{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-c03aa079.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-517835be.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Huge eye donor bank created in Sri Lanka' data-url='/boclips/videos/5c54bef7d8eafeecae13f9e6' data-video-url='/boclips/videos/5c54bef7d8eafeecae13f9e6' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nHuge eye donor bank created in Sri Lanka\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eColombo, Sri Lanka, September 7,8,24, 20111. Mid shot of surgeons operating on patients in theatre2. Close tilt up from patient A.K. Premathilaka to doctor 3. Close up of one of the eye surgeons4. Close tilt down from surgeon to patient...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eColombo, Sri Lanka, September 7,8,24, 2011\u003cbr/\u003e1. Mid shot of surgeons operating on patients in theatre\u003cbr/\u003e2. Close tilt up from patient A.K. Premathilaka to doctor \u003cbr/\u003e3. Close up of one of the eye surgeons\u003cbr/\u003e4. Close tilt down from surgeon to patient having his eye checked before the stem is transplanted\u003cbr/\u003e5. Close up of patient S.P.D. Siriwardana on operating table \u003cbr/\u003e6. Various of surgeon cleaning P.D. Siriwardana's eye in preparation for the cornea transplant \u003cbr/\u003e7. Close up of the donor's cornea being removed   \u003cbr/\u003e8. Close of papers documenting the procedure \u003cbr/\u003e9. Wide of operating theatre during eye transplants \u003cbr/\u003e10. Close of surgeon handling donor eye ball\u003cbr/\u003e11. Close of surgeon pointing to eyeball on instrument tray\u003cbr/\u003e12. Mid shot of surgeons cutting eyeball \u003cbr/\u003e13. SOUNDBITE: (English), Dr.Samintha Amaratunge, eye surgeon (speaking through mask) \u003cbr/\u003e\"I am going to harvest the stem cells from that area and put it here and suture it.\" \u003cbr/\u003e14. Various of surgeom Samintha Amaratunge and his team removing the cornea and stem cells from the donor eye\u003cbr/\u003e15. Close up of clock showing the time is 14:53 (almost four hours after surgery began)\u003cbr/\u003e13. Close of lead surgeon Dr.Samintha Amaratunge transplanting stem cells into patient A.K. Premathilaka\u003cbr/\u003e14. Close up of patient's eye during surgery\u003cbr/\u003e15. Various of operation and surgeons \u003cbr/\u003e16. Close of donor stem cells being sutured to patient's eye   \u003cbr/\u003e17.  UPSOUND: (English), Dr.Samintha Amaratunge, eye surgeon (speaking through mask and looking through microscope) \u003cbr/\u003e\"(He is) only blind in one eye, so we did a graft and (his) vision is going to be restored. The second patient, one eye is completely blind, that patient has only one eye and we did the stem cell graft improve the vision.\"\u003cbr/\u003e18. Wide of surgeons completing procedure \u003cbr/\u003e19. Mid shot of women waiting in reception for treatment \u003cbr/\u003e20. SOUNDBITE: (English), Tony Motha, patient \u003cbr/\u003e\"(There is) great service actually, this is being done here, especially for the poor people\"\u003cbr/\u003e21. Mid shot of patients waiting for treatment \u003cbr/\u003e22. SOUNDBITE: (english), Dr. Sisira Liyanage, director, National Eye Hospital, Sri Lanka\u003cbr/\u003e\"It's mainly the culture and the religion, because most people are Buddhist in Sri Lanka and most of the people in Sri Lanka they want to help each other. Even some people ask even now, can they give their one eye (even if they) live (alive). If we are telling that we can't take they're very disappointed.\"\u003cbr/\u003e23. Various of laboratory staff preparing corneas\u003cbr/\u003e24. Close under microscope of bottle containing cornea in solution \u003cbr/\u003e25. Close up of bottles containing a corneas in solution\u003cbr/\u003e26. SOUNDBITE: (English), Nalini de Silva, Doctor Hudson Silva's sister-in-law \u003cbr/\u003e\"He was in government service, so they didn't allow him to collect the eyes. Then he got them (patients) out on to the street, under the lamp post he removed (the eyes), he got the eyes and then he sent it. These foreign doctors all helped him because they wanted eyes.  Sri Lankans donate eyes, but foreigners don't donate eyes so much. So this was a good place for them to get eyes.\"\u003cbr/\u003e27. Various of the Dr. Hudson Silva International hospital building and eye bank\u003cbr/\u003e28. Close of a statue of Dr.Hudson Silva \u003cbr/\u003e29. Wide shot of the hospital \u003cbr/\u003e30. Wide of Buddhist religious ceremony blessing Dr.Hudson Silva's former home in the presence of his widow Iranganie Silva \u003cbr/\u003e31. Wide of Mrs Iranganie Silva with companions at the blessing ceremony \u003cbr/\u003e32. Various of members of the Eye Donation Society at the blessing ceremony holding onto the a thread distributed by the monk \u003cbr/\u003e33. Close of spindle holding the monk's thread\u003cbr/\u003e34. Mid shot of Buddhist monk helping Mrs Iranganie Silva to drink water blessed in the ceremony\u003cbr/\u003e35. Various of Silva drinking water \u003cbr/\u003e36. Various of monk tying thread to Silva's wrist\u003cbr/\u003e37. Various of patients waiting for cornea and cataract operations   \u003cbr/\u003e38. Mid shot of patients waiting to get an eye test \u003cbr/\u003e39. Various of optician checking the eyes of a young boy\u003cbr/\u003e40. Mid shot of elderly woman talking to optician\u003cbr/\u003e41. Mid of woman sitting down for eye test\u003cbr/\u003e42. Close of man being given an eye test \u003cbr/\u003e43. Mid of optician checking woman's eyes\u003cbr/\u003eSri Lanka's culture of devout Buddhism has created one of the world's biggest eye donation banks according to the country's Eye Donation Society.