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    Impacto da atual legislação brasileira na dinâmica de captação de córneas no banco de olhos do hospital São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2013-11-27) Silva, Igor Rodrigo Lins da [UNIFESP]; Sato, Elcio Hideo Sato [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To evaluate the effects of the legislative changes in the dynamics of corneal donation in the Hospital São Paulo Eye Bank. Methods: Retrospective analysis of the number of corneal transplants performed in Brazil and in the state of São Paulo from 2005 to 2012, in addition to information recorded by BOHSP, regarding eye globe havesting and cornea donation from January 2009 to December 2010. We analyzed information about regarding the number of donations of corneas by month and year, place ocular tissue was obtained from, cause of death, as well as information from donors such as age and sex. Results: Nationally, the total number of corneal transplants performed increased from 8,713 in 2005 to 15,281 in 2012. At the state level, in 2012, in São Paulo, there was an estimated need of 3,714 corneal transplants to be performed, with the completion of 5,570 corneal transplants. In 2009 and 2010, in the BOHSP, 1990 were potencial donors, and 341 donated. From this total, 1069 were male and 876 were female. Mean age was 60.71 years in 2009 and 61.28 in 2010. Sepsis, cardiovascular disease, cancer and external causes were the main causes of death. Discussion: Over the years, the implementation of laws and regulations aimed to improve the efficiency of search and harvesting of organs. The 157 state resolution passed prohibiting the obtention of ocular tissues for any purpose, for example among those, in cases of active infection, such as sepsis. There was a considerable increase in number of death due to sepsis in the following years, thus influencing the potential for corneal donations in the Hospital São Paulo. The ministerial decree number 2600 set the minimum age of 2 years and maximum of 80 years did not influence negatively the absolute number of corneas donated, despite the increase in the number of refusals from family members. Conclusions: Alternatives for obtaining a larger number of corneal donations should be made through improvement of legislation, staff training leading or public education as corneal transplant is often the only way to restore vision in many with corneal diseases.