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Arq Bras Oftalmol. 2018 Jan-Feb;81(1):73-79. doi: 10.5935/0004-2749.20180017.

Eye bank procedures: donor selection criteria.

Author information

1
Departamento de Oftalmologia, Faculdade de Medicina, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
2
Banco de Olhos do Hospital das Clinicas da Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil.

Abstract

Eye banks use sterile procedures to manipulate the eye, antiseptic measures for ocular surface decontamination, and rigorous criteria for donor selection to minimize the possibility of disease transmission due to corneal grafting. Donor selection focuses on analysis of medical records and specific post-mortem serological tests. To guide and standardize procedures, eye bank associations and government agencies provide lists of absolute and relative contraindications for use of the tissue based on donor health history. These lists are guardians of the Hippocratic principle "primum non nocere." However, each transplantation carries risk of transmission of potentially harmful agents to the recipient. The aim of the procedures is not to eliminate risk, but limit it to a reasonable level. The balance between safety and corneal availability needs to be maintained by exercising prudence without disproportionate rigor.

PMID:
29538600
DOI:
10.5935/0004-2749.20180017
[Indexed for MEDLINE]
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