Corneal transplantation: the fine line between donor shortage and tissue quality

The aim was to assess, whether there was an association between recorded donor characteristics such as endothelial cell density (ECD), age and sex, and endothelial graft failure and rejection. In response to this problem, England recently switched to an opt-out organ donation policy aiming to close...

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Published in:BMJ open ophthalmology Vol. 7; no. 1; p. e001046
Main Authors: Steger, Bernhard, Kaye, Stephen B, Romano, Vito
Format: Journal Article
Language:English
Published: England BMJ Publishing Group Ltd 01.08.2022
BMJ Publishing Group LTD
BMJ Publishing Group
Subjects:
Age
Blood & organ donations
Cornea
Corneal Transplantation
Coronaviruses
COVID-19
Editorial
Eye surgery
Humans
Ophthalmology
Pandemics
Shortages
Tissue Donors
United Kingdom > UK
United States > US
Italy
Cornea
ISSN:2397-3269, 2397-3269
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Abstract The aim was to assess, whether there was an association between recorded donor characteristics such as endothelial cell density (ECD), age and sex, and endothelial graft failure and rejection. In response to this problem, England recently switched to an opt-out organ donation policy aiming to close the annual gap of approximately 1500 corneas, despite importing tissue from the USA and European Union (EU).10 However, the effect of this step remains to be quantified, being temporarily masked by a relative donor shortage due to Brexit and the aftermath of the COVID-19 pandemic, which significantly affected eye bank donor cornea procurement on a global scale.11 In addition, compared with other eye bank systems, such as in USA or Italy, the postmortem times such as death to retrieval, retrieval to processing and processing to issue may be skewed to being longer in the UK. The findings reported in this issue should push eye banks to try to keep improving postmortem times, and also to push basic science research into looking for novel, alternative ways to measure the true heath of endothelial cells as well as improving their health to increase graft survival.
AbstractList The aim was to assess, whether there was an association between recorded donor characteristics such as endothelial cell density (ECD), age and sex, and endothelial graft failure and rejection. In response to this problem, England recently switched to an opt-out organ donation policy aiming to close the annual gap of approximately 1500 corneas, despite importing tissue from the USA and European Union (EU).10 However, the effect of this step remains to be quantified, being temporarily masked by a relative donor shortage due to Brexit and the aftermath of the COVID-19 pandemic, which significantly affected eye bank donor cornea procurement on a global scale.11 In addition, compared with other eye bank systems, such as in USA or Italy, the postmortem times such as death to retrieval, retrieval to processing and processing to issue may be skewed to being longer in the UK. The findings reported in this issue should push eye banks to try to keep improving postmortem times, and also to push basic science research into looking for novel, alternative ways to measure the true heath of endothelial cells as well as improving their health to increase graft survival.
Author Kaye, Stephen B
Romano, Vito
Steger, Bernhard
AuthorAffiliation 2 Department of Eye and Vision Science , University of Liverpool , Liverpool , UK
3 Department of Ophthalmology , University of Brescia , Brescia , Italy
1 Department of Ophthalmology , Medizinische Universitat Innsbruck , Innsbruck , Austria
AuthorAffiliation_xml – name: 3 Department of Ophthalmology , University of Brescia , Brescia , Italy
– name: 2 Department of Eye and Vision Science , University of Liverpool , Liverpool , UK
– name: 1 Department of Ophthalmology , Medizinische Universitat Innsbruck , Innsbruck , Austria
Author_xml – sequence: 1
  givenname: Bernhard
  orcidid: 0000-0002-5316-4661
  surname: Steger
  fullname: Steger, Bernhard
  email: bernhard@steger.tirol
  organization: Department of Ophthalmology, Medizinische Universitat Innsbruck, Innsbruck, Austria
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  organization: Department of Eye and Vision Science, University of Liverpool, Liverpool, UK
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  givenname: Vito
  surname: Romano
  fullname: Romano, Vito
  organization: Department of Ophthalmology, University of Brescia, Brescia, Italy
BackLink https://www.ncbi.nlm.nih.gov/pubmed/36161834$$D View this record in MEDLINE/PubMed
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Cites_doi 10.1016/j.ajo.2016.07.019
10.1093/bja/aer398
10.1016/S0140-6736(19)31099-2
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10.1097/ICO.0b013e31812f66e5
10.1167/iovs.13-13386
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Issue 1
Keywords Cornea
Language English
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Snippet The aim was to assess, whether there was an association between recorded donor characteristics such as endothelial cell density (ECD), age and sex, and...
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SubjectTerms Age
Blood & organ donations
Cornea
Corneal Transplantation
Coronaviruses
COVID-19
Editorial
Eye surgery
Humans
Ophthalmology
Pandemics
Shortages
Tissue Donors
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Title Corneal transplantation: the fine line between donor shortage and tissue quality
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