TUESDAY, Sept. 29, 2020 (HealthDay Information) — U.S. and Canadian restrictions on cornea donations from homosexual and bisexual males stop 1000’s of vision-restoring transplants and have to be modified, researchers say.
A corneal transplant can remedy some types of blindness and visible impairment. America bans males from donating if they’ve had homosexual intercourse previously 5 years; Canada has a 12-month restriction.
The identical debate has raged for years in the USA about blood donations. In April, the U.S. Meals and Drug Administration modified the abstinence interval required for homosexual and bisexual blood donors from 12 months to a few months.
The restrictions prevented greater than 3,200 corneal donations from homosexual and bisexual males in 2018, regardless of a scarcity of scientific proof of hurt attributable to receiving corneas from these males, based on a research revealed Sept. 24 within the journal JAMA Ophthalmology.
“With tens of millions of individuals internationally in want of corneal transplants, these discarded corneas from homosexual and bisexual males could possibly be used to deal with the scarcity and safely restore vision to 1000’s of sufferers with corneal blindness or visible impairment,” stated lead creator Dr. Michael Puente, an assistant professor of ophthalmology on the College of Colorado College of Medication, in Aurora.
U.S. restrictions on cornea donations by homosexual males have been adopted in 1994 on account of considerations about HIV. On the time, HIV tests have been unreliable as much as six months after publicity to the virus that causes AIDS.
As we speak, nevertheless, HIV testing is extra dependable, and may determine an infection inside 4 to eight days of publicity.
All U.S. corneal donors are required to bear three separate HIV exams. However even when all three exams are unfavourable, the five-year restriction on homosexual and bisexual donors stays.
“With trendy virologic testing and a greater understanding of the low danger of HIV transmission by corneal transplants, this five-year deferral coverage for homosexual males just isn’t supported by present science,” Puente stated in a college information launch. “We ask federal regulators to rethink these outdated insurance policies that are depriving sufferers of the potential of sight restoration.”
Many international locations — together with Spain, Italy, Mexico, Chile and Argentina — enable homosexual and bisexual males to donate their eye tissue simply as simply as heterosexual donors, the authors stated.
Different international locations require abstinence intervals far shorter than 5 years. Britain permits corneal donation by homosexual and bisexual males after solely three months of abstinence, whereas the Netherlands and France require 4 months of abstinence, based on the research.