Table of Contents

2017 Month : November Volume : 4 Issue : 91 Page : 5474-5478

AWARENESS ABOUT EYE DONATION IN MEDICAL STUDENTS AT ESIC MEDICAL COLLEGE & HOSPITAL, FARIDABAD

Piyush Kumar R. Ramavat1, Shashi Vashisht2, Himanshu Sardana3, Namrata Kahlon4, Mayank Hans5, Deepsikha Rana6

1. Assistant Professor, Department of Ophthalmology, ESIC Medical College and Hospital, Faridabad.
2. Professor and HOD, Department of Ophthalmology, ESIC Medical College and Hospital, Faridabad.
3. Resident, Department of Ophthalmology, ESIC Medical College and Hospital, Faridabad.
4. Assistant Professor, Department of Physiology, ESIC Medical College and Hospital, Faridabad.
5. Assistant Professor, Department of Dentistry, ESIC Medical College and Hospital, Faridabad.
6. Tutor, Department of Pathology, ESIC Medical College and Hospital, Faridabad.

Corresponding Author:
Dr. Piyush Kumar R. Ramavat,
No. C-504, M.S. Apartment,
K.G. Marg, Near India Gate, New Delhi-110001.
E-mail: hi_piyush2001@yahoo.co.in
DOI: 10.18410/jebmh/2017/1094

ABSTRACT
BACKGROUND
Eye donation received every year in India is very low when compared to demand; sensitisation among people is needed on this important topic. Medical students will play big role in future in creating eye donation awareness in society. Keeping this thing in mind present study was carried out for assessing medical student’s own knowledge on eye donation.

MATERIALS AND METHODS
Study was carried out at ESIC Medical College & hospital, Faridabad. Option for participation was given to MBBS students after complete explanation about study details. 225 students from I, III and V semester participated in study. Their knowledge was assessed using a questionnaire with 20 questions on different aspects of eye donation.

RESULTS
96% students were willing to promote eye donation in society in future but they lack some basic knowledge on this issue. 64.44% did not know that eye donation is possible only after death. 49.33% did not know that eye donation can still be carried out even If deceased person had not pledged for eye donation. 47.56% and 58.22% students responded that cataract and optic atrophy respectively are contraindication for eye donation.

CONCLUSION
Medical students are enthusiastic to promote noble cause of eye donation but they lack some basic knowledge on this issue. Specific efforts are needed to fill these lacunae in their knowledge. This will help us in long term for sensitization of people in society on eye donation.

KEYWORDS
Eye Donation, Medical Students, Awareness, Deceased, Knowledge, Corneal Transplantation.

How to cite this article

Ramavat PKR, Vashisht S, Sardana H, et al. Awareness about eye donation in medical students at ESIC medical college & hospital, Faridabad. J. Evid. Based Med. Healthc. 2017; 4(91), 5474-5478. DOI: 10.18410/jebmh/2017/1094

BACKGROUND

In India 6.8 million people have vision less than 6/60 at least in one eye because of corneal causes out of these 1 million have bilateral involvement.1 It is expected that no of people with unilateral corneal blindness will increase to 10.6 million by 2020.2 Corneal blindness can be treated by corneal transplantation.3 India needs 2,77,000 donor eyes every year.4 Eye donation received annually in India is only 25000.5 so there is huge gap between requirement of donor eyes and actual procurement in India.

Awareness about eye donation is low in India. According to previous studies awareness about eye donation less in north India compared to south India.6

Medical students have huge responsibility as they will be spreading knowledge regarding eye donation in society in future. Medical students will play important role in motivating people for eye donation in future.

Therefore, knowledge of medical students regarding eye donation is very important. As there were only few studies carried out in northern India for assessing awareness of eye donation in medical students. This study was carried out for gaining knowledge regarding this important topic.

 

Aims and Objective

To know level of awareness about eye donation in medical students (I to V semester) at ESIC Medical College & Hospital, Faridabad.

MATERIALS AND METHODS

This was a cross-sectional descriptive study. Study was carried out from Sep 2017 to Nov 2017 at ESIC Medical College and Hospital Faridabad. Detailed study procedure was explained to the students studying in I, III and V semester at ESIC Medical College Faridabad, informed verbal consent was taken for their participation in study. Explanation was given to the students that they don’t have to mention their name and their responses on questionnaire will not affect their academic grades.

Study was conducted in accordance with declaration of Helsinki. Institutional ethical committee clearance was taken.

 

 

Inclusion Criteria- MBBS students, studying at ESIC Medical College & Hospital Faridabad and giving their verbal consent for participation in study after complete explanation about the study.

 

Exclusion Criteria- Students not giving their verbal consent for participation in study after complete explanation about the study.

 

Semester

Total No. of Students

No. of Students Participated

I

100

85

III

97

80

V

95

60

Table 1. No. of Students Participated in Study

 

 

Questionnaire with 20 questions was given to each participant. Each question has options either in Yes or No.

 

Sr. No.

Questions

Option

1.

Have you ever heard about eye donation

Yes/ No

2.

Does India meet its eye donation requirement every year

Yes/ No

3.

Eye donation rate is more in southern India than northern India

Yes/ No

4.

Eye donation is possible only after death

Yes/ No

5.

During your life time, you can pledge to donate your eyes after your death

Yes/ No

6.

If deceased person had not pledged for eye donation, eye donation can’t be carried out

Yes/ No

7.

People with cataract cannot donate their eyes

Yes/ No

8.

Blindness due to optic atrophy is a contraindication for eye donation

Yes/ No

9.

Ideal time for eye donation is 6 hours after death

Yes/ No

10.

Only eye specialist can carry out eye donation

Yes/ No

11.

Eye donation procedure needs specialized operation theatre

Yes/ No

12.

Eye donation certificate is to be given to deceased family after eye donation

Yes/ No

13.

Whole eye is used for transplantation purpose

Yes/ No

14.

Donated eyes need to be used immediately as they can’t be stored beyond 24 hours

Yes/ No

15.

Eye donation from one person gives sight to maximum two people

Yes/ No

16.

Family of the deceased gets to know the name of recipient

Yes/ No

17.

Donated eyes can’t be sold

Yes/ No

18.

Do you have phone number of any eye bank stored with you

Yes/ No

19.

Are you willing to donate your eyes

Yes/ No

20.

Are you willing to promote eye donation in society

Yes/ No

Table 2. Questionnaire

 

Result was computed after collection of all the responses. The data were entered and analysed using Epi-info software package version 6.04.

 

RESULTS

Out of 292 total students 225 students participated in study.

 

 

Total Number of Students

Number of Students Participated in Study

Male Participants

Female Participants

Semester I

100

85

54

31

Semester III

97

80

37

43

Semester V

95

60

29

31

Table 3. Distribution of participants

 

Sr. No.

Questions

Expected Response

1.

Have you ever heard about eye donation

Yes

2.

Does India meet its eye donation requirement every year

No

3.

Eye donation rate is more in southern India than in northern India

Yes

4.

Eye donation is possible only after death

Yes

5.

During your life time, you can pledge to donate your eyes after your death

Yes

6.

If deceased person had not pledged for eye donation, eye donation can’t be carried out

No

7.

People with cataract cannot donate their eyes

No

8.

Blindness due to optic atrophy is a contraindication for eye donation

No

9.

Ideal time for eye donation is within 6 hours of death

Yes

10.

Only eye specialist can carry out eye donation

No

11.

Eye donation procedure needs specialized operation theatre

No

12.

Eye donation certificate is to be given to deceased family after eye donation

Yes

13.

Whole eye is used for transplantation purpose

No

14.

Donated eyes need to be used immediately as they can’t be stored beyond 24 hours

No

15.

Eye donation from one person gives sight to maximum two people

No

16.

Family of the deceased gets to know the name of recipient

No

17.

Donated eyes can’t be sold

Yes

18.

Do you have phone number of any eye bank stored with you

Yes

19.

Are you willing to donate your eyes

Yes

20.

Are you willing to promote eye donation in society

Yes

Table 4. Expected Response

 

Sr. No.

Question

Total No. of Correct /Expected Response

Total No. of wrong/Not Expected Response

No Response

Percentage of Correct/Expected Response

1.

Have you ever heard about eye donation

223

2

0

99.11%

2.

Does India meet its eye donation requirement every year

185

40

0

82.22%

3.

Eye donation rate is more in southern India than in northern India

183

32

10

81.33%

4.

Eye donation is possible only after death

80

144

1

35.56%

5.

During your life time, you can pledge to donate your eyes after your death

168

47

0

74.67%

6.

If deceased person had not pledged for eye donation, eye donation can’t be carried out

114

111

0

50.67%

7.

People with cataract cannot donate their eyes

118

106

1

52.44%

8.

Blindness due to optic atrophy is a contraindication for eye donation

94

123

8

41.78%

9.

Ideal time for eye donation is within 6 hours of death

187

35

3

83.11%

10.

Only eye specialist can carry out eye donation

77

144

4

34.22%

11.

Eye donation procedure needs specialized operation theatre

101

122

2

44.89%

12.

Eye donation certificate is to be given to deceased family after eye donation

193

30

2

85.78%

13.

Whole eye is used for transplantation purpose

182

41

2

80.89%

14.

Donated eyes need to be used immediately as they can’t be stored beyond 24 hours

108

112

5

48%

15.

Eye donation from one person gives sight to maximum two people

59

162

4

26.22%

16.

Family of the deceased gets to know the name of recipient

108

113

4

48%

17.

Donated eyes can’t be sold

154

67

4

68.44%

18.

Do you have phone number of any eye bank stored with you

40

182

3

17.78%

19.

Are you willing to donate your eyes

195

28

2

86.67%

20.

Are you willing to promote eye donation in society

216

7

2

96%

Table 5. Analysis of Response

 

 

Majority of students (99.11%) knew that eye can be donated but only 35.56% of students knew that eye donation is possible only after death. 82.22% student were aware of the fact that India does not meet its annual eye donation requirement.

49.33 of students did not know that even If deceased had not pledged for eye donation, eye donation still be carried out. Many students didn’t know that cataract (47.56%) and optic atrophy (58.22%) are not the contraindications for eye donation.

83.11% students knew the ideal time for eye donation after death. 19.11% students responded that whole eye is used for eye transplantation.

Majority of student (68.44%) responded correctly that donated eyes can’t be sold. 65.78% students believed that eye donation is only carried out by an Eye specialist. 55.11% students did not know that specialized operation theatre is not needed for eye donation.

82.22% didn’t have any phone no of eye bank stored with them.

Majority of students responded that they are willing to donate their eyes (86.67%) And they are willing to promote eye donation in society (96%).

 

DISCUSSION

There is huge gap between annual eye donation requirement and actual eye donation in India. There is urgent need of sensitizing society on this important issue. Medical students, who will serve society in future as health care provider, will play important role in this sensitization. So awareness among medical students regarding eye donation is very important.

In our study, we found that majority students lack basic knowledge about eye donation.

We compared our result with some other studies on similar topic.

 

 

 

Present Study

Singh7 et al

1.

Have you ever heard about eye donation

99.11%

99.4%

2.

Ideal time for eye donation is 6 hours after death

83.11%

41.1%

3.

India does not meet its eye donation requirement every year

82.22%

94.4%

4.

Willing to donate eyes

86.67%

87.2%

Table 6. Comparison of Present Study with Study on Similar Topic from North India

 

 

 

Present Study

Dodia KR8 et al

1.

Family of deceased does not get to know the name of recipient

48%

64%

2.

Whole eye is not used for transplantation purpose, only cornea is transplanted

80.89%

47%

(Knew Cornea is Used)

3.

Do you have phone number of any eye bank stored with you

17.78%

28%

(Knew the place)

4.

Ideal time for eye donation is 6 hours after death

83.11%

52%

Table 7. Comparison of Present Study with Study on Similar Topic from West India

 

 

 

 

 

 

 

 

Present Study

Vidusha K9 et al

1.

Have you ever heard about eye donation

99.11%

99.3%

2.

Eye donation is possible only after death

35.56%

94.4%

3.

India does not meet its eye donation requirement every year

82.22%

97.2%

4.

Ideal time for eye donation is within 6 hours of death

83.11%

86.8%

5.

Do you have phone number of any eye bank stored with you

17.78%

42.4%

(Knew the place)

Table 8. Comparison of Present Study with Study on Similar Topic from South India

 

 

 

Present Study

Panigrahi S10 et al

1.

Have you ever heard about eye donation

99.11%

85.9%

2.

Ideal time for eye donation is within 6 hours of death

83.11%

79.4%

3.

Whole eye is not used for transplantation purpose, only cornea is transplanted

80.89%

55.3%

(Knew Cornea is Used)

4.

Family of deceased doesn’t get to know the name of recipient

48%

80.9%

5.

Donated eyes can’t be sold

68.44%

73.2%

6.

Are you willing to donate your eyes

86.67%

64.5%

Table 9. Comparison of present study with study on similar topic from east India

 

Our study was carried out at a time when students were yet to receive knowledge about eye donation from Ophthalmology lectures and clinical postings. Some of the studies with which our study is compared included students after ophthalmology eye donation lectures. Some discrepancy in responses between studies can be explained due to this fact.

In general, there are many aspects regarding eye donation in which students’ knowledge needs to be improved.

 

CONCLUSION

We have medical students who are enthusiastic to promote noble cause of eye donation in society. But there are many lacunae in their knowledge about eye donation. Efforts should be concentrated specifically to fill these lacunae. Special learning methods need to be devised which should give practical exposure to the MBBS students on eye donation procedure along with the knowledge on same. This will help us in long term for sensitization of people in society on eye donation.

 

 

 

REFERENCES

[1]   Gupta N, Tandon R, Gupta KS, et al. Burden of corneal blindness in India. Indian J Community Med 2013;38(4):198-206.

[2]   Dandona R, Dandona L. Corneal blindness in a southern Indian population: need for health promotion strategies. Br J Ophthalmol 2003;87(2):133-141.

[3]   Sihota R, Tandon R. Diseases of the Cornea. Chapter 15. Parson’s diseases of the eye. 21st edn. New Delhi: Elsevier 2011: p. 215.

[4]   Gupta A, Jain S, Jain T, et al. Awareness and perception regarding eye donation in students of a nursing college in Bangalore. Indian Journal of Community Medicine  2009;34(2):122-125.

[5]   Sharma B, Shrivastava U, Kumar K, et al. Eye donation awareness and conversion rate in hospital cornea retrieval programme in a tertiary hospital of central india. Journal of Clinical and Diagnostic Research 2017;11(8):NC12-NC15.

[6]   Ronanki VR, Sheeladevi S, Ramachandran BP, et al. Awareness regarding eye donation among stakeholders in Srikakulam district in South India. BMC Ophthalmology 2014;14:25.

[7]   Singh MM, Rahi M, Pagare D, et al. Medical students perception on eye donation in Delhi. Indian J Ophthalmol 2007;55(1):49-53.

[8]   Dodia KR, Dave AH, Ratna B. Study of Eye-Donation Awareness among Medical Students of P.D.U. Govt. Medical College, Rajkot. International Journal of Science and Research (IJSR) 2015;6(14):1179-1183.

[9]   Vidusha K, Manjunatha S. Awareness of eye donation among medical students of tertiary care hospital, Bangalore. Asian Pac J Health Sci 2015;2(2):94-98.

[10] Panigrahi S, Sahu RK, Rath B, et al. Knowledge, attitude and willingness about eye donation among medical and nursing students in a medical college hospital of Southern Odisha. Scholars Journal of Applied Medical Sciences 2017;5(7A):2545-2551.

Videos :

watch?v

Download Download [ PDF ] Download[ ABSTRACT ] Email Send to a friend Facebook ShareFacebook Share Twitter ShareTwitter Share