Will the relatives get to know the recipient of the eyes?

यह संकल्प मने आज लिया है आप लोग भी साथ साथ संकल्प ले औरDr. Rajinder Prasad Centre for Ophthalmic स्सिएंससAll India Institute of Medical Sciences
New Delhi - 110 029 भेज दे मुझे एक क क कोपी भेज दे सभी एक साथ एकता के साथ मेरा पता पढ़लाद_कुमार_अग्गार्वल Address 149/ B 58 GURU NANAK PURA LAXMI NAGAR DELHI ११००९२ फ़ोन +919911099737

There are millions of people who are blind because of problems affecting the cornea. They can regain good vision by corneal transplantation (so called eye transplant). But the rate of eye donations is far less than the need. Therefore, it is an appeal to everyone to pledge to donate your eyes. One of the most noble deeds one can do.

Can a living person donate his eyes?

Eye donations are NOT taken from a living person, but are removed only from the dead. However, anybody can pledge to donate his eyes and his wish can be fulfilled by his kin after his demise.

What part of the eye is transplanted?

Although the entire eye is removed from the body but it is only the cornea that can be transplanted. Usually artificial or plastic eyes are put in the socket of the dead and eyelids stitched together to restore normal appearance of the face.

How to pledge?

All you have to do is to fill up a eye donation form available from any eye bank and submit it in the nearest eye bank. For your convenience eye donation form of the National Eye Bank is given below. You can take a print out of the form and post it to the address of National Eye Bank given at the bottom.

Any other formality?

In the event of death of the individual the relatives / kin are required to inform the nearest eye bank or the physician taking care of the individual about his wish of donating his eyes. They are also required to sign a consent form before the eyes can be removed.

Will the relatives get to know the recipient of the eyes?

No. The identity of both the recipient and the donor is kept a secret.

Are there any payments involved?

No. There are no payment or money involved for donor or for the recipient for the corneal transplantation i.e., there is no payment for the eye or cornea. (However, the recipient may have to pay for the operation charges).

Author - परह्लाद_कुमार अग्गार्वल +919911099737
पहल

शपथ------------- ओन्न लीन नही चलेगा --हार्ड कॉपी चलेगी -

(Form for pledging to donate the eyes)

Please print this form and send it at the address given at the bottom after carefully filling it.

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Form 1(Rule 3)

National Eye Bank

(Authority by Donor for removal of eyes)

I, __परह्लाद कुमार_अग्गार्वल __________________________________________son/daughter/wife of ____कैलाश चंद अग्रवाल

_________________________________________ aged ___33______ years, residing at _Address 149/ B 58 GURU NANAK PURA LAXMI NAGAR DELHI 110092_______________________________________________________________________ hereby express my free and frank consent for the removal of my eyes after my death from my body, by a registered medical practitioner (Ophthalmic) of a recognized Eye Bank / Hospital for their use for therapeutic purposes. I have been explained and I understand all the aspect of such a donation.

प्लेस डेल्ही _____________________________	सिग्नतुरे परह्लाद ___________________________ Date __१/१/2008____________ Time ___५.44___ AM/PM
1. Witness (Next of kin) सिग्नतुरे रजनी __________________________ नेम रजनी aggarwal ____________________________ रिलेशनशिप विफे _______________________ Address __________Address 149/ B 58 GURU NANAK PURA LAXMI NAGAR DELHI 110092________________ Telephone No., if any _______+919911099737_________	2. Witness सिग्नतुरे रजनीश __________________________ नेम रजनीश बंसल ____________________________ एड्रेस १११/२ भोला नाथ नगर शद्र डेल्ही __________________________ Telephone No., if any ______________+91931109409__

Name of the nearest hospital ______________________जीटीबी डेल्ही ___________________________

Name of the family physician, if any ____________________________________________

for official use only Donor Card No. _______________________ Dated _______________________________

Addressed to:

The National Eye Bank Dr. Rajinder Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences New Delhi - 110 029

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(End of form)

(Form for pledging to donate the eyes)

Please print this form and send it at the address given at the bottom after carefully filling it.

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Form 1(Rule 3)

National Eye Bank

(Authority by Donor for removal of eyes)

I, ____________________________________________son/daughter/wife of _____________________________________________ aged _________ years, residing at ________________________________________________________________________ hereby express my free and frank consent for the removal of my eyes after my death from my body, by a registered medical practitioner (Ophthalmic) of a recognized Eye Bank / Hospital for their use for therapeutic purposes. I have been explained and I understand all the aspect of such a donation.

Place _____________________________	Signature ___________________________ Date ______________ Time ______ AM/PM
1. Witness (Next of kin) Signature __________________________ Name ____________________________ Relationship _______________________ Address __________________________ Telephone No., if any ________________	2. Witness Signature __________________________ Name ____________________________ Address __________________________ Telephone No., if any ________________

Name of the nearest hospital _________________________________________________

Name of the family physician, if any ____________________________________________

for official use only Donor Card No. _______________________ Dated _______________________________

Addressed to:

The National Eye Bank Dr. Rajinder Prasad Centre for Ophthalmic Sciences All India Institute of Medical Sciences New Delhi - 110 029

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(End of form)

The information given here is for public interest. Please do not send us this form. Also note that it is not essential to pledge to donate the eyes.