New laser-free procedure for short sight

Washington, May 12 (ANI): A new type of procedure could be a safer alternative to corrective eye laser surgery.

According to a new Cochrane Systematic Review, the new corrective procedure called insertion of phakic intraocular lenses (IOLs) could be comparatively safer and more popular, despite the fact that it doesn’t differ too much from the conventional laser surgery process.

Both procedures work by changing the path of the light entering the eye and bringing images into focus in the right place. Laser surgery does this by removing parts of the cornea, whereas the new procedure uses a synthetic lens inserted in front of the natural lens.

“Our findings suggest phakic IOLs are safer than excimer laser surgery for correcting moderate to high levels of short-sightedness,” says lead author Allon Barsam of the Moorfields Eye Hospital NHS Foundation Trust in London, UK. “Although it”s not currently standard clinical practice, it could be worth considering phakic IOL treatment over the more common laser surgery for patients with moderate short-sightedness.”

A year after surgery on 228 eyes in 132 patients, the percentage of eyes with 20/20 vision without spectacles was the same for both procedures, but patients undergoing phakic IOL treatment had clearer spectacle corrected vision and better contrast sensitivity. Phakic IOL procedure also scored higher in patient satisfaction questionnaires.

According to researches, Phakic IOL may have an increased risk of cataract, but that needs further investigation. (ANI)

Vitamin E loaded into contact lenses may treat glaucoma

Washington, Mar 25 (ANI): Contact lenses containing vitamin E can keep glaucoma medicine near the eye where it can treat the common disease- almost 100 times longer than possible with current commercial lenses, scientists claim.

In a presentation at the 239th National Meeting of the American Chemical Society (ACS), researchers described use of vitamin E to develop contact lenses that may deliver more medication for glaucoma and perhaps other diseases to the eye.

Anuj Chauhan, Ph.D., who headed the research team, explained that glaucoma is second only to cataracts as the leading cause of vision loss and blindness in the world. Eye drops that relieve the abnormal build-up of pressure inside the eye that occurs in glaucoma, are a mainstay treatment.

“The problem is within about two to five minutes of putting drops in the eye, tears carry the drug away and it doesn”t reach the targeted tissue,” said Chauhan, who is with the University of Florida in Gainesville. “Much of the medicine gets absorbed into the bloodstream, which carries it throughout the body where it could cause side effects. Only about one to five percent of drugs in eye drops actually reach the cornea of the eye.”

Chauhan and colleagues have developed a new extended-release delivery approach incorporating vitamin E into contact lenses. The invisible clusters, or aggregates, of vitamin E molecules form what Chauhan describes as “transport barriers” that slow down the elusion of the glaucoma medication from the lens into the eye. The drug released from the lens into the eye stays in the tears far longer than the 2-5 minutes with eye drops, leading to more effective therapy.

“These vitamin structures are like ”nano-bricks”,” Chauhan said. “The drug molecules can”t go through the vitamin E. They must go around it. Because the nanobricks are so much bigger than the drug molecules – we believe about a few hundred times bigger – the molecules get diverted and must travel a longer path. This increases the duration of the drug release from the lenses.”

In research with laboratory animals, the lenses containing vitamin E nanobricks administered drugs up to 100 times longer than most commercial lenses. The lenses could be designed for continuous wear for up to a month, Chauhan said. In addition to treating glaucoma, the contacts could help other eye conditions, such as cataract and dry eye. Cataract is a clouding of the lens of the eye, and dry eye involves decreased production of tears. (ANI)

Stem cell transplantation may correct rare genetic disorder in kids

Washington, Sep 18 (ANI): Scripps Research Institute scientists have offered new hope for parents whose children suffer from the rare genetic disorder ‘cystinosis’ by showing through an experiment on mice that stem cell transplantation can successfully correct the defect.

“After meeting the children who suffer from this disease, like an 18-year-old who has already had three kidney transplants, and the families who are desperately searching for help, our team is committed to moving toward a cure for cystinosis, a lysosomal storage disorder. This study is an important step toward that goal,” said principal investigator Stephanie Cherqui.

In the study, the researchers used bone marrow stem cell transplantation to address symptoms of cystinosis in a mouse model.

The procedure virtually halted the cystine accumulation responsible for the disease, and the cascade of cell death that follows.

Cystine is a by-product of the break down of cellular components the body no longer needs in the cell’s “housekeeping” organelles, called lysosomes.

Normally, cystine is shunted out of cells, but in cystinosis a gene defect of the lysosomal cystine transporter causes it to build up, forming crystals that are especially damaging to the kidneys and eyes.

