Martin Dominique E, Kelly Richard, Jones Gary L A, Machin Heather, Pollock Graeme A
*School of Medicine, Deakin University, Geelong, Australia; †St Vincent's Hospital, Melbourne, Australia; ‡Veneto Eye Bank Foundation, Zelarino-Venice, Italy; §Lions Eye Donation Service, Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital; and ¶Ophthalmology, Department of Surgery, University of Melbourne, Melbourne, Australia.
Cornea. 2017 Feb;36(2):252-257. doi: 10.1097/ICO.0000000000001090.
To review ethical issues that may arise in the setting of transnational eye banking activities, such as when exporting or importing corneal tissue for transplantation.
A principle-based normative analysis of potential common dilemmas in transnational eye banking activities was performed.
Transnational activities in eye banking, like those in other fields involving procurement and use of medical products of human origin, may present a number of ethical issues for policy makers and professionals. Key ethical concerns include the potential impact of export or import activities on self-sufficiency of corneal tissue supply within exporting and importing countries; potential disclosure requirements when obtaining consent or authorization for ocular tissue donation when donations may be exported; and difficulties inherent in assuring equity in the allocation of tissues available for export and in establishing and respecting standards of safety and quality across different jurisdictions.
Further analysis of specific ethical issues in eye banking is necessary to inform development of guidelines and other governance tools that will assist policy makers and professionals to support ethical practice.
回顾跨国眼库活动中可能出现的伦理问题，例如在角膜组织进出口用于移植时出现的问题。
对跨国眼库活动中潜在的常见困境进行基于原则的规范性分析。
眼库的跨国活动，与其他涉及人类源医疗产品采购和使用的领域一样，可能给政策制定者和专业人员带来一些伦理问题。关键的伦理问题包括进出口活动对进出口国家角膜组织供应自给自足的潜在影响；当捐赠可能用于出口时，在获得眼部组织捐赠的同意或授权时的潜在披露要求；以及在确保出口可用组织分配公平以及在不同司法管辖区建立和遵守安全与质量标准方面存在的固有困难。
有必要进一步分析眼库中的具体伦理问题，以为制定指导方针和其他治理工具提供参考，这些工具将帮助政策制定者和专业人员支持符合伦理的做法。
