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I am a medical retinal specialist who is involved in a spectrum of basic and clinical research into the cause, risk factors, prevention and treatment of age related macular degeneration, the most common cause of vision loss in Australia.
New Dynamometric Techniques For Predicting Glaucoma Progression
Funder
National Health and Medical Research Council
Funding Amount
$171,825.00
Summary
Glaucoma is a major cause of blindness in our community. The biggest risk factor for glaucoma is raised intraocular pressure. However, the exact cause of the disease remains unknown. Through our basic science studies in animals we have discovered that changes in blood flow in the vessels at the optic disk may be involved in the disease process. In recent clinical trials we discovered that the presence or absence of pulsations in the retinal veins at the disk was both an indicator of severity and ....Glaucoma is a major cause of blindness in our community. The biggest risk factor for glaucoma is raised intraocular pressure. However, the exact cause of the disease remains unknown. Through our basic science studies in animals we have discovered that changes in blood flow in the vessels at the optic disk may be involved in the disease process. In recent clinical trials we discovered that the presence or absence of pulsations in the retinal veins at the disk was both an indicator of severity and progression of glaucoma. This is a major breakthrough because there is no other means of predicting in which glaucoma patients vision loss will develop most rapidly. This information will be very helpful in deciding which patients should have the most agressive treatment to restore normal intraocular pressure. This project seeks to develop a new commercial device to make such an examination easy for any clinical ophthalmologist. The device allows the doctor to examine the vessels at the disk whilst applying slight pressure to the eye to temporarily raise intraocular pressure. A footswitch is pressed when the doctor sees the vessels pulsate. The required force is recorded by a laptop computer and the data stored along with the patients details. Now we have confirmed the ability of such a measurement to predict the rate of visual field loss in glaucoma, such a measurement will become much more widespread in clinical ophthalmology, offering a new and large scale opportunity for such instrumentation. Our device will be easy to operate, more comfortable for the patient, and will be of major diagnostic value in glaucoma clinics worldwide.Read moreRead less
Advanced New Therapeutics And Diagnostics In Retinal Diseases And Glaucoma
Funder
National Health and Medical Research Council
Funding Amount
$3,550,944.00
Summary
This program proposal targets the most common blinding diseases in clinical ophthalmology. The applicant team includes research and clinical ophthalmologists and basic scientists. The team have an internationally established reputation in bringing basic science discoveries to the point where they can impact directly on clinical diagnosis and therapy. The proposed research includes new treatment therapies for diabetic retinopathy, age related macular degeneration, and retinal vascular diseases. A ....This program proposal targets the most common blinding diseases in clinical ophthalmology. The applicant team includes research and clinical ophthalmologists and basic scientists. The team have an internationally established reputation in bringing basic science discoveries to the point where they can impact directly on clinical diagnosis and therapy. The proposed research includes new treatment therapies for diabetic retinopathy, age related macular degeneration, and retinal vascular diseases. A new diagnostic technique for glaucoma and new instrumentation for detecting areas of poor blood flow and oxygen supply in the eye are also to be developed. Past successes in our current program grant make us confident that we can produce clinically useful outcomes from this new proposal.Read moreRead less
The broad aim of this project is to understand how the eye receives visual signals and sends them to the brain. Our experimental goal is to study the structure of neural connections in a poorly understood division of the visual system, called the koniocellular pathway. The cells of the koniocellular pathway make up close to 10 percent of all projections from the eye to the brain, but their functions are almost completely unknown. The fovea is a specialised region of the retina (the nerve cells w ....The broad aim of this project is to understand how the eye receives visual signals and sends them to the brain. Our experimental goal is to study the structure of neural connections in a poorly understood division of the visual system, called the koniocellular pathway. The cells of the koniocellular pathway make up close to 10 percent of all projections from the eye to the brain, but their functions are almost completely unknown. The fovea is a specialised region of the retina (the nerve cells which line the back of the eye). It is characterised by a very high density of cone photoreceptors, and is essential for high-acuity vision. This makes the fovea the most important part of the primate retina, but the high density of nerve cells there is thought to be the reason why the fovea is especially vulnerable to disease and age-related degeneration. Our aim is to analyse, using high-resolution microscopic techniques, the connections of koniocellular-pathway cells within the retina. We specifically aim to discover whether the koniocellular pathway contributes to foveal vision. Recent work from our and other laboratories has shown that many koniocellular-pathway cells receive functional connections from short-wavelength sensitive (blue) cone photoreceptors. Thus, our study will provide new insights into the connectivity of blue-cone pathways in the fovea. Although these experiments address basic scientific questions, they can lead to improved clinical practice. Understanding the wiring diagram of the retina can inform clinical studies of conditions such as glaucoma, and helps to give a rational basis for development of treatments. For example, dysfunction in blue-cone pathways is an early sign of glaucoma, so understanding the connections of blue-cone pathways in the fovea can lead to improved methods for early detection of this leading cause of blindness.Read moreRead less
Development Of A Cultured Tissue Substitute To Repair The Ageing Retina
Funder
National Health and Medical Research Council
Funding Amount
$63,267.00
Summary
The ultimate goal of my research is to develop an effective, affordable and accessible treatment for patients afflicted with age related macular degeneration (AMD). The novelty of my study is that I will use a protein extracted from silk as a form of scaffold on which to grow new retinal tissue, with the view to replacing the damaged tissue that eventually leads to permanent loss of sight in AMD patients.
