Eye Donation

How to donate eyes?

What are the steps involved for donating eyes ?

Yes – the procedure is very simple !!

A very simple procedure which can be implemented anywhere.

  • Call 1919 (all over India) or the nearest eye bank.
  • Keep the Death Certificate ready.
  • Close the eye lids. Cover the closed lids with moist cotton.
  • Switch off the fan (switch on the air-conditioner, if any).
  • Raise the donor’s head by six inches by placing a pillow underneath the head.

Social & Ethical Questions

  • Donation – What does it mean ? : Gift, benefaction, charity, grant, beneficence, alms, contribution.
  • Eye Donation – what does it mean ? : When eyes of the deceased are removed for the purpose of restoring vision to the corneally blind recipient (at no cost to the recipient), it is termed as an eye donation

What is an eye bank ?

An eye bank is the link between the donor and the recipient as well as the eye surgeon. It is also the center for dissemination of accurate information to the public.It is an organization recognized by the Government to collect, process, evaluate, screen and distribute human tissue (corneas) to those who require transplants. An eye bank is usually a public charitable trust with several income tax exemptions (80G, 35AC and FCRA) given specifically to collect public funds for the purpose of a noble cause.

Why do blind recipients “pay” huge amounts of money to receive “sight” when it is termed as an Eye Donation (in the city of Mumbai) ?

Although 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 yet remains termed ironically as an “eye donation”

This is mainly because eye banking is neither looked upon as a specialised medical fraternity nor as a noble function but as a mere social cause meant only to enhance social credibility. Eye banking is controlled by politics and eye banks are run by architects, lawyers, chartered accountants and ophthalmic surgeons with vested interests (mainly in the city of Mumbai) …. anyone except professional eye bankers. In other words, eye donation has been commercialised in a very subtle way.

Is there any organisation which promotes the concept of “true gift of sight” ?

Yes. Autonomous public charitable trusts such as Tarun Mitra Mandal, Mumbai and the Ghaswala Vision Foundation, Mumbai, India promote the concept of a “true gift of sight” by covering the cost of surgery, surgeons fees, cost of hospitalisation, etc.

What is the role of the Government of India ?

The Director of Health Services (Ophthalmology) has certified several eye banks for eye ball, collection, processing and cornea grafting. Together with Eye Bank Association of India, Hyderabad, the Government has laid down clear procedures to run an eye bank in terms of collection and processing. There are a few eye banks in India who have also received recognition from the International Federation of Eye & Tissue Banks, Baltimore, USA.

What is the role of the community ?

Sufficient awareness for eye donation has been created in the past 25 years. A latent desire to help is present amongst a wide majority of the literate as well as the illiterate class of people in India. However, incorrect and inadequate information has lead to poor response from the community.
For example, the eye bank needs to have an information desk or a public relations personnel who encourages the public to participate in this noble cause instead of giving hostile answers to random callers.
Secondly, the General practitioners and para medical staff play a pivotal role in encouraging the concept of eye donation but unfortunately a large majority are themselves ill informed.

What is the need of the hour ?

Community awareness and participation to bring about “accountability and transparency” in the field of eye banking.

Can Information Technology create accountability and transparency ?

Yes. Any kind of banking is sure to benefit with the help of Information Technology… and India being an IT super power can contribute not only to our country but globally by successfully implementing “online eye banking”.

What is “online eye banking” ?

In brief, the entire process of eye ball collection, processing, distribution and cornea grafting (surgery) goes paperless and there after the analysis can be performed across several parameters not only for one particular eye bank but eye banks across the country or the globe. Online eye banking fulfills two extremely important functions (i) provides complete transparency and accountability (ii) measures performance of any individual eye bank in real time.

General Questions :

Anyone can be a donor irrespective of age, sex, blood group, religion, caste or creed.

No. There is no need to fill a Donor Card anyone may do so if it helps to spread the message of eye donation.

Eyes of the deceased cannot be removed without the explicit written permission of next of kin in India unlike other countries. Hence it is important to spread the message of eye donation every single day of your life and keep your near and dear ones informed of your wishes.

Yes. All religious faiths support this vital sight restoration program.

No. The removal of the eyes does not produce disfigurement nor does it interfere with the customary funeral arrangement.

Technical Questions :

No. Only the thin transparent layer in front of the iris, called the cornea is used for transplant.

Corneas do not have any direct blood supply so the risk of rejection is very low. Rejection, if they occur, can be suppressed by timely medication.

No. Both these conditions relate to the lens of the eye and not the cornea.

Corneas do not have any direct blood supply so the risk of rejection is very low. Rejection, if they occur, can be suppressed by timely medication.

Trained eye bank technicians and ophthalmic surgeons decide the usefulness of collected eye balls. Cornea of persons suffering from AIDS, jaundice, rabies, tetanus, septicemia, and viral diseases are considered unfit for grafting.

Even donor with these condition can donate their eyes.

After the eyes are removed, they are processed, evaluated, screened using blood tests and then given to the eye surgeon for transplant/cornea grafting.

Corneas that, for technical reasons, are not used for vision restoring corneal transplant, are invaluable for research.

No. Transplants only help when the loss of sight is solely due to corneal defect and the rest of the eye’s mechanism is intact.

The eyes should be removed from the donor and sent to the processing centre as soon as possible in order to avoid deterioration of the cornea. The ideal time frame is 3-4 hours from the “time of death to cornea preservation”. If the cornea is not placed in preservative media within “7 hours” from the time of death, it was found unsuitable for optical keratoplasty (cornea grafting done for restoring vision) according to research conducted by Eye Bank Coordination & Research Center, Mumbai, India and Santa Lucia International Eye Bank of Manila, Philippines. However, corneas from young donors deteriorate at a slower rate.

On the other hand, direct cornea removal from the donor if the preferred method of eye donation in most countries.

No. Eyebanks have personnel who will come to the donor’s home and remove the eyes. The procedure takes about 30-40 minutes.