Page 34 - The Indian Digital Edition September-October 2020
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NEW NON-                          GLAUCOMA RESEARCHERS

          INVASIVE                          DEVELOP NEW WAY TO CONTROL
          GENETIC EYE                       EYE PRESSURE
          TEST FOR AMD


             A Chicago-based genetics          Neuroscientists at the University   animal freely moved. The study,
                                                                               published in Scientific Reports, found
          testing company, Visible Genomics,   of South Florida (USF) have become   that raising pressure of an otherwise
                                            the first to definitively prove pressure
          has introduced a new non-invasive   in the eye is sufficient to cause and   healthy eye resulted in patterns of
          genetic eye test that reveals a   explain glaucoma. They were able   retina and optic nerve damage like
          patient’s chances of contracting age-  to determine this through a new   that seen in human glaucoma.
          related macular degeneration (AMD),   method that permits continuous
          a disease that causes blindness.                                        “The technique offers a
                                            regulation of pressure without
             The Visible Genomics test is   damaging the eye.                  significant advancement in
                                                                               glaucoma research,” said Chris
          suggested for people who have        In order to control pressure the   Passaglia, PhD, professor of medical
          a family history of the disease, or   researchers implanted a tiny tube   engineering at USF. “All studies
          those showing signs of early or   in the eye of an animal model and   to date have elevated pressure by
          intermediate AMD, which are the   connected the tube to a pressure
          highest group risks for progressing   source and pressure sensor. The   blocking fluid outflow from the
          to advanced stages of AMD with    pressure source infused fluid into the   eye, whereas ours adds fluid as
          vision loss. The clinically-validated   eye via a saline reservoir or a portable   necessary to produce a desired
          saliva-based test combines a      micro pump built by the researchers.   pressure without damaging outflow
          person’s genetic status, ocular   The pressure sensor took           pathways. Now researchers can
          findings, and demographic and     measurements every few seconds     have direct knowledge and control
          lifestyle characteristics to deliver   around-the-clock for up to two   of eye pressure.”
          a comprehensive and clinically    months, during which time the tube    The study was funded by the
          actionable risk assessment. This   remained fixed in place even though   National Eye Institute, part of the
          assessment defines the AMD        the eye blinked and rotated and the   National Institutes of Health.
          patient’s progression risk of
          developing advanced AMD, and
          calculates the lifetime risk for those   UTSW DEVELOPS CUTTING-EDGE
          with a family member with AMD.
             “Age-related macular           SURGERY FOR FACIAL PARALYSIS
          degeneration is one of the leading
          causes of blindness in the U.S.,     Facial paralysis can be caused   drawback is that this surgery is
          yet there’s a lack of accessible and   due to various cause, including   only performed at a handful of
          reliable genetic risk testing options   trauma, head and neck cancers,   institutions around the world,
          that can help with proper diagnosis   complication from a viral infection,   including UTSW. The procedure,
          and prognosis,” stated Visible    and Bell’s palsy.  Patients with facial   described in the journal Plastic and
          Genomics CEO and founder, Frank   paralysis often cannot close their   Reconstructive Surgery, involves
          Adamo. He added, “Our health      eyes – this can lead to irritation and   reinnervating the muscles around
          care system is reactive instead of   subsequent scarring of the corneas   the eye that allow eye closure via a
          proactive and preventative. With   – the eyes’ outer layer covering the   combination of techniques.
          use of the Visible Genomics testing   pupil – since they can’t be protected   The Surgeons revealed that the
          system, we can now give doctors and                                  patients could not only close their
          their patients the right tools to help   or moistened by the eyelids.  eyes faster and more completely
          prevent vision loss.”                However, a new cutting-edge     after the surgery, but also showed

             “Our goal is to change the way we   technique has now been developed   improved protection of the cornea.
          treat AMD so that more and more   by surgeons at UT Southwestern     Patients who had facial paralysis for
          people can maintain healthy vision.   (UTSW) that will enable such   less than 18 months were the ones
          The earlier we treat AMD, the better   patients to close their eyes. The   who benefitted the most.
          the outcome,” said Adamo.


           |  SEPT-OCT 2020  |  30  OPHTHALMIC NEWS






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