Retina
The retina is very thin layer of tissue that kines the inner part of the
eye. It is responsible for capturing light rays that enter the eye much like a
camera film's role in photography. These light impulses are then sent to the
brain for processing, via the optic nerve.
Fifty percent of all blindness is caused by damage to the retina, diabetic
retinopathy being one of the major culprits. Almost 10 million people
world-wide are blind as a result of Age-related Macular Degeneration (AMD) and
Retinitis Pigmentosa (RP).
What is Retinitis Pigmentosa?
Retinitis pigmentosa (RP) is the name given to a group of inherited eye
diseases that affect the retina. RP causes the degeneration of photoreceptor
cells in the retina. Photoreceptor cells capture and process light helping us
to see. As these cells degenerate and die, patients experience progressive
vision loss RP symptoms can vary. In a person with classic or typical RP, night
vision and peripheral (or side) vision will be affected initially. Night
blindness is one of the earliest and most frequent symptoms o RP. The loss of
peripheral vision is often called tunnel vision. If you imagine peering down a
tunnel, able only to see what is in front of you and nothing to the side, this
is what it is like to lose peripheral vision. As vision loss progresses, the
tunnel becomes more and more narrow. In the later stages some patients may also
lose central vision. What is common to all cases of RP is the progressive
nature of the disease. 
Not much is known about the cause of retinitis pigmentosa,
except that it is inherited. If neither of your parents have retinitis
pigmentosa, at least one of them must be a carrier.
http://www.jwen.com/rp/faq/rpfaq.html
What is Age-related Macular Degeneration (AMD)?
AMD is a common eye disease associated with aging that gradually destroys
sharp, central vision, Central vision is needed for seeing objects clearly and
for common daily tasks such as reading and driving. In some people, AMD
advances so slowly that it will have little effect on their vision as they age.
But in orders, the disease [progresses faster and may lead to a loss of vision
in one or both eyes. (www.amd.org)
In Retinitis Pigmentosa & AMD, patients are visually
impaired due to loss of photoreceptors, the light-sesing cells of the eye.
Researchers are trying to develop a silicon microchip which will replace the
photoreceptor layer of the retina and act as an artificial retina.
The tiny self-contained chip, slightly larger than the head of a
pin, is surgically implanted on the retina at the back of the eye. The chip
contains microscopic solar cells that are designed to convert light energy into
thousands of electrical impulses.
These signals would then stimulate the intact, functional cells of the retina
in patients with photoreceptor cell damage. This stimulation induces biological
visual signals in the good retinal tissue. The nerve fiber layer of the retina
can then do its job of sending these electrical signals to the brain, via the
optic nerve.
Researchers are currently working on two models depending on the layer of the
retina that this implant will be placed upon. The implant can either be placed
on the surface of the retina as shown in the figure on the left or within the
retinal layers as shown in the figure on the right.
Researchers
from all over the world are making attempts to fabricate such a device. Some
such groups have already tested the clip in human trials and reported improved
vision. The only eye centre in India to venture into this highly tough and
competitive field is Aditya Jyot Eye Hospital Pvt. Ltd. It has been the
Chairman and Medical Director, Dr. S Natarajan's dream project. He has been
dwelling on this problem for half a decade now. Aditya Jyot has already made
some progress by taking the first and significant step of contacting the right
agencies which could help develop such an electronic device.
Feasibility studies are presently on.
Stem Cell Research
Limbal Stem Cells
The eye's
cornea is the clear tissue that allows light to enter the eye. It also refracts
light rays to focus onto the retina Between the cornea and the sclera, the
eyeball's white outer coating, is the limbus, where some very important cells
reside. Limbal stem cells are mother cells the give rise to the corneal
epithelial cells. Severe damage to limbal stem cell significantly impairs a
person's vision.
To treat cases of limbal stem cell deficiency, the limbal stem cells are taken
from the healthy eye or donor eye and then transplanted to the affected eye. If
the transplant is successful the limbal stem cells will produce a new layer of
epithelial cells in the patient's eye. The success rate of growing cells in the
patient's eye. The success rate of growing the new cells from transplanted
limbal stem cell varies
To
treat cases of limbal stem cell deficiency, the limbal stem cells are taken
from the healthy eye or donor eye and then transplanted to the affected eye. If
the transplant is successful the limbal stem cells will produce a new layer of
epithelial cells in the patient's eye. The success rate of growing cells in the
patient's eye. The success rate of growing the new cells from transplanted
limbal stem cell varies from 25%percent to 70 percent, depending on the
underlying condition of the eye. The image illustrates limbal cells being taken
from the donor eye. An emerging approach uses a fraction of the amount of
limbal stem cells normally taken from a live donor, grow the in the laboratory
and then transplants the same into the affected eye. In some cases, a limbal
stem cell transplant alone can make a patient's vision considerably better. For
other patients, the limbal stem cell transplant sets the stage for what follows
- a cornea transplant. Aditya Jyot is in final stages of tying up with a
biomedical agency to conduct clinical trials using such autografts.
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