Donor cornea tissue in cases of drowning or water submersion: eye banks practice patterns and tissue outcomes

Cell and Tissue Banking
Nithya P VijayakumarMaria A Woodward

Abstract

Surgical use of donor corneal tissue from victims of water submersion (drowning or submersion secondary to death) remains controversial due to limited evidence about the quality of these tissues. To assess the safety of donor corneal tissue from victims of water submersion, an investigation of eye banks' practice patterns and tissue outcomes was conducted. All 79 Eye Bank Association of America accredited eye banks were contacted for a phone interview of practices regarding tissue from victims of water submersion. A retrospective review of corneal tissues from 2014 to 2016 from a large eye bank network was performed to identify all donors submerged in water. Corneal epithelial integrity, endothelial cell density (ECD), rim cultures, and adverse events were analyzed for associations with water submersion characteristics. 49 eye banks (62% response) participated in the survey. 55% of these eye banks had specific, written protocol for tissue eligibility from donors submerged in water. With or without specific protocol, eye banks reported considering water type (84%) and length of time submerged (92%) to determine eligibility. 22% of eye banks reported medical director involvement when eligibility determination was unclear. 79 tiss...Continue Reading

References

Jul 1, 1995·Cornea·T D LindquistD M Oiland
May 19, 2010·Transplant International : Official Journal of the European Society for Organ Transplantation·Konrad HoetzeneckerWalter Klepetko
Aug 20, 2014·The Annals of Thoracic Surgery·Bryan A WhitsonJonathan D'Cunha
Feb 3, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·S-H KimD-J Han

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