2013 - ISODP 2013 Congress

Mini-Oral 4 on Creating Change

11.2 - Corneal donation, when 1 + 1 = 3

Presenter: Andrew, Young, Melbourne, Australia
Authors: Andrew Young, Prema Finn, Graeme Pollock, Kelly Rogerson

“Corneal donation, when 1 + 1 = 3”

Andrew Young1, Prema Finn, Graeme Pollock, Kelly Rogerson1

1DonateLife Victoria, Melbourne, Australia

Body of abstract

Corneal donation is an important transplant procedure which restores eyesight to people with severally effected vision. The value of a solid organ donor in facilitating this for a number of transplant recipients will be a focus of this presentation. Our focus is on the initial setting where a gentleman died as a result of a severe neurological injury. His family were approached and consent to the donation of his eye tissue for the purpose of both research and transplantation.

The donation highlights how the generosity of the families’ consent led to a successful donation outcome for 5 recipients related to this eye tissue alone. This included 3 recipients who required urgent corneal transplants and 2 recipients who received scleral transplants.

Relevant details which will be covered include;

  • why there were 3 recipients
  • how 2 corneas were able to be donated to 3 recipients
  • recipient outcome
  • informing the family of this outcome
  • family opinion of this outcome
  • long term recipient outcomes
  • learnings for donor coordinators and Lions scientists and surgeons

The surgical technicality/techniques of obtaining 3 transplants from a single cornea will be discussed, highlighting the use of both the anterior and posterior keraoplasty from a single cornea.

This outcome resulted in improved quality of life for these 3 corneal recipients. All cases were deemed emergencies/urgent cases, with tight associated time frames which is unusual for this type of transplantation. Two of these recipients had severely impaired vision while the third recipient had suffered an acute eye injury. This recipient was at significant risk of losing his eyesight without this precious transplant. His surgery went extremely well and the risk of him losing his eyesight was averted by this corneal transplant. 

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