Transplantation of cornea: social approach, beyond the medical aspects

Authors

  • Eduardo Rojas Alvarez Especialista de Primer Grado en Oftalmología. Especialista de Primer Grado en Medicina General Integral. Asistente. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Janet González Sotero Especialista de Primer Grado en Oftalmología. Especialista de Primer Grado Medicina General Integral. Asistente. Investigador Agregado. Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río.
  • Ariadna Pérez Ruiz Especialista de Primer Grado en Medicina General Integral. Instructora. Policlínico Universitario "Raúl Sánchez". Pinar del Río.
  • Luis A. Lazo Lorente Especialista de Primer Grado en Medicina General Integral. Instructor. Policlínico Universitario "Raúl Sánchez". Pinar del Río.
  • Noemí Herrera Capote Especialista de Primer Grado en Obstetricia y Ginecología. Instructora. Policlínico Universitario "Raúl Sánchez". Pinar del Río.

Keywords:

Corneal transplantation, Cornea/surgery.

Abstract

The cornea, due to its immunological privileges, is one of the most transplanted tissues all over the world. In Cuba, this procedure is performed in every province of the country. Ethical, social, economic and psychological aspects regarding the transplantation of cornea were described in this current study. This procedure finds its ethical good reason supported on the bioethical principle of benefit. Likewise, organ transplantation is justified, following the principles of autonomy and informed consent. The principle of distributive justice must prevail, allowing the access to the benefits of this therapeutic to the whole population, not making differences with respect to the economical situation of patients, following the state regulations appropriately. The significant development of the new surgical procedures of cornea transplantation, inside and outside the country, aimed at improving the quality of life of these patients, which will mean a challenge from the ethical and social view points to satisfy the health service demands, according to the established principles.

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References

1. Martínez E. Ciencia, tecnología y desarrollo. Caracas: Editorial Nueva Sociedad; 1994. p. 511-22.

2. Tamayo M. Diccionario de la Investigación Científica. México: Editorial Limusa; 2005. p.65.

3. APABO. Asociación Panamericana de Banco de Ojos. Normas 1996 Bogotá, Colombia; 1996.

4. Mokey Castellanos MO, Pérez Suárez RG, Alemañy Martorell J. El banco de ojos y el donante idóneo. Rev Cub Oftalmol. [Internet]. 2007 Jul-dic [Citado 11 de octubre de 2011]; 20(2). Disponible en: http://bvs.sld.cu/revistas/oft/vol20_2_07/oft19207.html

5. García G, Belmonte J. Outcomes of penetrating keratoplasty in mentally retarded patients with keratoconus. Cornea. [Internet]. 2008 [Citado 11 de octubre de 2011]; 27(9): [Aprox. 7p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/18812758

6. Chamberlain WD, Rush SW, Mathers WD, Cabezas M, Fraunfelder FW. Comparison of femtosecond laser-assisted keratoplasty versus conventional penetrating keratoplasty. Ophthalmology. [Internet]. 2011 [Citado 11 de octubre de 2011]; 118(3): [Aprox. 6p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21035859

7. Núñez J, Pimentel L. Problemas Sociales de la Ciencia y la Tecnología. La Habana: Editorial Félix Varela; 1994. p.37.

8. Maddox R, Belay ED, Curns AT, Zou WQ, Nowicki S, Lembach RG, et al. Creutzfeldt. Jakob disease in Recipients of Corneal Transplants. Cornea. [Internet]. 2008 [Citado 11 de octubre de 2011]; 27(7): [Aprox. 4p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/18650677

9. Agazzi E. El bien, el mal y la ciencia. Madrid: Editorial Tecnos S.A; 2006.p.95.

10. Hottois G. El Paradigma Bioético. Barcelona: Editorial Anthropos; 2009.p.21.

11. Tandon R, Verma K, Vanathi M. Factors affecting eye donation from postmortem cases in a tertiary care hospital. Cornea. [Internet]. 2004 [Citado 11 de octubre de 2011]; 23(6): [Aprox. 4p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/15256999

