1. LIONS EYE BANK OF DELAWARE VALLEY Kimberton Area Lions Club District 14-P Lion Robert Toff President THE GIFT OF SIGHT Presented To

2. LEBDV History Formed by Local Lions in 1957 to service Delaware, New Jersey and southeastern Pennsylvania. We have provided tissue for more than 35,000 corneal transplants.

3. Mission/Vision Statement The Lions Eye Bank of Delaware Valley is committed to enhancing a person’s quality of life by restoring or improving vision through corneal transplantation, medical research and education. The Lions Eye Bank of Delaware Valley will be the region’s recognized leader in the procurement and processing of the highest quality ocular tissue.

4. Major Events in Eye Banking 1905First successful Corneal Transplant 1925After a plea from Helen Keller, Lions International took on sight conservation as a mission which led to the recovery of eyes by volunteer Lions for corneal transplants. 1961The Eye Bank Association of America (EBAA) was established by the American Academy of Ophthalmology. 1974McCarey-Kaufman (MK), the first long term storage solution extending corneal preservation to 72 hours. 1993Optisol storage solution was developed, allowing corneas to be stored for up to 14 days. 1995State Routine Referral Laws put in place in PA put an end to the waiting list for a transplant. 1998Federal Routine Referral Laws increase the number of available donors throughout the United States. 2008LEBDV begins preparing tissue for EK with new DSAEK system.

5. Who needs a corneal transplant? Congenital birth defects Blunt injury to the eye Chemical burns Infections Corneal diseases  Keratoconus  Corneal Edema  Fuch’s Dystrophy  PBK (Pseudophalic Bullous Keratopathy)  Other age related diseases

6. Penetrating Keratoplasty (PKP) How is a corneal transplant performed? Traditional PKP

7. Penetrating Keratoplasty (PKP) How is a corneal transplant performed? Traditional PKP

8. How does it work?

9. How is a corneal transplant performed? Newer Procedure: DSAEK Replaces only the damaged layer + Speedy recovery + Less discomfort + Stronger graft + Technically challenging – Requires very expensive equipment – No long term results yet Descemets Stripping Automated Endothelial Keratoplasty (DSAEK):

10. Lamellar/Endothelial Transplant

11. Centering cornea on pedestal Preparing the Cornea for DSAEK

12. Adjusting cornea on pedestal prior to locking into position

13. Moria Microkeratome Assembled and prepared to cut

14. Preparing the Cornea for DSAEK Technician initiating pre-cut procedure

15. Preparing the Cornea for DSAEK Counter-clockwise sweep of blade

16. Endothelial Transplant Bubble holds donor graft in place

17. Old –vs– New

18. Cornea Surgery Today, cornea transplants are performed as an outpatient procedure. More than 40,000 cornea transplants are performed each year in the United States. In 2010, 887 recipients residing in PA, DE and NJ received cornea transplants through LEBDV. Cornea Transplant surgery has a success rate of 97%.

19. 2010 Cornea Recipients in LEBDV Service Area 97 304 486

20. Eye Banking Today Since 1995, we have eliminated a local waiting list for transplants. The current situation has given rise to higher quality standards for transplantable tissue. Once staffed primarily by volunteers, Eye Banks are now fully staffed with Certified Eye Bank Technicians and various administrative staff. Federal government has taken large steps in the regulation of human tissue in recent years. Medical advancement in Organ and Tissue transplantation continues to have dramatic effects on Eye Bank operations. We have become part of a much larger group of transplant organizations.

21. Part of the Transplant Network EYE BANKS Organ Procurement Organizations CMS FDA Tissue Banks Hospital Administration

22. Other Services We Provide Eye Glass assistance program Tissue for research and medical education Gratis tissue for transplant Community education Professional education The list goes on and on

23. Ways to Give and Be Recognized General donations Life Memberships Memorial donations Directed donations Equipment fund Foundation giving (fellowships available)

24. Kimberton Area Lions Club Over $13,058.50 in Donations 1985 — 2011 THANK YOU!

25. Help Give the Gift of Sight

26. Please Keep the Miracle of Sight a Reality for Years to Come…

27. Carlie’s Gifts Changed Lives… Unexpectedly, at age 11, Carlie did not recover from a severe seizure. When it determined there were no more miracles for their little girl, Carlie’s family decided to create a miracle for another family. The decision to donate Carlie’s corneas and organs was such easy one for her family to make because of the kind of person Carlie was. “Her arms were always open and she had a constant smile on her face. Carlie was an extremely giving person,” says her mother, Maria. Carlie’s family looks at cornea and organ donation as an obvious and only choice. “Why not give? A part of Carlie will live through someone else,” said Maria.

28. My sincerest condolences for the tragic loss of your loved one. I hope, however, that some solace can be taken in knowing that a great gift has resulted from this tragedy as I was the recipient of a donor cornea from your loved one. Thanks to this, I can see out of my right eye for the first time in twelve years! This gift will allow me to continue my work as a television producer; be able to enjoy playing soccer: a game I have loved since I was five years old; but, most important, I am able to wake up in the morning and see my wife’s face. I will always value this blessing and treasure the gift that your sacrifice has given me. Thank you. Sincerely, Andy A very grateful donor recipient A Great Gift… … A Letter From A Recipient

29. New Jersey Jan-Dec 2010 Cornea Distribution

30. Pennsylvania Jan-Dec 2010 Cornea Distribution

31. Delaware Jan-Dec 2010 Cornea Distribution

32. OVER 50 YEARS OF COMMUNITY SERVICE 1957 — 2011 LIONS EYE BANK OF DELAWARE VALLEY Helping Create Miracles THANK YOU!