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News, Links and Commentary

Thursday, September 30, 2004

VoiceOver For The Mac 

The VoiceOver Spoken Interface for Apple Mac OS X is promised to allow built-in speech, audible cues and better keyboard access. The spoken interface was first mentioned in RetGen in late April.

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Wednesday, September 22, 2004

Echolocation in The West 

Ryan Honschooten, familiar to many blind or vision impaired West Australians through his work with the Association For The Blind WA, is featured in the Health + Medicine section of today's West Australian. 'A man of many senses' focuses on the alternative ways to perceive ones surroundings, such as echolocation and feeling the movement of air in a room, when the sense of sight is not available.

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World Retina Day Mention on Burke's Backyard 

World Retina Day is on again this Saturday 25 September. Australians can tune in to Burke's Backyard on Nine or WIN to learn more, or you can read all about it in the Burke's Backyard World Retina Day 2004 Fact Sheet.

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Adaptive Equipment on New Inventors 

ABC TV's New Inventors program has featured two inventions in recent weeks that may benefit people who are blind or vision impaired.

Audio Read is "a digital multicast system for the delivery and receipt of newspapers, books and other audio content, via a player in a secure file format, suitable for replay at any time."

Jot A Dot is "the blind person's equivalent of a notebook and pen. Roughly the size of a VHS, the Jot a Dot is a small plastic Braille typewriter made up of the six standard Braille keys." More information is also available on the Jot A Dot Web Site.

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RD 2004 Held In Perth, Western Australia 

The XIth International Symposium on Retinal Degeneration 2004 was held last month in Perth, Western Australia. Scientists from around the world came to present and discuss the latest research into the causes of retinal degeneration. The symposium was hosted by the Lions Eye Institute in Nedlands.

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Friday, September 17, 2004

Vitamin A Recommended For RP, DHA Benefits Limited 

Dr Eliot L. Berson of the Massachusetts Eye and Ear Infirmary, Harvard Medical School in Boston still recommends that people with retinitis pigmentosa supplement their diets with 15 000 IU of Vitamin A palmitate per day. Vitamin A supplementation should be supervised by a doctor to avoid liver damage.

The researcher and his colleagues have also found that the Omega-3 fatty acid DHA will only slow vision loss if taken with Vitamin A palmitate and then only for the first two years.

Two research articles based on Berson's study of Vitamin A and DHA are published in the Archives of Ophthalmology. Read more in the (JAMA/Archives media release 'Omega-3 Fatty Acid Therapy Does Not Slow Progression Of Retinitis Pigmentosa In Patients Receiving Vitamin A Treatment' (at Doctor's Guide, 13 September 2004).


The researchers conclude: "For patients with retinitis pigmentosa beginning vitamin A therapy, addition of docosahexaenoic acid, 1,200 milligrams per day, slowed the course of disease for two years. Among patients on vitamin A for at least two years, a diet rich in omega-3 fatty acids (0.20 grams per day or more) slowed the decline in [vision loss]."
JAMA/Archives


Update 2 October 2004: Alan Laties, M.D. Chairman of the US Foundation Fighting Blindness Scientific Advisory Board gives more information in 'New Findings Lead to Revised Therapeutic Regimen to Slow RP.' The article further explains the way DHA and Vitamin A together can slow vision loss:


At the conclusion of the clinical trial, subgroup analyses clearly documented that DHA accelerated the onset of visual benefit for those who were newly started on Vitamin A. But in participants who had already taken Vitamin A for a period of time long enough to achieve its full benefit, DHA did not add to that benefit.

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Bone Marrow Stem Cells Prevent Sight Loss in Mice with RP 

Injecting stem cells into the eyes of mice with retinitis pigmentosa has helped prevent vision loss according to Martin Friedlander at the Scripps Research Institute in La Jolla, California and his team ('Stem cells stop mice going blind', News @ Nature.com, 16 September 2004). The stem cells are taken from the mice's own bone marrow. The researchers hope to trial the treatment in humans as soon as possible:


Friedlander hopes that the sight of human patients with retinitis pigmentosa could be sustained with injections of their own stem cells, harvested from their bone marrow. In humans, the deterioration of the eye doesn't tend to start until adolescence or later. "We're running to the clinic with this," he says. He hopes to start work on patients as early as a year from now, if he can accumulate enough evidence that the technique is safe.
News @ Nature.com

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Charles Bonnet Fills In The Blanks 

'When the Vision Goes, the Hallucinations Begin' (The New York Times, 14 September 2004) provides information about the causes of Charles Bonnet Syndrome. Charles Bonnet Syndrome is a relatively common phenonomenon associated with vision loss, particularly amongst the elderly.