Cystinosis is a rare but devastating disease affecting children as young as six months, who begin to suffer renal dysfunction, which grows progressively worse with time. Other symptoms include diabetes, muscular disease, neurological dysfunction, and retinopathy.

The only available drug to treat cystinosis, cysteamine, while slowing the progression of kidney degradation, does not prevent it, and end-stage kidney failure is inevitable.

In the new study, the researchers found that transplanted bone marrow stem cells carrying the normal lysosomal cystine transporter gene abundantly engrafted into every tissue of the experimental mice.

This led to an average drop in cystine levels of about 80 percent in every organ.

Not only it prevented kidney dysfunction, there was less deposition of cystine crystals in the cornea, less bone demineralization, and an improvement in motor function.

“The results really surprised and encouraged us. Because the defect is present in every cell of the body, we did not expect a bone marrow stem cell transplant to be so widespread and effective,” says Cherqui.

Cherqui said that adult bone marrow stem cell therapy is particularly well suited as a potential treatment for cystinosis because these cells target all types of tissues.

In addition, stem cells reside in the bone marrow for the duration of a patient’s life, becoming active as needed, a particular benefit for a progressive disease like cystinosis.

The study has been published in the journal Blood. (ANI)

Lens implantation may treat some patients with nearsightedness

Washington, July 14 (ANI): Some people with nearsightedness may be provided with stable correction through the implantation of lenses made of a collagen-like substance, suggest the promising findings of a study.

“Laser-assisted in-situ keratomileusis (LASIK) has gained widespread popularity as a safe and effective surgical method for the correction of myopia, but patients with high [severe] myopia or thin corneas face some restrictions in avoiding the risk of developing keratectasia [a weakening of the cornea],” the authors write as background information in the study paper, published in the Archives of Ophthalmology, one of the JAMA/Archives journals.

To overcome these disadvantages, they say, an implantable lens consisting of a biocompatible collagen copolymer was developed, and it appears to be effective in correcting moderate to severe vision problems.

According to them, the implantation procedure is largely reversible, and the lens is interchangeable, unlike LASIK.

Dr. Kazutaka Kamiya of the University of Kitasato School of Medicine, Kanagawa, Japan, has revealed that to assess the long-term clinical outcomes of the lens implantation, the research team evaluated 56 eyes of 34 patients who underwent implantation of the collagen copolymer lens.

Routine post-operative examinations were conducted one, three and six months and one, two and four years later.

At four years after surgery, 44 of the eyes (79 percent) were within 0.5 diopter (unit of measuring lens power) of the targeted correction and 52 (93 percent) were within one diopter.

“(The) results were good in all measures of safety, efficacy, predictability and stability for the correction of high myopia throughout the four-year follow-up,” they write.

“To our knowledge, this is the longest study to assess the refractive outcomes and adverse events (of the collagen copolymer lens implantation for myopia).

“In addition, no vision-threatening complications occurred throughout the follow-up period,” they conclude.

The authors note that their findings suggest that collagen copolymer lens implantation “may be a good alternative for the treatment of moderate to high myopia. More prolonged careful observation for longer than four years is necessary to assess late-onset complications of this surgical technique.” (ANI)

Will Ferrell ate reindeer eyeball during ‘Man vs. Wild’ stint

Washington, May 30 (ANI): Comedian Will Ferrell has revealed that he ate raw reindeer eyeball during his stint in Man vs. Wild.

The 41-year-old star will be appearing on the series along with former military man and survivor expert Bear Grylls, for the promotion of his new film ‘Land Of The Lost’.

The Anchorman star spent two days with Grylls in the frozen Swedish wilderness and learned how to make snowshoes from twigs and light a signal fire.

He also drank his own urine and ate reindeer eyeball, while learning how to stay alive against the odds.

“I did eat the cornea of a reindeer. Bear cut out this little gelatinous disc from the eyeball and was like, ‘Here, try this!’” Contactmusic quoted him as telling Entertainment Weekly.

Ferrell admits the taste and texture was disgusting. (ANI)

Stem cell lenses can help the blind see again

Melbourne, May 28 (ANI): In a world-first breakthrough, Australian scientists have used contact lenses coated in stem cells to restore a person’s sight.

Medical researchers from University of New South Wales used the technique to treat the damaged corneas of three patients. The patients’ vision improved within weeks of the groundbreaking procedure.

The results are published in the journal Transplant.

In the procedure, stem cells were harvested from the eyes of each patient. Then, they were cultured inside a contact lens, which was then stuck onto a damaged cornea in a “transplant” of regenerative cells.

