[Antimicrobial decontamination of corneal donor material: infection prevention and quality assurance]

F Wilhelm1, G Jendral, T Bredehom

  • 1Klinik und Poliklinik für Augenheilkunde, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Strasse 8, 06097 Halle. frank.wilhelm@medizin.uni-halle.de

Abstract

Insights

Prolonging donor eye submersion in PVP iodine solution from 1 to 5 minutes significantly reduced contamination rates in eye banks. This enhanced decontamination method improves the safety of corneal transplantation procedures.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Transplantation Science

Background:

  • Microbiological contamination of preservation media in eye banks is a growing concern.
  • Elevated contamination rates pose risks to the success of corneal transplantation.

Purpose of the Study:

  • To evaluate the efficacy of prolonged submersion time in polyvinylpyrrolidone iodine (PVP-I) solution for decontaminating donor globes.
  • To reduce microbiological contamination in donor corneas intended for transplantation.

Main Methods:

  • Retrospective analysis of 76 cornea donor conjunctival smears.
  • Comparison of contamination rates before and after extending donor eye submersion in PVP-I solution from 1 minute to 5 minutes.

Main Results:

  • Prior to extending submersion time, 15 of 76 donor corneas showed contamination in the preservation medium.
  • After increasing submersion to 5 minutes, no contamination was observed in the preservation medium.

Conclusions:

  • Extending donor globe submersion time in PVP-I solution from 1 to 5 minutes is an effective decontamination strategy.
  • This protocol provides a practical guideline for eye banks to enhance donor tissue safety and reduce contamination rates.