Li Gavin, Mathews Priya M, Ramulu Priyanka K, Cui David, Fogla Rajesh, Lin Michael X, Akpek Esen K
Keratoplasty Alliance International, Baltimore, Maryland, USA.
The Ocular Surface Disease Clinic, The Wilmer Eye Institute, Johns Hopkins University School of Medicine, 1800 Orleans Street, Woods 372, Baltimore, Maryland, USA.
Int Ophthalmol. 2025 Jan 20;45(1):27. doi: 10.1007/s10792-024-03398-x.
There is currently no systematic method of assessing limitations in performing corneal transplantation. The purpose of the study was to identify the limitations of performing corneal transplantation in India.
Cross-sectional survey study.
A total of 148 members of the Cornea Society of India.
A survey tool was developed to identify region-specific barriers to performing corneal transplantation. The survey was edited by a marketing firm and reviewed and approved by 4 of the participating corneal surgeons in India. The electronic survey was distributed nationwide to members of the Cornea Society of India between January 1, 2021 and July 1, 2021. Participants were asked to rate the difficulty or ease of 11 predetermined steps/variables of the corneal transplantation process using a Likert scale.
One hundred forty-eight practicing cornea surgeons participated in the survey (21% response rate). The most common barrier was difficulty with finding donors who fulfilled the screening criteria for transplantation (55%). The second most common barrier was patient/family willingness to donate organs (32%). The third most common barrier was the inability to store tissue after it was prepared by the eye bank (20%). The two variables least commonly identified as barriers were operating room staff availability and using the donor tissue before expiration.
The greatest barrier to corneal transplantation in India was finding donors who fulfilled screening criteria. Additional studies into the contributing factors are underway to inform governing bodies on resource allocation to enhance procurement of quality donor tissues.
目前尚无评估角膜移植手术局限性的系统方法。本研究的目的是确定在印度进行角膜移植手术的局限性。
横断面调查研究。
印度角膜协会的148名成员。
开发了一种调查工具，以确定角膜移植手术中特定区域的障碍。该调查由一家营销公司编辑，并由印度4名参与调查的角膜外科医生进行审查和批准。电子调查于2021年1月1日至2021年7月1日在全国范围内分发给印度角膜协会的成员。参与者被要求使用李克特量表对角膜移植过程中11个预先确定的步骤/变量的难易程度进行评分。
148名执业角膜外科医生参与了调查（回复率为21%）。最常见的障碍是难以找到符合移植筛查标准的供体（55%）。第二常见的障碍是患者/家属捐赠器官的意愿（32%）。第三常见的障碍是眼库制备组织后无法储存（20%）。最不常被视为障碍的两个变量是手术室工作人员的可用性和在供体组织过期前使用。
在印度，角膜移植的最大障碍是找到符合筛查标准的供体。正在对促成因素进行进一步研究，以便为管理机构提供资源分配方面的信息，以加强优质供体组织的采购。
