Clearing the path to vision restoration: an analysis of attitudes and associated factors towards cornea donation in Syria

BMJ Open Ophthalmol. 2023 May;8(1):e001290. doi: 10.1136/bmjophth-2023-001290.

Abstract

Objective: This study aims to assess attitudes and associated factors towards cornea donation among visitors of a main public hospital in Damascus. Findings of this study can contribute to the development of effective donation campaigns and applying cornea donation in Syria.

Methods: This cross-sectional study included individuals who were above 18 years old and were visitors of Al-Mouwasat University Hospital in Damascus, Syria. Data were gathered using a questionnaire administered through face-to-face interviews with the participants. A validated questionnaire was used and consisted of three sections: demographic information, awareness assessment and evaluation of participants' attitudes towards corneal donation. Associations between participants' demographics and variables were tested using χ2 test, and a p value of <0.05 was considered significant.

Results: 637 participants were randomly interviewed. 70.8% of the sample were female and 45.7% have heard about cornea donation. 68.3% of the participants accepted donation of their cornea after death, but this decreased to 56.2% when it comes to donation from relatives after their death. The main reasons for refusing and accepting cornea donation were religious beliefs (10.8%) and intention to help others (65.8%), respectively. Women were more likely to accept donation after death than men (71.4% vs 60.8%, p=0.009). Finally, acceptance of cornea donation would increase if participants lived in a more developed country (71.7% vs 68.3%).

Conclusion: Despite the high willingness, corneal donation in Syria is still not enough. Corneal donation requires an ensured donation system that supports and organises the processes, a simplified education about the importance of donation, and clarifying the right instructions of religion.

Keywords: cornea.

MeSH terms

  • Adult
  • Attitude*
  • Cornea
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Syria
  • Tissue Donors*