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眼库服务的升级与现代化:将传统与创新政策及当前最佳实践相结合。

Upgradation and modernization of eye banking services: Integrating tradition with innovative policies and current best practices.

作者信息

Tandon Radhika, Singh Archita, Gupta Noopur, Vanathi M, Gupta Vivek

机构信息

Cornea, Cataract and Refractive Surgery Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Department of Community Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Ophthalmol. 2017 Feb;65(2):109-115. doi: 10.4103/ijo.IJO_862_16.

Abstract

PURPOSE

The purpose of this study is to review the history and evolution of the National Eye Bank (NEB) and analyze the impact over the years and report the outcome of the invested resources.

METHODS

Review of archival material, records, project reports, policy and procedures' manuals, and publications was done. Descriptive and analytical processing of data obtained was undertaken. Parameters evaluated included total collection, transplantation, utilization rates of donor cornea, changing trends over time in terms of numbers and duration of recipients waiting, impactful research translated into changes in standard operating protocols, new facilities, and subsequent effects on numbers or quality assurance measures and overview of major achievements. Periodic situational analysis with contextual relevance and interpretation of outcomes was done pertaining to national goals and international standards.

RESULTS

The NEB and cornea services have played a key leadership role in furthering the development of eye banking and corneal transplantation services. The contribution extends beyond routine patient care to education, training, generation of resources, advocacy, and policymaking. In quantifiable terms, the overall performance has steadily increased over the years. Major contributions include training of doctors, eye bank staff and corneal surgeons, introduction of innovative techniques for corneal transplantation, setting of national standards for eye banking and provision of preservation media, customized corneal, and ocular surface cell replacement therapy in collaboration with other departments and institutes.

CONCLUSION

The eye banking and corneal transplantation facilities have evolved with time providing quality services, modernized as appropriate with updated knowledge and incorporating technological advances supported by the systematic evidence-based approach.

摘要

目的

本研究旨在回顾国家眼库(NEB)的历史与发展历程,分析多年来的影响,并报告所投入资源的成果。

方法

查阅档案材料、记录、项目报告、政策与程序手册以及出版物。对所获得的数据进行描述性和分析性处理。评估的参数包括总采集量、移植量、供体角膜利用率、受体等待人数和等待时长随时间的变化趋势、转化为标准操作流程变化的有影响力的研究、新设施以及对数量或质量保证措施的后续影响,以及主要成就概述。针对国家目标和国际标准进行了具有背景相关性的定期形势分析和结果解读。

结果

国家眼库和角膜服务在推动眼库及角膜移植服务发展方面发挥了关键的领导作用。其贡献不仅限于常规患者护理,还涵盖教育、培训、资源生成、宣传和政策制定。从可量化的角度来看,多年来整体表现稳步提升。主要贡献包括培训医生、眼库工作人员和角膜外科医生,引入角膜移植创新技术,制定眼库国家标准并提供保存介质、定制角膜以及与其他部门和机构合作开展眼表细胞替代疗法。

结论

眼库和角膜移植设施随着时间的推移不断发展,提供优质服务,根据最新知识进行适当现代化,并在系统的循证方法支持下融入技术进步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9471/5381288/2364541c6919/IJO-65-109-g001.jpg

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