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Leave a Legacy of Giving
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Chad, a vibrant soul with a zest for life, left a mark on those who knew him. “He was a very happy person,” Linda fondly recalls. “He loved to have fun, joking and wrestling around.”
Tragically, Chad’s journey came to an end in January 2017 due to a car accident. Through her sorrow, Linda found peace in the opportunity to honor Chad’s memory through organ donation. Linda shares, “Chad would do anything he could to help somebody.” Chad’s selflessness manifested in his decision to register as an eye, organ, and tissue donor, a choice that would impact countless lives.
For Linda, Chad’s donation brought awareness and understanding. “I signed my driver’s license every time, knowing it was the right thing to do,” she says. “But I didn’t fully comprehend the extent of donation until Chad’s passing.” Through Midwest Transplant Network, Linda discovered the ripple effect of donation, extending far beyond organs to include tissues, bones, and corneas. “I had no idea that you could donate corneas or tissue,” she said. “It’s been eye-opening to learn how donation can touch so many lives.”
Chad’s legacy of giving continues to shine through an annual wiffleball tournament, a fitting tribute to his cherished childhood memories. Linda shares, “In September 2016, he was here with one of his kids and a couple of the other grandkids, and they were all outside playing wiffleball, and he said to me, ‘Mom, you know that this is my fondest memory growing up.’” Linda began to wonder what she could do to honor Chad and his legacy. “I didn’t want to do like the normal 5K because he didn’t run. I wanted it to be about him and came up with a wiffleball tournament.” What began as a small gathering with about eight teams on one field has blossomed into an annual community-wide event with 24 teams spread across eight fields.
As Linda navigates grief and healing, she finds comfort in connecting with recipients of Chad’s gifts. From an elderly woman regaining mobility to a hiker conquering new heights, each story reaffirms the impact of eye, organ, and tissue donation.
In honoring Chad’s legacy, Linda embraces a message of resilience and hope. “His story is one of triumph and tragedy,” she reflects. “I choose to focus on the positive, carrying forward his spirit of giving with every letter, every conversation, and every act of kindness.” As Linda and her family continue to honor Chad’s memory, they invite others to join them on the journey of donation. “Chad gave 100% of what he could give,” Linda emphasizes. “His legacy lives on in the lives he touched, inspiring us all to embrace the gift of giving.” In commemorating Chad’s spirit of generosity, Linda reminds us that even in moments of loss, love endures, and the legacy of giving transcends time.
Later this month, Saving Sight will announce its first Lion Ambassador of the Year at the Missouri Lions State Convention. We’ve received seven nominations for Lions doing amazing work in our service area. Nominations were accepted from current MD-26 District Governors, the MD-26 Council Chair, and Saving Sight’s board.
Lion John Berger, nominated by DG Paul Carr
Lion John Berger’s impact resonates deeply throughout Missouri as a Kids Sight Volunteer. His commitment to children’s vision screening began years ago, igniting a mission to ensure no child falls through the cracks due to vision issues. From school screenings to district-wide advocacy, John tirelessly promotes Kids Sight, inspiring teams and volunteers to join the cause. His warmth and patience shine during screenings, easing children into what might be their first eye examination. John’s dedication extends beyond children, as he now extends his efforts to senior citizens at health fairs. His unwavering commitment to ensuring access to vision care for all ages exemplifies true service and compassion.
PDG Lyn Porterfield, nominated by DG Sherl Horton
PDG Lyn Porterfield’s passion for humanitarian service is evident through his instrumental role in establishing and participating in eye missions. His tireless efforts to set up and attend these missions have transformed his dream into reality, providing essential vision care across the state. Lyn’s dedication extends beyond mission logistics; he meticulously cleans and reads hundreds of glasses annually, ensuring resources are maximized to benefit those in need. His unwavering commitment to improving access to vision care embodies the spirit of Lionism. Lyn’s selfless service and enduring contributions to the community have left an indelible mark, earning him profound appreciation and admiration from colleagues and beneficiaries alike.
PDG Devin Struttmann, nominated by the Saving Sight board
PDG Devin Struttmann’s dedication to vision care extends far and wide. As a vital member of the Missouri Lions Eye Mission Foundation, Devin was pivotal in expanding their services beyond the United States to include missions within Missouri. While continuing missions abroad, his focus on local outreach ensures that communities in need receive vital vision care resources. Devin’s involvement with Saving Sight underscores his commitment to serving the less fortunate, evident through his active participation in his local Lions Club, district, and state Lions initiatives. His unwavering dedication to Saving Sight drives his involvement in vision care advocacy.
