DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20194975

Awareness and post counselling acceptance of eye donation in a tertiary care centre in Northern Kerala

Latha N. V., Ponny J. Kumar, Praveena K. K., Risha Ravendran

Abstract


Background: Corneal diseases are among the major cause of vision loss and blindness in the world today. Corneal transplantation remains the mainstay of treatment. Hence creation of awareness carries paramount importance. Aim of this study is to assess the awareness about eye donation amongst attendants of deceased patients, their willingness to donate eyes and the reasons for poor donation rate. To assess the efficacy of grief counselling by Eye Donation Counsellor (EDC), its impact on the conversion rate

Methods: A prospective hospital based study was done in 135 participants (guardians of deceased subjects) admitted in intensive care units, from June 2017 to June 2018. Counsellor accompanied with a junior resident would first screen the cases. Relatives of suitable cases were approached and counselled in a systematic manner following a standard interview pattern. Responses were noted in a predesigned proforma.

Results: Among 618 deceased cases 135 potential donors were identified.57.8% next of kin were aware of the concept of eye donation, but 42.2% were not. After counselling, willingness for eye donation was seen in 54.1%, others refused. Among 57.8% kin who were aware, 51.3% gave consent. Prior knowledge of eye donation, literacy and socioeconomic status did not have any significant influence on willingness. Counselling was found to be the best method to facilitate eye donation.

Conclusions: An active counselling by eye donation counsellor is the main factor which is responsible for eye donation.


Keywords


Awareness, Counselling, Eye donation, Unwillingness, Willingness

Full Text:

PDF

References


Causes of blindness and visual impairment. Available at: http://www.who.int/blindness/causes/ en. Accessed on 20 March 2017.

Verma R, Khanna P, Prinja S, Rajput M, Arora V. The national programme for control of blindness in india. Austral Medi J. 2011;4(1):1-3.

Dandona R, Dandona L. Corneal blindness in a southern Indian population: need for health promotion strategies. British J Ophthalmol. 2003;87(2):133-41.

National Programme for Control of Blindness. Available at: http://pbhealth.gov.in/pdf/Blindness.pdf. Accessed on April 17, 2016.

Krishnaiah S, Kovai V, Nutheti R, Shamanna BR, Thomas R, Rao GN. Awareness of eye donation in the rural population of India. Comm Eye Car. 2004;52(1):73-8.

Sharma B, Shrivastava U, Kumar K, Baghel R, Khan F, Kulkarni S. Eye donation awareness and conversion rate in hospital cornea retrieval programme in a tertiary hospital of central india. J Clinic Diag Res. 2017;11(8):NC12-5.

Tandon R, Verma K, Vanathi M, Pandey RM, Vajpayee RB. Factors affecting eye donation from post-mortem cases in a tertiary care hospital. Corn. 2004;23:597-601.

Bhandary S, Khanna R, Rao K, Rao L, Lingam K, Binu V. Eye donation awareness and willingness among attendants of patients at various clinics in Melaka, Malaysia. Ind J Ophthalmol. 2011;59(1):41-5.

Lawlor M, Kerridge I, Ankeny R Dobbins TA. Specific unwillingness to donate eyes: the impact of disfigurement, knowledge and procurement on corneal donation. Am J Trans. 2010;10(3):657-63.

Randhawa G. An exploratory study examining the influence of religion on attitudes towards organ donation among the Asian population in Luton UK. Nephr Dia Trans. 1998;13:1949-54.

Gatrad AR. Muslim customs surrounding death, bereavement, post-mortem examination and organ transplants. BMJ. 1994;309:521-3.

Alkhawari FS, Stimson GV, Warrens AN. Attitudes toward transplantation in UK Muslim Indo-Asians in West London. Am J Trans. 2005;5:1326-31.

Randhawa G. An exploratory study examining the influence of religion on attitudes towards organ donation among the Asian population in Luton UK. Nephr Dia Trans. 1998;13:1949-54.