>SARS-CoV-2 (MeSH)</term><term>Tertiary Care Centers (MeSH)</term><term>Tissue Donors (supply & distribution)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>India</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Corneal Transplantation</term><term>Eye Banks</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Disease Transmission, Infectious</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Eye Banks</term><term>Quarantine</term></keywords><keywords scheme="MESH" qualifier="supply & distribution" xml:lang="en"><term>Tissue Donors</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Corneal Diseases</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Betacoronavirus</term><term>COVID-19</term><term>Child</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Practice Guidelines as Topic</term><term>SARS-CoV-2</term><term>Tertiary Care Centers</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Purpose</b></p><p>The purpose of this study was to discuss the guidelines and modification of practices with respect to corneal transplantation and eye banking during the COVID-19 pandemic lockdown period and beyond, at a network of tertiary care centers in India.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>Descriptive study of the challenges faced in eye banking during the lockdown, and practices adopted to overcome the critical aspects in the clinical care of patients who presented with emergency corneal diseases requiring keratoplasty.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Complete lockdown orders from the Indian government, as a strategy to control the Coronavirus pandemic, resulted in drastic reduction of all types of elective corneal transplants and eye banking activities from March 24, 2020 to May 31, 2020. The sudden cessation of eye banking resulted in an acute demand and supply imbalance of fresh donor corneas for transplants during this time. Our network of eye banks addressed this issue by adopting glycerol preservation of donor corneas, which were subsequently utilized for tectonic penetrating keratoplasty. The donor cornea retrieval was resumed in a strategized manner 3 weeks prior to the date of exit of the lockdown, with modified guidelines on donor suitability, screening, retrieval, processing, and harvesting from various sources. A triage of keratoplasty priority was formulated to tide over the post lockdown shortage of corneas. We performed 31 therapeutic keratoplasties during the nationwide lockdown among our network of tertiary eye care centers.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>The study highlights the approach and strategies to manage and tide over an unprecedented crisis situation faced by corneal surgeons in general and, specifically, the eye banking community.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">33120619</PMID><DateCompleted><Year>2020</Year><Month>11</Month><Day>06</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>11</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1998-3689</ISSN><JournalIssue CitedMedium="Internet"><Volume>68</Volume><Issue>11</Issue><PubDate><Year>2020</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Indian journal of ophthalmology</Title><ISOAbbreviation>Indian J Ophthalmol</ISOAbbreviation></Journal><ArticleTitle>Corneal transplantation and eye banking practices during COVID-19-related lockdown period in India from a network of tertiary eye care centers.</ArticleTitle><Pagination><MedlinePgn>2368-2371</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/ijo.IJO_2258_20</ELocationID><Abstract><AbstractText Label="Purpose" NlmCategory="UNASSIGNED">The purpose of this study was to discuss the guidelines and modification of practices with respect to corneal transplantation and eye banking during the COVID-19 pandemic lockdown period and beyond, at a network of tertiary care centers in India.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">Descriptive study of the challenges faced in eye banking during the lockdown, and practices adopted to overcome the critical aspects in the clinical care of patients who presented with emergency corneal diseases requiring keratoplasty.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Complete lockdown orders from the Indian government, as a strategy to control the Coronavirus pandemic, resulted in drastic reduction of all types of elective corneal transplants and eye banking activities from March 24, 2020 to May 31, 2020. The sudden cessation of eye banking resulted in an acute demand and supply imbalance of fresh donor corneas for transplants during this time. Our network of eye banks addressed this issue by adopting glycerol preservation of donor corneas, which were subsequently utilized for tectonic penetrating keratoplasty. The donor cornea retrieval was resumed in a strategized manner 3 weeks prior to the date of exit of the lockdown, with modified guidelines on donor suitability, screening, retrieval, processing, and harvesting from various sources. A triage of keratoplasty priority was formulated to tide over the post lockdown shortage of corneas. We performed 31 therapeutic keratoplasties during the nationwide lockdown among our network of tertiary eye care centers.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">The study highlights the approach and strategies to manage and tide over an unprecedented crisis situation faced by corneal surgeons in general and, specifically, the eye banking community.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Roy</LastName><ForeName>Arvind</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Cornea and Anterior Segment Services, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Das</LastName><ForeName>Sujata</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cornea and Anterior Segment Services, L V Prasad Eye Institute, Bhubaneswar, Odisha, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chaurasia</LastName><ForeName>Sunita</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cornea and Anterior Segment Services, L V Prasad Eye Institute, Hyderabad, Telangana, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fernandes</LastName><ForeName>Merle</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Cornea and Anterior Segment Services, L V Prasad Eye Institute, Vishakapatnam, Andhra Pradesh, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Murthy</LastName><ForeName>Somasheila</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cornea and Anterior Segment Services, L V Prasad Eye Institute, Hyderabad, Telangana, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal 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