PCC Brad Baker, nominated by DG Phil Krebs
PCC Brad Baker epitomizes boundless service as CEO of MidSouth Lions Sight and Hearing Services since 1995. Recognized by the Saving Sight board and Missouri Lions, his impact extends worldwide. Covering MO-AR-MS-West TN, Brad ensures access to eye care regardless of financial constraints. Guided by the mission “A Miracle a Day,” he aligns MidSouth Lions’ mission with Saving Sight’s goal of “Changing Lives by Saving Sight.” From organizing Cataract-A-Thons for dozens to facilitating care for individuals worldwide, Brad’s devotion to preserving and enhancing sight shines through. Collaborating with Baptist Memorial Hospital and the Hamilton Eye Institute, his tireless dedication to improving lives through vision care reflects a profound commitment to humanitarian service.
PDG Bill Foglesong, nominated by CC Harold Spire
PDG Bill Foglesong embodies the essence of altruism and dedication in promoting eye health and preventing blindness. His commitment shines brightly through volunteering at Donor Days at Walgreens, where his tireless efforts make a tangible impact on the community. Moreover, PDG Bill’s altruism extends beyond his contributions as he actively involves his wife, Lisa, in this vital cause. Together, they have participated in raising a Leader Dog puppy and have generously volunteered their time and expertise, amplifying the impact of their efforts.
PDG Mark Schaeperkoetter, nominated by DG Ed Bierbower
PDG Mark Schaeperkoetter’s dedication to children’s vision health is evident through his recent screening of 60 third and fourth-grade students at Eldon Lower Elementary. His proactive approach ensures early detection and intervention for potential eye issues, with seven children referred to an optometrist for further evaluation. PDG Mark and Lion Judy’s ongoing commitment to screening young school children across mid and southern Missouri highlights their selfless dedication to community service. Through their efforts, they contribute significantly to the well-being of children, potentially averting severe eye problems in the future. Mark’s passion for ensuring every child receives the care they need underscores his exemplary leadership and humanitarian spirit within the Lions community.
In recent years, advancements in medical research have pushed the boundaries of what was once considered feasible in the field of ophthalmology. One such study observed the effect of the expansion of eye bank donor age on corneal endothelial cell density and surgeon acceptance rate of those tissues. Donor characteristics, endothelial cell density, and acceptance of tissues for use in surgery were compared between age groups in five-year intervals. The aim was clear: to assess how this expansion would influence the availability of corneal tissue for transplantation and challenge existing biases against older donors. Saving Sight was proud to partner with Dr. Roy Chuck and Ayobami Adebayo, among other researchers, to provide the corneal tissue used during this study.
This single-site study featured 25,969 corneas from eye bank donors from 2018 – 2022 between the ages of 2 and 75. At the beginning of 2022, the donor age limit was increased to 80 years old, thus allowing donated tissue from older donors to be used in transplants. The age limit increase allowed 411 more cornea donations, which led to 208 more transplants. The average endothelial cell density for the 71-75 age group was 2,349 cells/mm2, compared to 2227 cells/mm2 in donors aged 76-80. The difference of 122 cells/mm2 doesn’t seem like much, but the study saw that donors aged 71-75 had a 38% surgeon rejection rate, while those aged 76-80 had a 48% surgeon rejection rate.
There could be multiple reasons for the difference in surgeon rejection rate, but one could be age bias. Traditionally, corneas that come from older donors are looked at as not viable, but this study showed that corneas from older donors are still very viable for transplant. While there isn’t a shortage of corneas for transplant in the United States, there is a global shortage, resulting in patients in other countries waiting on the transplant list for months.
“If we can expand the age pool to increase and even get some more donations, that will increase transplants,” Adebayo said. “And I think there’s just a lot more room for growth in that area.”
This study is important for the future of ophthalmology and eye banks because there is a cornea shortage in other countries. By increasing the donor age limit, more corneas will be available for transplant globally. Expanding the donor age limit and using those tissues in surgery can give the gift of sight to many more people in need across the globe. Potential age bias isn’t the only factor in the difference in surgeon rejection rate, but it does show that more work needs to be done.