The three patients treated had very poor vision caused by corneal disease – the fourth most common form of blindness, affecting around 10million worldwide.

“The procedure is totally simple and cheap,” News.com.au quoted university’s Dr Nick Di Girolamo, as saying.

“Unlike other techniques … there’s no suturing, there is no major operation, all that’s involved is harvesting a minute amount – less than a millimetre – of tissue from the ocular surface,” the expert added.

The lens stayed on for 10 days allowing stem cells to change their form, colonise and repair the cornea.

Girolamo said that in the two cases the stem cells were taken from their healthy eye – but the third patient posed an additional challenge because of a congenital disorder which affected both eyes.

“We took them from another part of the eye altogether – the conjunctiva which also harbours stem cells,” Di Girolamo said.

“The stem cells were able to change from the conjunctival phenotype to a corneal phenotype after we put them onto the cornea … that’s the beauty of stem cells,” the expert added. (ANI)

‘Out of box’ approach helped doctors remove leech from Oz woman’s eyeball

Melbourne, Apr 20 (ANI): Just by thinking ‘out of box’, doctors successfully removed a leech, which was attached to an Australian woman’s eyeball.

The leech made its way to the 66-year-old woman’s eye while she was gardening in the backyard of her suburban Sydney home in March last year and accidentally flicked some moist soil and the blood-sucking organism into her left eye.

Her husband saw the leech wriggling its way over her cornea, as it headed for safety and feed via the eye’s mass of delicate blood vessels.

“It was tucked up underneath her upper eyelid,” News.com.au quoted emergency doctor Toby Fogg, who helped to remove the blood-sucking critter, as saying.

He added: “Our little fellow started off at about half a centimetre and by the time we removed it it was about 2cm long – it had quite a good lunch.”

Knowing that pulling the leech out with tweezers could leave its head lodged in the eyeball, the doctors considered two other suggestions-using an anaesthetic on the eye to put the leech to sleep, or salted water.

While numbing the eyeball had no effect on the leech, salt crystals could be “abrasive to the eyeball.”

And finally, doctors turned to a hospital staple – saline solution, which has many uses, including being used in intravenous drips for people who lack enough salt in their blood.

Fogg said: “We thought `well why don’t we try this`, it’s just thinking outside the box.

“It is available, cheap, and safe as far as using it on the eye is concerned and it worked beautifully, with just a few drops.

“The leech rolled straight off, it just fell on to her cheek so we put it in a pot and gave it to her.”

And now, Fogg and his colleagues at Sydney’s Royal North Shore Hospital have recommended saline solution for the treatment of people with leeches on their eyeballs.

The unusual case report is published in Emergency Medicine Australasia, the journal of the Australasian College for Emergency Medicine. (ANI)

Stem cell therapy may help treat corneal blindness, vision impairment

Washington, April 9 (ANI): Researchers at the University of Pittsburgh School of Medicine have found that stem cells collected from human corneas restore transparency and don’t trigger a rejection response when injected into eyes that are scarred and hazy, raising hopes that cell-based therapies to treat human corneal blindness and vision impairment may soon be available.

“Our experiments indicate that after stem cell treatment, mouse eyes that initially had corneal defects looked no different than mouse eyes that had never been damaged,” said senior investigator James L. Funderburgh, Ph.D., associate professor, Department of Ophthalmology.

Few years ago, Funderburgh and his colleagues identified stem cells in a layer of the cornea called the stroma, and they recently showed that even after many rounds of expansion in the lab, these cells continued to produce the biochemical components, or matrix, of the cornea.

One such protein is called lumican, which plays a critical role in giving the cornea the correct structure to make it transparent.

Funderburgh said that mice that lack the ability to produce lumican develop opaque areas of their corneas comparable to the scar tissue that human eyes form in response to trauma and inflammation.

However, three months after the lumican-deficient mouse eyes were injected with human adult corneal stem cells, transparency was restored.

The cornea and its stromal stem cells themselves appear to be “immune privileged,” meaning they don’t trigger a significant immune response even when transplanted across species, as in the Pitt experiments.

“Several kinds of experiments indicated that the human cells were alive and making lumican, and that the tissue had rebuilt properly,” Dr. Funderburgh noted.

Their study will be published in the journal Stem Cells and appears online. (ANI)

Stem cell bank sets up at Bangalore hospital

Bangalore, Mar 29 (ANI): Narayana Health City, a hospital in Bangalore, has come-up with a public stem cell bank named the Rotary Narayana Tissue Bank and Stem Cell Research Centre.

