Development And Evaluation Of Teleophthalmic Systems For Screening Of Common Blinding Eye Diseases
Funder
National Health and Medical Research Council
Funding Amount
$263,918.00
Summary
Portable ophthalmic instruments will provide digital images for storage and telemetric transmission to a disease control centre. We will be assessing and developing new portable ophthalmic imaging instruments, and validating them for common blinding eye conditions. The aim is to assess the ability of various health personal to document glaucoma, diabetic retinopathy, active trachoma, corneal scarring and cataract in rural screenings using digital imaging technology. A network of ophthalmologists ....Portable ophthalmic instruments will provide digital images for storage and telemetric transmission to a disease control centre. We will be assessing and developing new portable ophthalmic imaging instruments, and validating them for common blinding eye conditions. The aim is to assess the ability of various health personal to document glaucoma, diabetic retinopathy, active trachoma, corneal scarring and cataract in rural screenings using digital imaging technology. A network of ophthalmologists, health department personnel and aboriginal health workers in Western Australia will be involved. The project will also examine the quality of images obtained by health workers with various levels of skills and compare this with conventional photographs currently obtained by the screening network. Finally, the project will demonstrate practicality of the large scale storage of digital images of patient eyes. Preliminary evaluations have been performed on our teleophthalmology system using different portable instruments namely a handheld fundus camera, slit-lamp and indirect ophthalmoscope. We have also tested our teleophthalmology system at the Dr. Soetomo Hospital (Airlangga University) in Surabaya, Indonesia. Images captured using the handheld fundus camera were successfully transmitted to Lions Eye Institute through satellite, mobile and Internet lines. This pilot project has been sponsored by the Western Australian Department of Trade and Commerce and Telstra.Read moreRead less
A Single Digital Handheld Imaging Device For Use In Both Ophthalmology And Dentistry
Funder
National Health and Medical Research Council
Funding Amount
$431,221.00
Summary
Our aim is to produce and validate a single digital imaging device which can be used in ophthalmology (both for retinal and anterior segment imaging) and dentistry. This device will be low-cost, easy-to-operate and portable. Our planned development of the novel screening tool should help in bringing high quality, lower cost health care to those without easy access to it, firstly to residents of rural areas in Australia and then in developing countries in our region. This can be achieved by more ....Our aim is to produce and validate a single digital imaging device which can be used in ophthalmology (both for retinal and anterior segment imaging) and dentistry. This device will be low-cost, easy-to-operate and portable. Our planned development of the novel screening tool should help in bringing high quality, lower cost health care to those without easy access to it, firstly to residents of rural areas in Australia and then in developing countries in our region. This can be achieved by more efficient screening methods and redirecting resources to target those with treatable eye disease only. The detection process can be progressively transferred to less expensive health workers while ophthalmologist input can be redirected to monitoring the screening results and performing surgery. The dentists travel infrequently to rural and remote WA. If the dentist can pre plan their treatment then it will be more efficient and possible to treat more people at each visit to remote and rural WA. With the help of the proposed imaging device for dentistry, the nurses and other allied personnel should be able to send the digital images in advance to dentist over Internet and therefore help dentist pre-plan their treatment. As a result, improved dental care for rural, remote and underserved communities will occur.Read moreRead less
A ROBOTIC MICRO DRAINAGE SURGERY FOR GLAUCOMA (A BIOLOGICAL MICROFISTULA AND IMPLANTATION METHOD AND APPARATUS)
Funder
National Health and Medical Research Council
Funding Amount
$441,020.00
Summary
Glaucoma is a major cause of blindness in our community. We are developing a new surgical procedure to treat glaucoma. The technique is based on the implantation of a tiny drainage tube inside the eye. This allows the eye's natural fluid to escape at the required rate. Insufficient drainage, or over production of fluid in the eye's of glaucoma patients is responsible for the high pressures inside the eye that characterise this disease. A simple, safe, and reliable surgical procedure to lower int ....Glaucoma is a major cause of blindness in our community. We are developing a new surgical procedure to treat glaucoma. The technique is based on the implantation of a tiny drainage tube inside the eye. This allows the eye's natural fluid to escape at the required rate. Insufficient drainage, or over production of fluid in the eye's of glaucoma patients is responsible for the high pressures inside the eye that characterise this disease. A simple, safe, and reliable surgical procedure to lower intraocular pressure would be a major benefit to the almost 67 million glaucoma patients worldwide, and would relieve the current need for lifelong medication.Read moreRead less
The Effect Of Aging And Mitochondria Dysfunction On Optic Nerve Response To Oxidative Stress In Glaucoma
Funder
National Health and Medical Research Council
Funding Amount
$100,381.00
Summary
Glaucoma is a disease of the nerve cells in the retina and optic nerve of the eye, it is the second most common cause of blindness worldwide. The risk of developing glaucoma increases exponentially with age but the mechanisms that predispose older individuals to glaucoma are not known. This study examines whether age-related changes in mitochondria, a characteristic finding in aging, results in increase susceptibility to glaucoma development.
I am an Opthalmologist specialising in the treatment of glaucoma and genetic eye diseases. I am trained in Molecular Genetics and researching the genetic causes of eye diseases, and how understanding the basis of disease will lead to improved outcomes.
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