Sensory Impairment: Causes, Impacts And Interventions
Funder
National Health and Medical Research Council
Funding Amount
$2,233,350.00
Summary
The team will bring focused expertise to building Australian research capacity in the relatively underdeveloped priority area of sensory impairment. The focused, practical program of sensory impairment population health research includes the themes of epidemiology of sensory impairment (particularly vision and hearing); vascular, genetic, nutritional inter-relationships with sensory impairment and associated diseases, and impacts of sensory impairment on independent living.
Characterising The Changes In Regulation Of Visual Contrast Sensitivity In Glaucoma.
Funder
National Health and Medical Research Council
Funding Amount
$337,600.00
Summary
Glaucoma is the second leading cause of blindness in developed nations. A recent study estimated the number of Australian's that will need regular visual examination in 2030 either because they have glaucoma or glaucomatous risk factors to be at least 800,000. As the ultimate aim of glaucoma treatment is to maintain vision, visual functional assessment is of paramount importance to glaucoma management . The current standard measure for the assessment of visual loss due to glaucoma is visual fiel ....Glaucoma is the second leading cause of blindness in developed nations. A recent study estimated the number of Australian's that will need regular visual examination in 2030 either because they have glaucoma or glaucomatous risk factors to be at least 800,000. As the ultimate aim of glaucoma treatment is to maintain vision, visual functional assessment is of paramount importance to glaucoma management . The current standard measure for the assessment of visual loss due to glaucoma is visual field testing. Regrettably, substantial damage to retinal ganglion cells (the primary neurons affected by glaucoma) is often present prior to the discovery of visual field loss using standard measures. Indeed studies have demonstrated that even 30-50% retinal ganglion cell loss may only manifest as a mild visual field deficit using current standard testing. This project will use novel techniques for exploring sight impairment in glaucoma, enabling a better understanding of the underlying neural damage. Our pilot work demonstrates that these methods can detect loss of sight in areas diagnosed as normal using standard visual field testing. The study will provide new technologies for the assessment of early vision loss due to glaucoma that may enable the detection of malfunction of retinal ganglion cells prior to their death. Such measures of neural malfunction are essential to establishing the efficacy of new pharmacological therapies (known as neuroprotective agents) for glaucoma aimed at keeping retinal ganglion cells alive and functioning. This project also has the potential to identify visual measures that have better capability for monitoring the progression of vision loss due to glaucoma. Early detection of glaucoma and its progression is essential so that treatment can be initiated or altered, slowing the progression of vision loss and its toll on both the individual and the community.Read moreRead less
Humans, like all animals, receive similar, although not identical, visual input via the eyes. This information is combined in the brain to form a single view of the outside world. In this proposal we aim to understand how single neurons in the brain process the combined information received from both eyes. This work will increase our understanding of the underlying cellular mechanisms responsible for sight, and determine what changes occur when visual input is impaired through blindness.
Saccadic Eye Movements And The Neural Basis Of Visual Perception
Funder
National Health and Medical Research Council
Funding Amount
$570,828.00
Summary
The eye has a restricted central area that has good vision. We must make very frequent eye movements to build up a high resolution picture of a particular image. The term active vision is used to describe the requirement of coordinating the eye movements with the visual system. The study of active vision at the neural level requires experiments that combine single cell recording with behaviour. This study will explore which parts of the brain are involved in active vision in monkeys.
Combining input from vision and hearing greatly enhances perception when information from one of these senses is degraded or incomplete, such as when tracking objects in foggy, dark or noisy places. This enhancement is of considerable importance because degraded input is the daily situation faced by many people with hearing or vision impairment. We will study the neural processes underlying our ability to combine vision and hearing to create a more reliable and accurate perception of the world.
