An algorithm for infectious screening of corneal donors in eye tissue bank of the Fyodorov Eye Microsurgery Federal State Institution

Purpose. To analyze an algorithm for infectious screening of cadaver corneal donors during corneal processing at the Eye Tissue Bank (ETB) of The Fyodorov Eye Microsurgery Federal State Institution and compare it with the European Eye Bank Association (EEBA) data from 2011 through 2015. Material and...

Full description

Saved in:
Bibliographic Details
Main Authors: S.A. Borzenok, M.Yu. Gerasimov, Yu.A. Komakh, M.Kh. Khubetsova, H.D. Tonaeva, L.M. Malikova, P.I. Plaksa
Format: Article
Language:Russian
Published: Publishing house "Ophthalmology" 2022-07-01
Series:Офтальмохирургия
Subjects:
Online Access:https://ophthalmosurgery.ru/index.php/ophthalmosurgery/article/view/324/391
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850095639343398912
author S.A. Borzenok
M.Yu. Gerasimov
Yu.A. Komakh
M.Kh. Khubetsova
H.D. Tonaeva
L.M. Malikova
P.I. Plaksa
author_facet S.A. Borzenok
M.Yu. Gerasimov
Yu.A. Komakh
M.Kh. Khubetsova
H.D. Tonaeva
L.M. Malikova
P.I. Plaksa
author_sort S.A. Borzenok
collection DOAJ
description Purpose. To analyze an algorithm for infectious screening of cadaver corneal donors during corneal processing at the Eye Tissue Bank (ETB) of The Fyodorov Eye Microsurgery Federal State Institution and compare it with the European Eye Bank Association (EEBA) data from 2011 through 2015. Material and methods. Data analysis were done using the ETB in-house donor data registry and EEBA annual directory forms. The extracted data included the number of received eye globes, rates of inconclusive and serological tests for human immunodeficiency virus (type 1 and 2), Hepatitis B and C viruses, and Syphilis. Results. During the analyzed period 3479 eye globes were delivered in the ETB for the processing. Hemolysis caused exclusion for 13.9% (n=486) of corneas in the ETB. In opposite, the EEBA data demonstrated far lower rates of inconclusive tests. The positive serology tests lead to canceling 19.4% (n=676) of the incoming corneas in the ETB. Overall, the rates of positive tests were far higher in comparison with EEBA data. At the ETB, positive serological tests for HIV (type 1 and 2) and Syphilis had low variability annually, while the rates of Hepatitis B increased in 2015. Predomination of Hepatitis C was also noted. Often enough, the blood samples were multiply-infected. Conclusion. Overall, the positive serology and hemolysis were the major contraindications and led to exclusion 33.4% (n=1162) of incoming corneas in the ETB. Serological tests rates for indicated infections were higher in the ETB with predomination of Hepatitis C. An algorithm for infectious screening at the Eye Tissue Bank (ETB) of The S. Fyodorov Eye Microsurgery Federal State Institution was effective in selection of postmortem donors for cornea processing in clinical use.
format Article
id doaj-art-9555cfa878b849eaa99008993d747083
institution DOAJ
issn 0235-4160
2312-4970
language Russian
publishDate 2022-07-01
publisher Publishing house "Ophthalmology"
record_format Article
series Офтальмохирургия
spelling doaj-art-9555cfa878b849eaa99008993d7470832025-08-20T02:41:24ZrusPublishing house "Ophthalmology"Офтальмохирургия0235-41602312-49702022-07-012545910.25276/0235-4160-2022-2-54-59An algorithm for infectious screening of corneal donors in eye tissue bank of the Fyodorov Eye Microsurgery Federal State InstitutionS.A. Borzenok0https://orcid.org/0000-0001-9160-6240M.Yu. Gerasimov1https://orcid.org/0000-0003-3433-8352Yu.A. Komakh2https://orcid.org/0000-0002-6324-6062M.Kh. Khubetsova3https://orcid.org/0000-0002-6378-8750H.D. Tonaeva4https://orcid.org/0000-0002-9034-0660L.M. Malikova5https://orcid.org/0000-0003-0074-7617P.I. Plaksa6https://orcid.org/0000-0002-3865-9367Fyodorov Eye Microsurgery Federal State Institution, Moscow, Russian Federation; Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian FederationFyodorov Eye Microsurgery Federal State Institution, Moscow, Russian FederationFyodorov Eye Microsurgery Federal State Institution, Moscow, Russian FederationFyodorov Eye Microsurgery Federal State Institution, Moscow, Russian FederationFyodorov Eye Microsurgery Federal State Institution, Moscow, Russian FederationRussian Research Institute of Health, Moscow, Russian FederationSechenov First Moscow State Medical UniversityPurpose. To analyze an algorithm for infectious