Ocular surgery - Tissue - Deceased Donors

Essential information

Obligatory

Eyes:

Must not donate.

Other tissues:

Must not donate if ever received ocular tissue allograft transplant.

Discretionary

1. Eyes:
   1. If the procedure is unlikely to prejudice quality and outcome of graft, accept.
   2. If cataract surgery only, accept.
   3. If laser-refractive surgery to the cornea, accept when healed.
   4. If laser-refractive surgery to any other ocular structure (retina, iris trabecular meshwork or ciliary body) accept.
   5. If both cataract surgery and any type of laser-refractive surgery, discuss with designated clinical support officer.
      
      See Additional Information.
      
      
2. Other tissues:
   If no other contraindication, accept.

Supporting information

See if relevant

• Eye disease
• Glaucoma
• Laser treatment
• Malignancy
• Ocular tissue recipient
• Tissue and cell allograft recipients

Additional information

Laser-refractive surgery to the cornea renders corneal tissue unsuitable for standard corneal transplant procedures. Corneal tissue from donors with healed laser refractive surgery can be used for Descemet Membrane Endothelial Keratoplasty (DMEK).

A Tissue Establishment might apply additional donor selection criteria for donors with a history of ocular surgery, such as a minimum age for donors with a history of laser-refractive surgery and a maximum age for donors with a history of cataract surgery.

The combination of cataract and laser-refractive surgery in a donor eye renders corneal tissue unsuitable for standard corneal transplant procedures.

Recipients of ocular tissue allografts must not donate; e.g. donors who have received cornea transplant or a sclera graft during glaucoma surgery must not donate

Reason for change:

Additional detail on discretionary criteria for ocular tissue donors with a history of ocular surgery has been added, together with additional information.

Version details:

TD-DSG Edition 203 Release 34 (30 September 2019)