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Written by Administrator   
Monday, 15 September 2008 21:01
Case study: Leber's congenital amaurosis

Leber’s congenital amaurosis (LCA) is a rare form of inherited blindness. Not only do visual problems begin at birth but they are often very severe. In the UK, the condition accounts for around 5% of inherited problems affecting the back of the eye but in families from Northern Pakistan it accounts for almost 40% of all inherited blindness.

Researchers from Leeds have particular interest and expertise in the genetics of LCA and have visited 22 families with 91 affected individuals in Punjab and Kashmir. Of the 13 genes currently known to cause LCA when faulty, 2 were discovered by the Leeds team as part of a project supported by Yorkshire Eye Research. Three families from Lahore, Sargodha and Islamabad were found to have faults in a new gene called Lebercilin. Another family from Sargodha was the first in the world to be linked to a gene called LCA9.

Mohamed is 25 and, despite being blind from birth, he is a graduate in English Literature from Lahore. He enjoys playing in the blind cricket teams locally but can only tell when a light is shining in front of him. He has two affected brothers and his normally sighted sister has two affected children. Research done in Yorkshire has confirmed the way in which the condition is inherited and helped Mohammed’s family understand the ways in which the risk to future generations can be reduced.

Sana and Saba are eight year old twins. They were diagnosed to have LCA by the team in Leeds. They are both blind and can see no more than the outline of a hand moving in front of their faces. Their parents have normal vision but have three blind children and three sighted children. Other cousins are also affected. As with individuals from two other families in Lahore, Gujranwala and Mianwali, they were found to have faults in a gene called RPGRIP. These faults cause LCA. On the basis of the work funded by Yorkshire Eye Research, their family is beginning to understand why they and other family members are blind. However, they also have some hope as gene therapy trials for LCA are now underway. The aim of these trials is to restore some sight by replacing the faulty eye gene with a healthy gene. Although the first trial involved a different gene known to cause LCA, it is likely that subsequent trials will involve individuals with faults in the RPGRIP gene.

To continue supporting this work with the local community and from Pakistan, Yorkshire Eye Research needs your help.


Case study: Retinitis pigmentosa

CC has Retinitis Pigmentosa (RP), a genetic condition that causes parts of the retina to fail. The underlying problem can lie in many parts of the retina such as the rod or cone cells, or in the connections between cells. There is no cure for RP. Researchers have made headway into identifying the defective genes but more work is needed if we are to find a cure or effective treatment for this blinding condition.

retinitis pigmentosa
Retinitis pigmentosa - image of the retina with typical changes found in RP.

This is her story…

I didn’t know what RP, or Retinitis Pigmentosa to give it its posh name, was until I was seven or eight when I started to run into things when playing with my brothers. It seemed worse at night and I was later diagnosed with RP, or ‘night blindness’ as it was then termed, and I was informed that I would not be able to do office work or similar detailed tasks when I grew up. