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Concept paper

A concept note on system improvement with an implementation of the standard operating procedure in cadaveric eye retrieval in District General Hospital, Matale, Sri Lanka

Authors:

P. Appuhamy ,

District General Hospital, Matale, LK
About P.
Office of the Judicial Medical Officer
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S. J. Rathnayake

District General Hospital, Matale, LK
About S. J.
Officer of the Director
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Abstract

According to World Health Organization in the year 2010, the global prevalence of blindness was 39 million. Out of the causes of blindness 4% is due to corneal opacity. Corneal transplantation is often a remedy for getting the vision back of patients with damaged corneas. Cadaveric eye retrieval plays a major role in this regard.  We have observed suboptimal standards on many occasions in the cadaveric eye retrieval process in District General Hospital, Matale. We noticed a knowledge gap in the eye retrieval process among eye retrieval technicians, medico officers, nursing officers, judicial medical officers, and inquirers into sudden deaths. We identified several gaps in the selection of the donors, process of eye retrieval, and legitimacy. With extensive research, we introduced a printed form to be filled by the eye retrieval technician, the medical officer who certifies the death in the ward, the inquirer into sudden death, or the judicial medical officer in a case of an inquest. The aim of the implementation of this form and the standard operating procedure is to ensure that all activities involving human cadaveric eye retrieval are performed for the purposes of human health benefit, disease prevention, and improving the health system in a legitimate way. We suggest implementing this form and the standard operative procedure in the whole country so that the institutions and the eye technicians adhere to the duties specified in the standard operating procedure leading to improvement in the desired quality of the eye retrieval process and provide providing guidance to stakeholders in the process of cadaveric eye retrieval.
How to Cite: Appuhamy, P. and Rathnayake, S.J., 2022. A concept note on system improvement with an implementation of the standard operating procedure in cadaveric eye retrieval in District General Hospital, Matale, Sri Lanka. Medico-Legal Journal of Sri Lanka, 10(1), pp.38–42. DOI: http://doi.org/10.4038/mljsl.v10i1.7450
Published on 30 Jun 2022.
Peer Reviewed

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