Skip to main content

Advertisement

Log in

Donation of discarded ocular tissue in patients undergoing SMILE laser refractive surgery: developing appropriate guidelines

  • Full Length Paper
  • Published:
Cell and Tissue Banking Aims and scope Submit manuscript

Abstract

Tissue Biobanks represent an invaluable resource. Despite the majority of people supporting tissue donation, the actual rate remains low overall. Tissue discarded from surgical procedures represents a further avenue for collection for use in research. We aim to understand the information and consent requirements in a cohort of healthy, post-ophthalmic surgical subjects to optimise future tissue collection in living donors. Patients attending an ophthalmic clinic following refractive surgery for myopia (SMILE) were identified. Patient consent was implied with the completion of the provided survey. The questionnaire included gender, age range and education status. The majority of 31 subjects identified a benefit for future patients as the main motive for potential donation of discarded tissue (71%). Payment for the discarded tissue would not influence their decision in 77.4%. Explanation of the potential benefits of research was the most important information to consider before making a decision to donate. Only 12.9% of patients would have refused to include further information. Almost half of patients felt that the Biobank became the owner of tissue following donation. Current surgical patients may be more inclined to participate in research than the general public because of a sense of duty or an increased understanding of the role of research in evolving treatment. Despite minor uncertainty about the eventual use of the tissue and data, most subjects were positive to donation of discarded ocular tissue and de-identified information. Consent and education processes should be revised within an ophthalmic practice to minimise future patient anxiety.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Banks E, Herbert N, Mather T, Rogers K, Jorm L (2012) Characteristics of Australian cohort study participants who do and do not take up an additional invitation to join a long-term biobank: The 45 and Up Study. BMC Res Notes 27(5):655. https://doi.org/10.1186/1756-0500-5-655

    Article  Google Scholar 

  • Bhandari V, Ganesh S, Brar S, Pandey R (2016) Application of the SMILE-derived glued lenticule patch graft in microperforations and partial-thickness corneal defects. Cornea 35(3):408–412

    Article  Google Scholar 

  • Capron AM, Delmonico FL, Dominguez-Gil B, Martin DE, Danovitch GM, Chapman J (2016) Statement of the declaration of istanbul custodian group regarding payments to families of deceased organ donors. Transplantation 100:2006–2009

    Article  Google Scholar 

  • Caulfield T, Burningham S, Joly Y, Master Z, Shabani M, Borry P et al (2014) A review of the key issues associated with the commercialization of biobanks. J Law Biosci 1(1):94–110

    Article  Google Scholar 

  • Caulfield T, Murdoch B (2017) Genes, cells, and biobanks: yes, there's still a consent problem. PLoS Biol 15:e2002654

    Article  CAS  Google Scholar 

  • Clark G, Lipworth W, Bokey L, Little JM, Kerridge IH (2006) An empirical study of tissue banking in Australia: Navigating regulatory and ethical challenges. J Law Med 1:102–109

    Google Scholar 

  • Cynowiec J, Kim J, Qazi YA (2009) Incentivizing living organ donation. Curr Opin Organ Trans 14:201–205

    Article  Google Scholar 

  • Edwards T, Cadigan RJ, Evans JP, Henderson G (2014) Biobanks containing clinical specimens: defining characteristics, policies, and practices. Clin Biochem 47:245–251

    Article  Google Scholar 

  • Emery J, Kumar S, Smith H (1998) Patient understanding of genetic principles and their expectations of genetic services with the NHS: A qualitative study. Commun Genet 1:78–83

    Article  Google Scholar 

  • Fradgley EA, Chong SE, Cox ME, Paul CL, Gedye C (2018) Enlisting the willing: A study of healthcare professional-initiated and opt-in biobanking consent reveals improvement opportunities throughout the registration process. Eur J Cancer 89:36e41

    Article  Google Scholar 

  • Goddard KA, Smith KS, Chen C, McMullen C, Johnson C (2009) Biobank recruitment: motivations for nonparticipation. Biopreserv Biobank 7:119–121

    Article  Google Scholar 

  • Hewitt RE (2011) Biobanking: the foundation of personalized medicine. Curr Opin Oncol 23:112–119

    Article  Google Scholar 

  • Hoeyer K, Lynoe N (2006) Motivating donors to genetic research? Anthropological reasons to rethink the role of informed consent. Med Health Care Philos 9:13–23

    Article  Google Scholar 

  • Johnsson L, Helgesson G, Rafnar T, Halldosdottir I, Chia K-S, Eriksson S, Hansson MG (2010) Hypothetical and factual willingness to participate in biobank research. Eur J Hum Genet 18:1261–1264

    Article  Google Scholar 

  • Kettis-Lindblad A, Ring L, Viberth E, Hansson MG (2005) Genetic research and donation of tissue samples to biobanks. What do potential sample donors in the Swedish general public think? Eur J Publ Health 16:433–440

    Article  Google Scholar 

  • Liu YC, Williams GP, George BL, Soh YQ, Seah XY, Peh GSL, Yam GHF, Mehta JS (2017) Corneal lenticule storage before reimplantation. Mol Vis 23:753–764