Stem cells are used in the treatment of diseases like leukemia, breast cancer, lymphoma, anaemia among others.

This stem cell bank is supposed to have three hundred thousand samples which can be used for matching up for the patients in need of the stem cells across the country as well as abroad.

“Now, the issue of a private bank is, you can utilise the services of the core blood exclusively only for that particular family. It does not reach out to anybody else. Whereas, the notion of a public stem cell bank or a core blood bank would make the product available to masses,” said Dr. Premanand Nagaraja, CEO, Narayana Research Centre.

“Now in a public bank what happens is nobody pays you any money to collect the samples. We on behalf of the hospital and the institute spend the money, go and take the consent, collect the samples, bring it down here, process it, test it and finally store it in liquid nitrogen for any number of years,” said Dr. Nagaraja.
A public stem cell also means new hope for many blind persons.

According to cornea surgeons, eye stem cell research has been a base of the stem cell research for a long time.

This tissue bank will process, test and preserve various human tissues such as skin, cornea, heart valves, bone cartilage and tendons for therapeutic purposes. By Jaipal Sharma (ANI)

Rihanna’s eye patch might have ‘hidden history of Brown’s beatings’

London, February 14 (ANI): Cops probing Chris Brown’s alleged assault on his girlfriend Rihanna are also trying to find out whether an injury that latter covers by wearing an eye patch also resulted from a bust-up in the past.

Police sources in Los Angeles have revealed that Rihanna suffered a scratched cornea last year, following which she began wearing a patch to cover her red and sensitive eye.

The ‘Umbrella’ star suffered a bloody nose, swollen lip and facial bruising in an alleged bust-up with 19-year-old R ‘n’ B star Brown before last Sunday’s Grammy awards. hose investigating the case say that they are also trying to find out whether there exists any history of violent rows between the pair.

“We’re investigating if her eye injury could have been caused by Brown,” the Sun quoted an LAPD source as saying.

“There could be an innocent explanation – but police believe Rihanna has previously refused to make a complaint against Brown. She is now being asked about her past injuries and is beginning to open up about incidents in their relationship.

“We’re talking to her friends and management, who say she’s appeared with mysterious marks or injuries before, but always refused to explain what happened.

“There was one instance when she suddenly appeared with an eye patch, saying her cornea had been scratched,” the source added.

Brown was charged with making threats following Sunday’s alleged episode. (ANI)

Groundbreaking stem cell surgery offers corneal blindness cure

London, January 19 (ANI): British scientists have developed a revolutionary new stem cell surgery that may restore vision to millions of people with corneal blindness.

The researchers are testing the novel treatment on human guinea pigs in the world’s first trials, and hope that their advances will lead to cures for other types of blindness.

The eagerly anticipated trials are set to start in Scotland this month, using 20 patients.

During the surgery, diseased cells in the patients’ corneas – called limbal cells – will be replaced with healthy ones, taken from dead donors or grown in a lab.

The researchers hope that the healthy cells will encourage further growth, and help repair the cornea’s surface.

The only treatments currently available for corneal blindness – characterised by a loss of cells on the cornea, the outer surface of the eye – are a transplant or a tissue graft, both of which carry risks of infection.

Surgeons also often face a shortage of corneas for transplant.

“It is exciting to be involved in such ground-breaking work. Piloting the use of limbal stem cell transplantation is a great landmark in the treatment of patients suffering from corneal blindness,” the Daily Express quoted Professor Bal Dhillon, consultant ophthalmic surgeon at Princess Alexandra Eye Pavilion in Edinburgh, who leads the study, as saying.

Winfried Amoaku, chairman of the scientific committee of the Royal College of Ophthalmologists, said: “There are some types of corneal blindness that are not treatable by any other means so if they can be treated in this way it is a very significant breakthrough, very exciting.”

He even believes that the developments could later be extended to include those who had never been able to see, if their blindness was due to damage to the cornea.

“There are some people who are born blind due to problems with the cornea and those people may be cured by this treatment,” he said.

Jon Moulton, a trustee for the UK Stem Cell Foundation, which is jointly funding the study along with Scottish Enterprise, said: “Vision loss is a serious condition that dramatically affects the lives of millions of people around the world. The loss of independence resulting from blindness and visual impairment can have devastating consequences for individuals and their families. Innovative pilot studies like this offer real hope.”

Sonal Rughani, senior adviser and optometrist at the Royal National Institute for the Blind, said that the charity “very much welcomes this new clinical trial”.

She said: “We look forward to further positive developments that could bring hope to many people who have lost their sight as the result of corneal blindness.” (ANI)