Objectives: Our objective was to assess the awareness of eye donation in an urban slum population and willingness to donate eyes after death. Materials and Methods: A cross-sectional, populationbased study was undertaken in 20 urban slum clusters of the Indian capital, New Delhi. A total of 2004 individuals aged 18 years and older were recruited. After written, informed consent was obtained, knowledge regarding eye donation was assessed through a predesigned close-ended questionnaire. The questionnaire was framed so as to understand the sociodemographic factors influencing the willingness to donate and the awareness of eye donation in this distinct population. Results: The mean age of the recruited individuals was 36.53 ± 13.68 years. Age did not have any significant effect on awareness regarding eye donation. We observed that 34.3% of the study population had no knowledge of eye donation and that 7.78% of the study population had excellent knowledge. Education seemed to be an important determining factor regarding knowledge of eye donation. Multivariable logistic regression demonstrated better awareness among the Hindu population (81.1%) and those belonging to a higher caste (P < .05). The younger age group (those 18-30 years old) showed significant willingness to donate their eyes versus older age groups (P < .001). In our study population, male participants (P = .006), those classified as literate (P < .001), and those classified as Hindu (P < .001) were more willing to pledge their eyes for donation.
Conclusions:Although there is substantial awareness about eye donation, willingness to pledge eyes was very low in the urban slum population. Additional efforts are needed to translate this awareness into actual eye donation in the urban poor population.
Key words: Corneal transplantation, Cross-sectional study, Questionnaire, Urban poor, Willingness
IntroductionCorneal diseases are a major cause of visual impairment and blindness in the developing world. 1 Corneal transplant is the only effective mode of therapy for visual rehabilitation of people who become blind because of corneal diseases. Success depends on the availability of high-quality donor eyes for corneal transplant. Currently, there is a gap between demand and supply of donor corneal tissues in the developing world, where the need is highest due to greater prevalence of corneal diseases in these regions. 2 The lack of a donor cornea pool in developing countries has been directly related to the lack of awareness and willingness to donate among the general population. 3 Various studies have evaluated the awareness among different groups of populations, including medical students, nursing staff, rural populations, and others. [3][4][5][6] Although these studies have suggested many opinions and factors that tend to influence decision-making regarding the subject of "eye donation," no studies have been conducted in populations residing in urban slums, an important segment of the underserved population in India."Urban slums" are unique in their co...