The article explains why the hallucinations associated with Charles Bonnet Syndrome occur:


In the case of sight, the primary visual cortex is responsible for taking in information, and also for forming remembered or imagined images. This dual function, Dr. Ramachandran and other experts say, suggests that normal vision is in fact a fusion of incoming sensory information with internally generated sensory input, the brain filling in the visual field with what it is used to seeing or expects to see. If you expect the person sitting next to you to be wearing a blue shirt, for example, you might, in a quick sideways glance, mistakenly perceive a red shirt as blue. A more direct gaze allows for more external information to correct the misperception.

"In a sense, we are all hallucinating all the time," Dr. Ramachandran said. "What we call normal vision is our selecting the hallucination that best fits reality."

With extensive vision loss, less external information is available to adjust and guide the brain's tendency to fill in sensory gaps. The results may be Thai dancers or monsters from a children's book.
The New York Times


Dr. V. S. Ramachandran is a neurologist at the University of California at San Diego. Phantoms in the Brain : Probing the Mysteries of the Human Mind (at Amazon.com) is written by Dr Ramachandran and includes the case of a woman with Charles Bonnet Syndrome.

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Wednesday, September 15, 2004

Will Wet AMD Genes Be Turned Off By RNAi? Human Trials Begin 


If all goes according to plan, about half a dozen elderly people at risk of blindness will visit Dr. Lawrence J. Singerman's retina clinic in the coming weeks to receive injections in the whites of their eyes.

The experimental injections will contain a new type of drug based on a recently discovered genetic phenomenon, called RNA interference, that has excited scientists with its versatile and powerful ability to turn off genes. Having quickly become a standard tool for genetic studies in the laboratory, the technique is now set to be tested in people for the first time.
'Method to Turn Off Bad Genes Is Set for Tests on Human Eyes' (The New York Times, 14 September 2004).


The US Food and Drug Administration has granted Philadelphia-based company Acuity Pharmaceuticals permission to begin trials in humans. The New York Times article includes comments from researchers who believe the treatment may have a future as well as from scientists who believe there is little evidence to suggest the injections of RNAi will work.

Acuity Pharmaceuticals is not the only company working on finding ways of using RNAi to treat disease and there is an Australian connection:


"There's no doubt in my mind that this is the clear winner," said Mark A. Kay, a Stanford professor. He hopes to test an RNAi treatment for hepatitis C in cooperation with Benitec, an Australian company that now owns a company he founded.

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Adaptive Technology Subject of PBS Documentary 

US television network PBS is currently screening 'Freedom Machines', a documentary series about adaptive technology for people with disabilities. The associated Web site includes interviews and information about adaptive equipment and Internet accessibility.

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Sunday, September 12, 2004

Expert Discusses Retinal Transplants on MDList 

Dr Norman D. Radtke from the University of Louisville in Kentucky, USA, will be discussing retinal transplant research with subscribers to the MDList between now and 18 September.

Visit the MD Support's Radtke Session 2004, where you can find discussion transcripts and instructions on how to participate. Retinal transplant research may hold promise for people with various forms of retinal degeneration and the discussion is open to all who wish to subscribe. The organiser recommends that participants read the background information provided before joining in the discussion.

The Retina Vitreous Resource Center also offers information about Dr Radtke and his research.

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Sunday, September 05, 2004

Light Shines For Partners Too 

'When Your Partner Becomes Visually Impaired - Helpful Insights and Tips for Coping' is an article produced by Lighthouse International in New York. Subjects covered include dealing with stress, organising your home and the issue of dependendence vs independence. I became aware of this resource through a post to the RPList.

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