“So, no matter what you do, there’s still a bias against age and many things that we do in life, and that bias never disappears,” Chuck said. “…We can do one of two things. We can work to death to change everyone’s mind just by talking to them. It’s very difficult to do, and it’s much easier for us to generate data, and that’s what we’re doing. That’s the whole basis of research, you know, change thought by proving it with data.”
As researchers navigate the complexities of eye, organ, and tissue donation and transplantation, they remain committed to ensuring equitable access to sight-restoring treatments for all. Increasing the donor age limit will increase viable donor tissue for transplant, allowing those in underserved areas to receive the gift of sight. The journey to redefine how corneal donations are handled isn’t solely about science; it’s a moral duty with the chance to change lives by saving sight.
At Saving Sight, our vision is to be the global partnership model for how eye banking and charitable vision services can most effectively serve people and communities. This standard we hold ourselves to has guided us to over 60 years of excellence in eye banking. We wouldn’t be able to change lives by Saving Sight without the support and dedication of our corneal surgeon partners. One corneal surgeon partner has a history of Saving Sight in the United States and globally.
Dr. Miles Greenwald started at the University of Kansas Medical Center in September 2023, focusing on corneal surgeries and comprehensive eye care. Before KU, Dr. Greenwald completed a one-year cornea fellowship before participating in a Global Ophthalmology Fellowship at the University of Michigan. The Global Ophthalmology Fellowships aims to build skills and relationships with different hospitals and clinics in the developing world. Often, there are fewer professionals, nurses, and technicians, and their resources are a lot less.
Dr. Greenwald spent seven months of that year traveling to different countries, working with the local ophthalmologists to determine how best to provide eye care. Dr. Greenwald spent time in India, Rwanda, Honduras, and two places in Kenya.
Just a few months ago, Greenwald traveled back to Kenya on a mission trip to save sight and teach and train the next generation of corneal surgeons. Coming out of the Global Ophthalmology Fellowship, he knew he wanted to work in an academic ophthalmology department, and that is what KU provided.
“I knew that I wanted to work with residents and medical students and be involved in training and teaching the next generation how to be good ophthalmologists and doctors. I’ve been very fortunate throughout my training to have learned from just amazing, amazing people and have mentors who have devoted so much to training me and helping me be the best that I can be. And so, I wanted to be involved in that as part of my career,” Greenwald said.
Before his trip, Greenwald connected with the ophthalmologist in Kenya and discussed what he could do and what the resident could do to be most helpful. The ophthalmologist said that people are on the waiting list for cornea transplants. After hearing this, Greenwald connected with Saving Sight to see how we could partner with him and save sight.
“Saving Sight was super supportive. They just said to tell us the details. How can we help logistically? How can we help get these patients taken care of? How many tissues would be helpful?” Greenwald said.
In a week, Greenwald and the team completed 12 corneal transplants with tissue provided by Saving Sight. Patients ranged in age from as young as 20 to patients in their 60s. “One of the crucial pieces for collaborations in corneal transplants is the lifelong care that is needed… I can trust Dr. Ben Roberts and his team at the eye hospital that when we do the surgery during that one time period, he and his team are there year-round and are able to care for the patients and do all the post-op care for the transplants,” Greenwald said.
Eye banking is something we take for granted here in the United States. Kenya only has one eye bank, which only processes a little tissue. It is difficult, if not impossible, for physicians in Kenya to get tissue from that eye bank.
“So, working with Saving Sight to have the tissues for the trip would be impossible without Saving Sights support. It makes it possible to restore vision for these patients and to try and give them their livelihood and their lives back,” Greenwald said.
Greenwald says the support he and other doctors within different specialties receive from leadership at KU has been invaluable in making his dream a reality.
“I’m excited for it to continue to build and become kind of a regular thing for the faculty and the residents to be involved in,” Greenwald said.
He plans a trip to Honduras, where he will work with a few ophthalmology surgical fellows, teaching them how to do some advanced surgeries, including corneal transplants and glaucoma surgery. The goal of his trip to Honduras is not for him to do another corneal transplant but to help the young surgeons learn how to do it for themselves.
Corneal blindness is a problem everywhere in the world. It’s estimated that about 4 million people worldwide are legally blind from corneal blindness.
“That number can be easily daunting, and I think we can get numb to it when there are statistics like that. Each of those people has a life dramatically affected by the lack of vision. Being able to partner with Saving Sight to do these surgeries and provide the appropriate follow-up care and post-operative management for each patient and to be able to help restore their sight and regain their life is rewarding.”