\u003cbr/\u003eThe Society says it's getting more eyes than it can use, so it's now transporting corneas and stem cells to patients in other countries where these are desperately needed, but rare.\u003cbr/\u003eThere are two patients in this operating theatre who are being given the gift of sight.\u003cbr/\u003eOne of them is 63 year old S.P.D. Siriwardana. He is here for a corneal transplant.\u003cbr/\u003eThe cornea of his own right eye deteriorated after complications caused by cataract surgery.\u003cbr/\u003eAnother patient, A.K. Premathilake, is waiting for stem cells from another part of the eye from the same donor.\u003cbr/\u003eHis vision was damaged by acid during an accident at work. The donated eye was harvested from a dead patient five hours ago.\u003cbr/\u003eNow it's in the hands of the surgeon.\u003cbr/\u003eOutside the operating theatre families wait in anticipation.\u003cbr/\u003ePremathilake was brought here to the Hudson Silva Eye Hospital by his father P.D. Siriwardana who is grateful to the donor.\u003cbr/\u003eBut he's also convinced that the donor himself will benefit from this kind act.\u003cbr/\u003eP.D. Siriwardana says of the donor \"he's dead, but he's still alive. His eye can still see the world.\"\u003cbr/\u003eIn many countries people baulk at the prospect of donating their eyes.\u003cbr/\u003eBut this gift of sight is common here.\u003cbr/\u003eIt's become almost a symbol of Sri Lanka's pride in its Buddhist culture and it's led to the production of more donations than the country can use. \u003cbr/\u003eThe country is an island nation, it's 20 million people are poor  having recently emerged from a quarter of a century of civil war.\u003cbr/\u003eBut this small nation provides the highest percentage of donated corneas worldwide, sending more than 60,000 eyes to 57 countries according to the Sri Lanka Eye Donation Society. \u003cbr/\u003eNearly 900,000 people have already declared their intention to donate their own eyes when they die.\u003cbr/\u003eAccording to Doctor Sisira Liyanage many are even willing to give up the use of one good eye in order to help others.\u003cbr/\u003eDoctors don't accept live donors, but the desire to give transcends all social and economic barriers. \u003cbr/\u003ePrime ministers share their corneas here along with the poorest tea farmers. \u003cbr/\u003eMany Sri Lankans, who are mostly Buddhist, believe that by surrendering their eyes at death, they are completing an act of \"Dana,\" or giving, that will enable them to be born into a better life. \u003cbr/\u003eThe idea was first promoted a half century ago by the late pioneering eye surgeon Dr. Hudson Silva after whom this hospital has been named.\u003cbr/\u003eHe was deeply frustrated by the massive shortage of corneas available to his patients, because then eyes were only harvested from  prisoners who were sentenced to death by hanging.\u003cbr/\u003eThere was little hope for patients in need of transplants.\u003cbr/\u003eSilva wrote a campaigning article in the 1950s pledging to donate his own corneas and he appealed to readers to also give \"Life to a Dead Eye.\" \u003cbr/\u003eThe response was overwhelming and with no facilities or high-tech equipment, he and his wife began harvesting eyes and storing them in their home refrigerator. \u003cbr/\u003eThe first cornea sent abroad was hand carried in 1964 by a flight attendant to Singapore in an ice-packed tea thermos.\u003cbr/\u003eSilva's colleagues banned him from harvesting eyes from dead patients at government hospitals because they were unsure whether cornea transplants could work, the doctor refused to stop.\u003cbr/\u003eSilva's sister in law Nalini de Silva remembers \"they did not allow him to collect eyes, so he brought (fresh corpses) out onto the street under the lamp post and he got the eyes and then sent them.\" said ,\u003cbr/\u003eNalini de Silva helped the doctor and his wife Irangani de Silva to establish the eye bank.\u003cbr/\u003eShe says \"all the foreign doctors helped him because they wanted the eyes.\"\u003cbr/\u003eThe initially reluctant Sri Lankan medical establishment eventually saw the value in what Silva was doing.\u003cbr/\u003eNow the idea of donating one's eyes at death is immersed in the culture and people of different faiths, including Hindus and Christians, see it almost an unspoken duty.\u003cbr/\u003eWhile the Sri Lanka eye bank was a pioneer, questions about quality emerged as international eye banking standards improved over the next 20 to 30 years. \u003cbr/\u003eThere have been particular concerns about the less rigorous screening for HIV and other diseases. \u003cbr/\u003eThe eye bank has since also faced allegations of mismanagement.