    CAS  Google Scholar 

  • Master Z, Nelson E, Murdoch B, Caulfield T (2012) Biobanks, consent and claims of consensus. Nat Methods 9:885–888

    Article  CAS  Google Scholar 

  • McKibbin M, Ahmed M, Allsop MJ, Downey L, Gale R, Grant HL, Potrata B, Willis TA, Hewison J (2014) Current understanding of genetics and genetic testing and information needs and preferences of adults with inherited retinal disease. Eur J Hum Genet 22(9):1058–1062

    Article  Google Scholar 

  • Murphy J, Scott J, Kaufman D, Geller G, LeRoy L, Hudson K (2008) Public expectations for return of results from large-cohort genetic research. Am J Bioeth 8(11):36–43

    Article  Google Scholar 

  • National Health and Medical Research Council (NHMRC) (2010) Biobanks Information Paper 2010, NHMRC, Canberra

  • Otlowski M (2009) Principles and Practice in Biobank Governance. In: Kaye J, Stranger M (eds) 5. Ashgate, Surrey, pp 79–92

    Google Scholar 

  • Parker LS (2006) Best laid plans for offering results go awry. The American Journal of Bioethics 6:22–23

    Article  Google Scholar 

  • Patel A (2011) Tissue banking for research—bench to bedside and back—myth, reality or fast fading reality at the dawn of a personalised healthcare era. Cell Tissue Bank 12:19–21

    Article  Google Scholar 

  • Rahm AK, Wrenn M, Carroll NM, Feigelson HS (2013) Biobanking for research: a survey of patient population attitudes and understanding. J Commun Genet 4:445–450

    Article  Google Scholar 

  • Reichardt JO (2010) Donor compensation: an ethical imperative! Trans Proc 42:124–125

    Article  Google Scholar 

  • Riau AK, Lui YC, Yam GHF, Mehta JS (2020) Stromal keratophakia: corneal inlay implantation. Prog Retinal Eye Res 75:100780

    Article  Google Scholar 

  • Riegman PHJ, van Veen E-B (2011) Biobanking residual tissues. Hum Genet 130:357–368

    Article  Google Scholar 

  • Riordan F, Papoutsi C, Reed JE, Marston C, Bell D, Majeed A (2015) Patient and public attitudes towards informed consent models and levels of awareness of electronic health records in the UK. Int J Med Inform 84:237–247

    Article  Google Scholar 

  • Simon CM, L’heureux J, Murray JC, Winokur P, Weiner G, Newbury E et al (2011) Active choice but not too active: public perspectives on biobank consent models. Genet Med 13:821–831

    Article  Google Scholar 

  • Skeie JM, Tsand SH, Vande Zande R, Fickbohm MM, Shah SS, Vallone JG, Mahajan VB (2014) A Biorepository for Ophthalmic Surgical Specimens. Proteomics Clin Appl 8:209–217

    Article  CAS  Google Scholar 

  • The National Health and Medical Research Council, the Australian Research Council and Universities Australia. National Statement on Ethical Conduct in Human Research 2007 (Updated 2018). Commonwealth of Australia, Canberra

  • Tupasela A, Sihvo S, Snell K, Jallinoja P, Aro AR, Hemminki E (2010) Attitudes towards biomedical use of tissue sample collections, consent, and biobanks among Finns. Scand J Publ Health 38:46–52

    Article  Google Scholar 

  • De Vries RG, Tomlinson T, Kim HM, Krenz C, Haggerty D, Ryan KA, Kim SYH (2017) Understanding the public’s reservations about broad consent and study-by-study consent for donations to a biobank: results of a national Survey. PLoS ONE 11:e0159113

    Article  CAS  Google Scholar 

  • Williams GP, Wu B, Liu YC, Teo E, Nyein CL, Peh G, Tan DT, Mehta JS (2018) Hyperopic refractive correction by LASIK, SMILE or lenticule reimplantation in a non-human primate model. PLoS ONE 13(3):e0194209

    Article  CAS  Google Scholar 

  • Willison D, Schwartz L, Abelson J (2007) Alternatives to project-specific consent for access to personal information for health research: What is the opinion of the Canadian public? J Am Med Inform Assoc 14(6):706–712

    Article  Google Scholar 

  • Willison DJ, Steeves V, Charles C, Schwartz L, Ranford J, Agarwal G, Cheng J, Thabane L (2009) Consent for use of personal information for health research: do people with potentially stigmatizing health conditions and the general public differ in their opinions? BMC Med Ethics 24(10):10

    Article  Google Scholar 

  • Womack C, Gray NM (2009) Banking human tissue for research: vision to reality. Cell Tissue Bank 10:267–270

    Article  CAS  Google Scholar 

Download references

Funding

Gerard Sutton receives support from Sydnovate, Sydney Medical School, University of Sydney for non-related research. No funding was provided for this work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Chris Hodge.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 1303 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ghabcha, M., Sutton, G., Petsoglou, C. et al. Donation of discarded ocular tissue in patients undergoing SMILE laser refractive surgery: developing appropriate guidelines. Cell Tissue Bank 21, 605–613 (2020). https://doi.org/10.1007/s10561-020-09850-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10561-020-09850-3

Keywords

Navigation