The retina lines the back of the eye and sends multiple movies of the visual world to the brain. This project aims to investigate how these multiple information channels are created. Descriptions of the basic pattern of wiring in the healthy retina will help clinical researchers to understand the disruptions that occur in visual disease. The precision of normal retinal wiring also delineates the precision required to restore normal function to a diseased or degenerating eye.
Distribution Of Neurotransmitter Receptors On Identified Cell Populations In The Primate Retina
Funder
National Health and Medical Research Council
Funding Amount
$421,812.00
Summary
Neurons (nerve cells) communicate with each other by releasing chemicals called neurotransmitters at specialized sites called synapses. Each neuron has synaptic receptors, which determine how it will respond to neurotransmitters released by other neurons. The molecular structure and function of these receptors is well understood. Much less is known about the rules that govern which receptor types are expressed by each type of neuron, and how these receptors are distributed to the appropriate syn ....Neurons (nerve cells) communicate with each other by releasing chemicals called neurotransmitters at specialized sites called synapses. Each neuron has synaptic receptors, which determine how it will respond to neurotransmitters released by other neurons. The molecular structure and function of these receptors is well understood. Much less is known about the rules that govern which receptor types are expressed by each type of neuron, and how these receptors are distributed to the appropriate synapses so as to allow the normal function of the nervous system. We will study the distribution of neurotransmitter receptors on identified neurons in the retina. The retina is part of the central nervous system and its highly ordered structure makes it an ideal model nervous system. We will compare the distribution of receptors on neurons that play distinct functional roles in colour and movement detection. These experiments will advance our understanding of the normal functioning of the nervous system.Read moreRead less
Synaptic Connectivity Of Colour Pathways In Primate Retina
Funder
National Health and Medical Research Council
Funding Amount
$367,500.00
Summary
The first step in the visual process occurs when light enters the eye and activates specialised nerve cells called photoreceptors. The photoreceptors for daytime vision (called cones for their cone-like shape) comprise three types, which are sensitive to the long- (red), medium- (green) or short-wavelength (blue) regions of the visible spectrum. Although the properties of the cones are well known, the way in which they are functionally connected to nerve pathways for vision is not clearly unders ....The first step in the visual process occurs when light enters the eye and activates specialised nerve cells called photoreceptors. The photoreceptors for daytime vision (called cones for their cone-like shape) comprise three types, which are sensitive to the long- (red), medium- (green) or short-wavelength (blue) regions of the visible spectrum. Although the properties of the cones are well known, the way in which they are functionally connected to nerve pathways for vision is not clearly understood. Clinical research has shown that reduced sensitivity to blue light is a feature of the early stages of certain visual diseases (for example, glaucoma), so it is important to know how the short-wavelength (blue) cones contribute to visual functions such as form, motion and colour perception. Such knowledge can help to design better tests for diagnosis of visual disorders, and will improve our understanding of the normal function of the visual system in the human brain. In this project the connections of neurones in the primate retina (the nerve cells which line the back of the eye) will be analysed. The blue cones and other nerve cells will be identified using contemporary anatomical methods (double- and triple-label immunocytochemistry) combined with a new method for high-resolution light microscopy, called deconvolution microscopy. Immunocytochemistry is a method borrowed from the field of immunology, where specific antibodies are raised which bind selectively to label specific populations of neurones. Deconvolution microscopy allows rapid and simultaneous visualisation of multiple labelled cell classes, at a resolution close to the limit of the light microscope. Together, these techniques allow the wiring diagram of the blue cones within the retina to be analysed to a higher level of accuracy than previously achieved. The results will improve our understanding of the role of blue-cone circuits in normal vision and visual disorders.Read moreRead less