Download (Lions Eye Bank at Albany) is a private non

Joann Beach, MA, CEBT
Manager of Hospital Development
Sight Society of NENY
Lions Eye Bank at Albany
Restoring sight since 1952
Mission
The Sight Society of Northeastern New
York (Lions Eye Bank at Albany) is a
private non-profit organization
dedicated to providing ocular tissue for
transplantation, medical education and
research.
Sight Society of NENY
• The World’s First Lions Eye
• Provide corneas and sclera for
transplant – worldwide.
• Service area 29 Counties in New
York State and 1 County in
Massachusetts.
• We work in collaboration with MTF –
Musculoskeletal Transplant Foundation
and CDT – Center for Donation &
Transplant
How prevalent is corneal
transplantation?
• One of the most frequently performed human
transplant procedures.
• Since 1961
– more than 700,000 corneal transplants have been
performed, restoring sight to men, women, and
children ranging in age from 9 days to 103 years.
• 2014
– LEBA restored sight to over 350 people
• Over 90% of all corneal transplant operations
successfully restore the recipient's vision.
"Ok, were ready for the donor cornea ... Oh,
very good. I see we once again have a good
selection"
Governance
• Licensed by the New York State
Department of Health (NYSDOH)
• Certified by the Eye Bank Association
of America (EBAA)
• Registered with the Food and Drug
Administration (FDA)
Laws Regarding Donation
• 1998 CMS “Final Rule”
• To meet the Center for Medicaid and Medicare
Service’s Condition of Participation (CoP).
• All deaths and imminent deaths must be reported
to the federally designated Organ Procurement
Organization (OPO) to ascertain medical suitability.
• Only trained Designated Requestors will be
allowed to offer the option of eye, organ and tissue
donation to families.
Referrals
• Shared organ or tissue case we are
notified by CDT/MTF of a consented
case
• Patients ruled out for tissue donation
are passed to the eye bank.
• You will receive a call back from Lions
Eye Bank at Albany to review for donor
suitability
HIPAA Regulations
Federal Register/Vol.65, No.250
Thursday, December 28, 2000
Rules and Regulations, pp.82816
• Part 164.512(h) Uses and disclosures for which consent, an
authorization, or opportunity to agree or object is not required.
Uses and disclosures for cadaveric organ, eye, or tissue
donation purposes. A covered entity may use or disclose
protected health information to organ procurement
organizations or other entities engaging in the procurement,
banking, or transplantation of cadaveric organs, eyes, or tissue
for the purpose of facilitating organ, eye, or tissue donation
and transplantation.
What we need
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Name, age, sex of patient
Date & time of death
Cause of death, admitting Dx
Pertinent Medical History
Ventilated?
Next of Kin information
What we are looking for
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Sepsis – documented
Infectious - contagious
Autoimmune diseases
Documented neurological disease
Who can be a donor?
• Age - 1 to 70 (transplant)
– Any age for research/education
– History of cataracts, poor eyesight,
diabetes, glaucoma or cancer will not
prevent you from being a donor.
What Can Be Donated?
• Cornea

Transplant
• Whole globe

Medical Research
– Sclera
– Stem Cell

Medical Education
Recovery & Preservation
• Recovery of the cornea must be
performed within 12-18 hours after
death has been declared.
• Preservation solution: Optisol GS
Recovery - Location
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Hospital Room/Bedside
Morgue
Operating Room
Funeral Home – transplant only
Recovery
 Trained eye bank technicians – full time/per
diem
 Transportation of eye tissue – by eye bank
staff or the New York State Police
Distribution of Donated Eye Tissue
Viable for transplant up to 14 days
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Emergency
Local Surgeons
New York State
United States
The World
• Why would someone need a
cornea transplant?
Focusing element of the eye
Healthy Cornea
Damaged Cornea
Corneal blindness
– a disorder that results from the cornea
becoming clouded making a person
unable to see.
– This condition can result from a
variety of diseases, injury or infection.
Corneal Transplant
Traditional Transplant - Full
thickness
The Future of Cornea Transplants
• DESEK: Eye bank staff to perform
cutting edge tissue preparations.
• Advantages of DSEK:
– More rapid recovery
– Shorter procedure for patients
– Contact lenses or strong glasses are less
likely to be necessary – no sutures
– Less risk of rejection
Corneal Transplant Surgery
• KPRO
– Artificial Cornea
– Used after 2 or more failed grafts
Medical Research & Education
Locally Supported Research
Locally Supported Research
• Surgical Techniques and suturing
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RPK
PKP
EK
DMEK
• Dry Eye Syndrome
Family Aftercare Support
• Facilitate correspondence between
donor family and recipients
• Education about grief and mourning
• Opportunities to honor and/or
memorialize their family member:
Donor Memorial Service, Remembrance
Quilts
• Opportunities to participate in
community events
On behalf of all of those waiting
or who have received an organ
or tissue transplant
Thank you!