Managing Depression Within Low Vision Rehabilitation Services: The Effectiveness Of Integrating An Evidence-based Therapy ‘Problem-Solving Therapy For Primary Care’ On Depression, Quality Of Life And Service Utilisation In Those With Low Vision
Funder
National Health and Medical Research Council
Funding Amount
$92,785.00
Summary
This research will evaluate the integration of an evidence-based treatment for depression into low vision rehabilitation services. It is anticipated that this new program will lead to sustained improvements in participants’ quality of life and mental health. This is the first time a system to manage depression has been implemented into low vision services worldwide and if successful this intervention could be suitable for application to other chronic health conditions.
Blue Mountains Cohort Study: Incidence Of Eye Disease, Hearing Loss And Other Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$813,250.00
Summary
The proposed study aims to determine the cumulative 10-year incidence and progression of the major eye diseases that threaten vision in older Australians, including age-related maculopathy, cataract, glaucoma and diabetic retinopathy. The cumulative 5-year incidence of age-related hearing loss and prevalence of loss of smell will also be determined. The study will assess risk factors and associations with these diseases, using information collected at the baseline, 5-year and 10-year examination ....The proposed study aims to determine the cumulative 10-year incidence and progression of the major eye diseases that threaten vision in older Australians, including age-related maculopathy, cataract, glaucoma and diabetic retinopathy. The cumulative 5-year incidence of age-related hearing loss and prevalence of loss of smell will also be determined. The study will assess risk factors and associations with these diseases, using information collected at the baseline, 5-year and 10-year examinations on medical history, ocular factors, vascular disease, smoking, diet, plus environmental and blood factors. The study aims to assess the impact of these sensory impairments on measures of dependence, quality of life, general health, age-related cognitive impairment, depression and on mortality. The study will be conducted in Katoomba on the cohort of residents from two postcode areas who originally attended the Blue Mountains Eye Study during the period 1992-4. Examinations will commence by May, 2002 and be completed by April, 2004. We hope to examine 2,032 of the original cohort of 3,654 people. This project will build on the data already collected by the Blue Mountains Eye Study, one of the most successful community surveys conducted in Australia. The 10-year follow-up period will provide increased statistical power and precision to assess the role of possible risk factors for eye disease already identified by the earlier baseline and 5-year studies of this population. The hearing component of the study will provide the first longitudinal data on hearing loss from a large older Australian population.Read moreRead less
One of the main trends in the evolution of the primate brain was the huge expansion of the cortical areas devoted to visual processing. However, the exact role of individual areas remains highly controversial, making detailed physiological and anatomical studies in suitable primate models a key step to elucidating their function in the human brain. In this project, we will address the organization of a poorly known group of visual areas, which is located deep in a part of the brain called the in ....One of the main trends in the evolution of the primate brain was the huge expansion of the cortical areas devoted to visual processing. However, the exact role of individual areas remains highly controversial, making detailed physiological and anatomical studies in suitable primate models a key step to elucidating their function in the human brain. In this project, we will address the organization of a poorly known group of visual areas, which is located deep in a part of the brain called the interhemispheric fissure (the medial complex of visual areas). Preliminary evidence suggests that these areas may provide anatomical shortcuts linking vision, behavioural reactions, and emotion. Suppose, for example, that you are sitting outside reading. Although deep in concentration, you are still able to detect the sudden movement of an approaching object in your peripheral field of vision. In many cases you can react (e.g., by ducking , or raising your arms to protect the face) long before you register what the object actually is. An adrenaline rush often accompanies these quick motor reactions, implying a parallel activation of the autonomic nervous system. While the mechanism by which the brain promotes these quick reactions remains poorly understood, we believe that the medial complex of visual areas holds the key. The aim of this study is to map the anatomical framework underlying our ability to react to sudden stimuli in our peripheral visual field. Such work is fundamental for understanding the functional organization of the brain. It also has the potential to lay the groundwork for developments in areas of applied research, including medicine (e.g. the design of better rehabilitation strategies for people with brain damage) and the cognitive sciences (e.g. a better understanding of the factors that limit human responses to visual stimuli).Read moreRead less