My opinion of Lasik surgery of the eye is that is it very useful for the right people. The best way to find a surgeon is talking to patients who've had the surgery or learning about the surgeon's experience both with Lasik and in ophthalmology in general. The patient needs to be careful that the surgeon they pick counsels them and examines them before surgery and after surgery.
In some circumstances patients are "co-managed. If you are in such a situation, you should know the financial arrangements to be sure that the co-manager is compensated appropriately and that you are not being led to surgery only for someone else's profit.
A corneal transplant is successful if it remains clear. Success rate is usually determined at one, two, and five years. The best success rate in one year will be 98 percent clear corneas and is usually in patients with keratoconus or other corneal dystrophies.
Over time, success rates drop, so that at five years, this group would be 90 percent clear. For all grafts, success rates are typically percent in one year and percent in five years, but that includes patients who are less than ideal candidates or who have problems that involve the peripheral cornea. These patients have a higher rate of corneal rejection. The first thing about becoming a donor is to tell your family. In every state it is a matter of eye bank policy that the family will be asked whether the patient wished to be a donor, even if you have signed an advance directive.
When you go to the driver's license bureau in many states, you can sign a card stating that you wish to donate. The card will allow you to specify whether you wish to donate your eyes or your organs or other tissues. If you wish to donate then of course you should sign the card, but the most important thing is to tell your family and close friends about your desire to help even after you're gone.
In some states, if you die and the circumstances involve the medical examiner, such as in a car accident, then the medical examiner can authorize donation, but nowadays, every attempt is made to find your family or close friends to find out what your wishes were. So the best thing is to always tell your family. If you have questions about donation, you can contact the eye bank in your area or the organ procurement organization, sometimes called OPO or OPA, for your region.
They can provide further information. In Iowa, you can sign up through the Iowa Donor Registry on the internet. The principal things that disallow you to be a donor are things that would be regarded as unsafe for people who collect the tissue. This would include obvious conditions such as HIV positive status or AIDS, severe infectious problems such as sepsis or hepatitis that is active, which would be unsafe for technicians.
The concern would be transmission of these diseases to both the technician through a needle stick or to a recipient of the transplant. There are other more rare conditions such as rabies, which the eye banks and the eye bank technicians will be aware of, but the general public would probably not know about.
Every donor has their medical history screened prior to being accepted and having the tissue recovered. The tissue can be used for research and possibly for new forms of deep endothelial corneal transplant.
Anyone who's had Lasik, PRK, RK or other corneal surgeries except for cataract surgery cannot be a donor for typical transplant purposes. There are two concerns: The first is the new shape for the cornea will be incorrect for the new recipient. The second is these prior surgeries may keep the donor cornea from surviving the next surgery or transplantation. The healthy posterior portions of donor cornea can be used for this new procedure, DLEK Deep Lamellar Endothelial Keratoplasty that helps people with swollen corneas from cataract surgery or Fuchs Dystrophy.
Consumer designation has been successful because it raises awareness of the public to the need for both tissue and organ transplantation. By raising the awareness, we make it possible for more people to become donors by asking their families. One law passed in the last year has required all hospitals to notify their regional organ procurement organizations on every death in the hospital.
If they don't, the government will cut off their federal funding. This has increased the number of potential and actual donors by a large amount. But nevertheless, unless the potential donor wished to donate or the family feels they wished to be a donor, their tissue and organs cannot be recovered. First of all, not everyone will have Lasik surgery because only about 25 percent of the population needs it. At the present time, less than 1 percent of the population who needs Lasik surgery has had it.
There will always be people who have not had eye surgery who can be donors. It merely means we have to get the word out to everyone. People who need corneal transplants will be able to get corneal transplants. Floaters are symptoms of things in front of the eye when you know there's nothing there. They are typically found inside the vitreous cavity. Most of the time they are remnants of arteries that helped form your eye.
When you get older the vitreous jelly begins to liquefy and you can see these floaters more easily. Most of the time, they are harmless, but patients who have new floaters, especially associated with flashes of light, should see their ophthalmologist for a complete dilated eye exam to rule out more serious problems such as retinal tears, detachments, or bleeding.
Risks of transplantation are numerous. The most common is that the transplant fails to work. Only the cornea is transplanted. The cornea is the clear outer layer at the front of the eye that helps the eye to focus light. The sclera which is the white part of the eye, can also be donated to help people. You can donate your corneas up to 24 hours after you die and donation can take place after death in hospital, in hospices, or in funeral homes.
Fact: People with most types of cancer can still donate their corneas. The corneas do not contain blood vessels, eliminating the risk of transmitting most types of cancer. Fact: After donation, our specialist team will ensure the donor maintains a natural appearance.
Cornea donation does not delay any funeral arrangements. She was born with cataracts in both eyes and a condition called microphthalmia, when the eyes stop developing during pregnancy. After extensive testing, Angharad was diagnosed with a very rare condition called oculofaciocardiodental syndrome OFCD , occurring in less than one in a million births, which affected her eyes, facial features, heart and teeth.
Angharad underwent multiple surgeries to try and lower the pressure in her eye. This operation involved using a cornea from a donor. It has simply allowed my daughter a chance to keep the light perception she has to help her in life. I know some people are squeamish but cornea donation is about the gift of sight. Angharad plays Melody, a partially sighted character who explores music through her imagination in the CBeebies programme Melody.
Angharad now hopes to help to inspire children and adults in her role as Melody and as an advocate for Live Life Give Life. We understand that people often view the eyes with more emotion and see them as more symbolic than other parts of the body.
You can help us by saying yes to cornea donation and giving the gift of sight to another. Donating sight means there can be light after darkness. But it is important to remember that other parts of the eye are equally vital in the mission to save sight.
In addition to the cornea, tissue from the retina , lens and other parts of the eye are necessary for scientists seeking to find the causes of and cures for eye disorders and diseases. Studying this donated tissue, researchers strive to develop new treatments and cures for diabetic eye disease , cataracts , macular degeneration , and glaucoma. Anyone can be an eye donor, regardless of age, race or medical history.
At the time of death, medical professionals will determine whether your organs and tissues are suitable for transplantation or research.
Some people wonder if their religion is opposed to organ, eye and tissue donation. Rest assured that most faiths support these donations as the ultimate act of charity.
Check with your minister, pastor, rabbi, imam or other religious leader if you have questions. First, tell your family you want to be an eye donor when you die. Eye banks—the agencies that help get eye donations to medical and research institutions—will always ask your family if you told them you wanted to donate your organs.
This is true even if you have an advance directive—legal documents that spell out your wishes for end-of-life care and other decisions. In many states, you can sign a card at the driver's license bureau stating that you want to be an organ donor.
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