12. Shi W, Wang T, Zhang J, Zhao J, Xie L. Clinical Features of Immune Rejection After Corneoscleral Transplantation. Am J Ophthalmol. [Internet]. 2008 [Citado 11 de octubre de 2011]; 146(5): [Aprox. 6p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/18707671

13. Wagoner M, Rola B. Penetrating Keratoplasty for Keratoconus With or Without Vernal Keratoconjunctivitis. Cornea. [Internet]. 2009 [Citado 11 de octubre de 2011]; 28(1): [Aprox. 3p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19092398

14. Kanavi MR, Javadi MA, Sanagoo M. Indications for penetrating keratoplasty in Iran. Cornea. [Internet]. 2007 [Citado 11 de octubre de 2011]; 26(5): [Aprox. 3p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/17525652

15. Farias R, Barbosa L, Lima A. Deep Anterior Lamellar Transplant Using Lyophilized and Optisol Corneas in Patients with Keratoconus. Cornea. [Internet]. 2008 [Citado 11 de octubre de 2011]; 27(9): [Aprox. 6p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/18812767

16. Price MO, Gorovoy M, Benetz BA, et al. Descemet's stripping automated endothelial keratoplasty outcomes compared with penetrating keratoplasty from the Cornea Donor Study. Ophthalmology. [Internet]. 2010 [Citado 11 de octubre de 2011]; 117(3): [Aprox. 6p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20031230

17. Brunette I. Evolution in surgical techniques and indications for corneal transplantation: past, present, and future. Can J Ophthalmol. [Internet]. 2011 [Citado 11 de octubre de 2011]; 46(4): [Aprox. 2p.]. Disponible en: http://www.canadianjournalofophthalmology.ca/article/S0008-4182%2811%2900041-X/

18. Chamberlain W, Omid N, Lin A, Farid M, Gaster RN, Steinert RF. Comparison of corneal surface higher-order aberrations after endothelial keratoplasty, femtosecond laser-assisted keratoplasty, and conventional penetrating keratoplasty. Ophthalmology. [Internet]. 2009 [Citado 11 de octubre de 2011]; 31(1): [Aprox. 7p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21963860

19. Rush SW, Fraunfelder FW, Mathers WD, Chamberlain WD. Femtosecond laser-assisted keratoplasty in failed penetrating keratoplasty and globe trauma. Cornea. [Internet]. 2011 [Citado 11 de octubre de 2011]; 30(12): [Aprox. 4p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21993462

20. Chamberlain W, Cabezas M. Femtosecond-assisted deep anterior lamellar keratoplasty using big-bubble technique in a cornea with 16 radial keratotomy incisions. Cornea. [Internet]. 2011 [Citado 11 de octubre de 2011]; 30(2): [Aprox. 3p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21045678

21. Mokey Castellanos MO. Rechazo y Retrasplante Corneal. Rev Cub Oftalmol. [Internet]. 2007 [Citado 11 de octubre de 2011]; 20(1). Disponible en: http://bvs.sld.cu/revistas/oft/vol20_1_07/oft02107.htm

22. Kurí Cienfuegos E, Mokey Castellanos MO, Pérez Suárez RG. Expectativas en la cirugía de triple procedimiento versus doble procedimiento quirúrgico en afecciones corneales. Rev Cub Oftalmol. [Internet]. 2007.jul-dic [Citado 11 de octubre de 2011]; 20 (2). Disponible en: http://bvs.sld.cu/revistas/oft/vol20_2_07/oft03207.html

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Published

2012-07-02

How to Cite

1.
Rojas Alvarez E, González Sotero J, Pérez Ruiz A, Lazo Lorente LA, Herrera Capote N. Transplantation of cornea: social approach, beyond the medical aspects. Rev Ciencias Médicas [Internet]. 2012 Jul. 2 [cited 2025 Jul. 31];16(3):307-16. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/949

Issue

Vol. 16 No. 3 (2012)

Section

REVIEW ARTICLES

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