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Vision for the blind.......

You will be happy to know that we are in process of developing an artificial retina which will be helpful in restoring vision to some extent for the patient's affected with the degenerative diseases of the retina. This study is already been carried out in other developed countries and the results are promising and Aditya Jyot Research Foundation in collaboration with I.I.T Bombay will be the first eye hospital to venture into this challenging project.

We would just like to brief you on our progress in the Artificial Retina Research Project so far and inform you about the device that is still in developmental stages in India and which has already made some progress in other parts of the world and have reported improved vision.

Retinitis Pigmentosa is a inherent disease that causes degeneration of photoreceptor cells in retina, that are responsible for capturing and processing light that helps us to see .In a person with RP symptoms are Night blindness and loss of peripheral (side) vision initially. In the later stage patient may also lose central vision .Age Related Macular Degeneration is another such disease where the light sensing photoreceptor cells of the eye are destroyed and the central vision is lost. Researchers around the world are trying to develop a silicon microchip, which will replace the photoreceptor layer of the retina and act as artificial retina. This chip is slightly larger than the head of the pin and can be surgically implanted on the retina at the back of the eye, which will convert light energy to electrical impulses, which in turn would stimulate the intact functional cells of the retina and induce biological visual signals in the 'good 'retinal tissue. With electrical signals to the brain via the optic nerve the person should be able to see. There are two models that the researchers are currently working on depending on the location where the implant will be placed .The only eye center in India to venture into this highly tough and competitive field is Aditya Jyot Eye Hospital Pvt. Ltd. The Chairman and Medical Director Dr. S. Natarajan has put in a lot of effort in making this project successful in India for half a decade now. Aditya Jyot Research Foundation 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 we are also working on a project on Stem cell research where retinal stem cells can be cultured and transplanted to the affected eye.

We are working on the formation of Artificial Retina in Collaboration with I.I.T led by Prof. Bellare and Prof. Uday Sheorey and R.G.Rao.The project will constitute of three phases. Phase one is the formation of silicon retina and phase two is the implantation of silicon retina in animals. AJRF is in the process of establishing animal lab for carrying out the artificial retina prosthesis trials. The estimated cost for developing the animal lab with all the facilities (like veterinary professionals, maintaining the lab, instruments etc.) is approx Rupees Seven Crores. Phase three is human trials where patients suffering from retinitis pigmentosa and age related macular degeneration would be selected and treated with the silicon retina implantation at Aditya Jyot Eye Hospital.

Our team at  Aditya Jyot Eye Hospital(Wadala)
                            Dr. S. Natarajan, PrincipalInvestigator (Chairman and Medical Director).
                            Dr. Nazimul Hussian, (Professor Emeritus).
                            Dr. Mahesh Uparkar, (Clinical Research  Ophthalmologist).
                            Mrs. Anjali Khulsange (Sr.Clinical Research Coordinator).
                            Miss. Hemali Shah (Clinical Research Coordinator and Research Optometrist).

APPEAL

In a world of complete darkness, just the ability of seeing a loved one can be nothing more than a dream. For those without sight, the gift of vision can be the most precious boon, a gift that can illuminate their world and introduce them to the joys that we take for granted.

Retinitis Pigmentosa
RP is one such inherent disease that causes degeneration of photoreceptor cells in retina , that areresponsible for capturing and processing light that helps us to see .In a person with RP symptoms are Night blindness and loss of peripheral(side) vision initially.In the later stage patient may also lose central vision.Other diseases are Age related Macular Degeration and Diabetic Retinopathy.

ARMD
Age Related Macular Degeneration(ARMD)is a devastating disease that robs elderly patients of their vision and severely impacts their quality of life.Age-related macular degenerationis the leading cause of legal blindness in those over the age of 65 yearsFailure in the RPE cell degradation and recycling system, possibly occurring as a result of free radical damage to molecules within the receptor outer segments, is probably involved in the formation of drusen, the initial lesion seen in ARMD.

Regrettably,the end stage of ARMD can be irreversible central vision loss.
Large areas of atrophy can develop and this leads to the irreversible vision loss produced by ARMD.


We at Aditya Jyot Hospital and Research Foundation constantly work to give these people a chance to see the beautiful world.

Current research projects at Aditya Jyot Research Foundation

  • Scyfix 650 Microcurrent stimulation trial for macular degeneration and glaucoma : Microcurrent stimulation has been used over decades for a variety of interventions .In the eye , it is known that stimulation of degenerating cells with microcurrent helps in prolonging the life span of such cells through chemical mediators( trophic growth factors, ATP replenishing etc).The investigational device being tested is an improved version of the older model ( Scyfix 600).