\u003cbr/\u003eMany of the donors are in rural areas across the country, making auditing and quality assurance levels harder to maintain according to the Singapore National Eye Centre which has been a client of the Sri Lanka bank.\u003cbr/\u003eBut Sri Lanka's Eye Donation Society insists \"only the good and healthy eyes\" are transported and it maintains it has not received a complaint in 20 years. \u003cbr/\u003eThe Society is keen to stamp on claims of contamination.\u003cbr/\u003eIt insists there are checks for HIV, hepatitis and other sexually transmitted diseases by dipping a strip into blood samples and waiting to see if it changes colour for a positive result.\u003cbr/\u003eThe Society is also keen to dismiss claims that it's making money out of the scheme which relies on goodwill and donations.\u003cbr/\u003eIt says it charges up to $450 per eye to cover operational costs and the high price of preservatives needed to store the eyes.   \u003cbr/\u003eThe cornea is the dome-shaped transparent part of the eye that covers the iris and pupil. It helps to focus entering light, but can become cloudy from disease or other damage. \u003cbr/\u003eCorneas must be carefully extracted from donors to avoid damaging the thin layer of cells on the back that pump water away to keep it clear and they must be harvested within eight hours of death.\u003cbr/\u003eOnce preserved they can be stored for two weeks. \u003cbr/\u003eSri Lanka has no official registry for the eye donation service.\u003cbr/\u003eThe idea is simply passed from generation to generation and donation campaigns are organised at temples mainly by Buddhist monks.\u003cbr/\u003eMany physicians admire the Sri Lankan model.\u003cbr/\u003eThe U.S. is the world's biggest cornea provider according to the Eye Bank Association of America.\u003cbr/\u003eIt performs over 40,000 transplants each year and in 2010 it sent 16,000 corneas aboard.\u003cbr/\u003eSri Lanka, which is 15 times smaller, actually donates a higher percentage of corneas per capita. \u003cbr/\u003eThere is no waiting list for eye tissue in Sri Lanka and its people get first access to free corneas. \u003cbr/\u003eAbout 40,000 have been transplanted locally, but that still leaves a surplus of eyes collected each year. \u003cbr/\u003ePakistan, an Islamic country where followers are required to be buried with all parts intact, has benefited the most, receiving some 20,000 corneas.\u003cbr/\u003eEgypt and Japan are two other major recipients, receiving 8,000 and 6,000 corneas respectively.\u003cbr/\u003eBut Sri Lanka cannot meet global demand on its own. \u003cbr/\u003eThe US based organisation SightLife estimates ten million people suffer worldwide from corneal blindness which can be repaired with a transplant if the tissue and trained surgeons were available, \u003cbr/\u003eA queue of people wait patiently outside the operating room where patients Siriwardana and Premathilake are being stitched up.\u003cbr/\u003eThis procedure is Premathilake's last hope. \u003cbr/\u003eHis right eye blinks, but beneath the lid is an empty pink cavity.\u003cbr/\u003eThe stem cells attached to his left eye should help create a new window of sight.\u003cbr/\u003eHe hopes it'll enable him to work and become independent again. \"I didn't know the man who died in his previous life, but I'm always going to say blessings for him during his next births.\"\u003cbr/\u003ePremathilake pledges he won't forget the reason he's been given a second chance.\u003cbr/\u003eHe says he will continue to give blessings to his donor.\u003cbr/\u003e\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='action-container flex justify-between'\u003e\n\u003cbutton aria-expanded='false' aria-label='Read more description' class='rp-full-description' type='button'\u003e\n\u003ci class='fai fa-solid fa-align-left'\u003e\u003c/i\u003e\n\u003cspan id='read_more'\u003eRead More\u003c/span\u003e\n\u003c/button\u003e\n\u003cdiv class='rp-report'\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv 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data-posthog-location=\u0026quot;body_link_boclips\u0026quot; data-remote=\u0026quot;true\u0026quot; href=\u0026quot;/subscription/new\u0026quot;\u003eJoin Now\u003c/a\u003e\u003c/div\u003e\" data-title=\"Get Full Access\" data-container=\"body\" rel=\"popover\" tabindex=\"0\" aria-label=\"Play video: Huge eye donor bank created in Sri Lanka\" href=\"/subscription/new\"\u003e\u003cimg class=\"resource-img img-thumbnail img-responsive z-10 lp-boclips-thumbnail w-full h-full lozad\" alt=\"Huge eye donor bank created in Sri Lanka\" title=\"Huge eye donor bank created in Sri Lanka\" onError=\"handleImageNotLoadedError(this)\" data-default-image=\"https://static.lp.lexp.cloud/images/attachment_defaults/resource/large/missing.png\" data-src=\"https://static.lp.lexp.cloud/images/attachment_defaults/resource/large/missing.png\" width=\"315\" height=\"220\" src=\"data:image/png;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs\" /\u003e\n\u003cspan aria-hidden='true' class='flex justify-center 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