screening of cadaver corneal donors during corneal processing at the Eye Tissue Bank (ETB) of The Fyodorov Eye Microsurgery Federal State Institution and compare it with the European Eye Bank Association (EEBA) data from 2011 through 2015. Material and methods. Data analysis were done using the ETB in-house donor data registry and EEBA annual directory forms. The extracted data included the number of received eye globes, rates of inconclusive and serological tests for human immunodeficiency virus (type 1 and 2), Hepatitis B and C viruses, and Syphilis. Results. During the analyzed period 3479 eye globes were delivered in the ETB for the processing. Hemolysis caused exclusion for 13.9% (n=486) of corneas in the ETB. In opposite, the EEBA data demonstrated far lower rates of inconclusive tests. The positive serology tests lead to canceling 19.4% (n=676) of the incoming corneas in the ETB. Overall, the rates of positive tests were far higher in comparison with EEBA data. At the ETB, positive serological tests for HIV (type 1 and 2) and Syphilis had low variability annually, while the rates of Hepatitis B increased in 2015. Predomination of Hepatitis C was also noted. Often enough, the blood samples were multiply-infected. Conclusion. Overall, the positive serology and hemolysis were the major contraindications and led to exclusion 33.4% (n=1162) of incoming corneas in the ETB. Serological tests rates for indicated infections were higher in the ETB with predomination of Hepatitis C. An algorithm for infectious screening at the Eye Tissue Bank (ETB) of The S. Fyodorov Eye Microsurgery Federal State Institution was effective in selection of postmortem donors for cornea processing in clinical use.https://ophthalmosurgery.ru/index.php/ophthalmosurgery/article/view/324/391cornea transplantationeye bankserological testshuman immunodeficiency virushepatitis b viruseshepatitis c virus
spellingShingle S.A. Borzenok
M.Yu. Gerasimov
Yu.A. Komakh
M.Kh. Khubetsova
H.D. Tonaeva
L.M. Malikova
P.I. Plaksa
An algorithm for infectious screening of corneal donors in eye tissue bank of the Fyodorov Eye Microsurgery Federal State Institution
Офтальмохирургия
cornea transplantation
eye bank
serological tests
human immunodeficiency virus
hepatitis b viruses
hepatitis c virus
title An algorithm for infectious screening of corneal donors in eye tissue bank of the Fyodorov Eye Microsurgery Federal State Institution
title_full An algorithm for infectious screening of corneal donors in eye tissue bank of the Fyodorov Eye Microsurgery Federal State Institution
title_fullStr An algorithm for infectious screening of corneal donors in eye tissue bank of the Fyodorov Eye Microsurgery Federal State Institution
title_full_unstemmed An algorithm for infectious screening of corneal donors in eye tissue bank of the Fyodorov Eye Microsurgery Federal State Institution
title_short An algorithm for infectious screening of corneal donors in eye tissue bank of the Fyodorov Eye Microsurgery Federal State Institution
title_sort algorithm for infectious screening of corneal donors in eye tissue bank of the fyodorov eye microsurgery federal state institution
topic cornea transplantation
eye bank
serological tests
human immunodeficiency virus
hepatitis b viruses
hepatitis c virus
url https://ophthalmosurgery.ru/index.php/ophthalmosurgery/article/view/324/391
work_keys_str_mv AT saborzenok analgorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT myugerasimov analgorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT yuakomakh analgorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT mkhkhubetsova analgorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT hdtonaeva analgorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT lmmalikova analgorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT piplaksa analgorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT saborzenok algorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT myugerasimov algorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT yuakomakh algorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT mkhkhubetsova algorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT hdtonaeva algorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT lmmalikova algorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution
AT piplaksa algorithmforinfectiousscreeningofcornealdonorsineyetissuebankofthefyodoroveyemicrosurgeryfederalstateinstitution