              Target population : Adults with

  • Dry macular degeneration in either eye
  • Wet type of macular degeneration in either eye
  • Primary Glaucoma
    without other diseases of the eye egdiabetic retinopathy.

              Duration of study : 2 years.
              Current status : Recruiting

  • LUX Bioscience : Uveitis is an important cause of visual loss. A study to access the efficacy and safety of an investigational drug as therapy in subjects with active sight threatening, quiescent sight threatening ,active sight threatening, non-infectious anterior, intermediate- posterior and pan uveitis is conducted here.

              Target population : Subjects with

    • Active sight threatening, quiescent sight threatening, active sight threatening, non-infectious anterior, intermediate- posterior and pan uveitis.Without other diseases e.g. Diabetic retinopathy, uncontrolled glaucoma, hypertension.

              Duration of study : 2 years.
              Current status : Recruiting till 10th June 2008

  • Novartis : Based on the current medical information and practice , visudyne is used in a condition of retina called choroidal neovascularisation which is due to age related macular degeneration. Lucentis is also approved for use in this condition . We at Aditya Jyot Eye Hospital Pvt. Ltd , are studying on the combination therapy of:
    a) VISUDYNE with Standard fluence light dose & LUCENTIS.
    b) VISUDYNE with Reduced fluence light dose & LUCENTIS.

              Target population : Subjects with

    • Choroidal Neovascularisation secondary to Age Related Macular Degeneration.

              Duration of study : 2 years.
              Current status : Recruiting

  • THE ADITYA JYOT DIABETIC RETINOPATHY PROJECT- a study to assess the prevalence of diabetic retinopathy in an urban slum in Western India.

             Objectives:

          Primary objectives:

          To assess the prevalence of diabetic retinopathy in an urban slum in Western India

          Secondary objectives:

  • To create awareness about diabetes and diabetic retinopathy.
  • To provide appropriate treatment to those with diabetic retinopathy

              Expected outcome

           Primary outcome:

  • Estimation of disease burden in terms of prevalence of diabetic retinopathy

           Secondary outcomes:

  • Increased awareness and tertiary care to underprivileged patients of Dharavi.

                Target Population: Patients with Diabetes.

                Duration: 8 months.

                Current status: Recruiting.

                The project is supported by Pfizer Ltd.

Other trials in the pipeline include.

  • Trial of antineovascular agents with photodynamic therapy in wet type of macular   degeneration
  • Trial of investigational immunomodulating drug in the management of non-infectious uveitis.
  • Prevention of corneal graft rejection and failure using a sustained release immuno-modulator implantable drug .

Artificial Retina Prosthesis Project:Researchers around the world are trying to develop a silicon microchip which will replace the photoreceptor layer of the retina and act as artificial retina.Patients with Retinal Degenerations have lost the function of their photoreceptors permanently. These cells convert light into electrochemical signals that are transmitted to the brain and processed as visual images. Thus, these patients could benefit from a device that conveys visual information to the remaining functional portions of the retina such as the bipolar cells or retinal ganglion cells. In this capacity, the Retinal Prosthesis serves as a neural interface-a man-machine connection that conveys data from a camera or computer to the central nervous system. We are working on Artificial Retina Prosthesis Project in collaboration with I.I.T.

Stem Cell Culture Project:The retinal pigment epithelium (RPE) plays a key role in maintaining retinal function. Retinal degenerations and dystrophies are the major causes of genetically inherited blindness in the developed world. Photoreceptor replacement in the form of a cell-based therapeutic approach might possibly aid in the restoration of some degree of vision. In this respect, if an accessible pluripotent stem cell source can be identified,autologous stem cell therapies offer a great advantage. We are working on Retinal stem cell research with Nichi-in center,Chennai to explore the possibilities and find new solutions to various blinding disorders.

Such activities call for great humane endeavor and monetary aid!

Let us do it together with no second thoughts.

The only eye center in Indiato venture into this highly tough and competitive field is Aditya Jyot Eye Hospital Pvt Ltd.The Chairman and Medical Director Dr. S. Natarajan has put in a lot of effort in making this project successful in India for halfa decade now. Aditya Jyot Research Foundation has already made some progress by taking the first and significant step of contacting the right agencies.

Cheque / DD may be drawn in favor of "Aditya Jyot Research Foundation" . All your support will attract tax exemption as per income tax rules (Sec-80G).

For more information about Artificial Retina please Click Here

Aditya Jyot Eye Hospital Pvt. Ltd.
Plot No. 153, Road No. 9, Major Parmeshwaran Road,
Opp S.I.W.S. College Gate No. 3, Wadala, Mumbai 400 031. India.
Tel (91 22) 2416 5533, 2418 1001, 2417 7600.  
Fax: (91 22) 2417 7630.
E-mail: ajeh@vsnl.com or ajehpatient@gmail.com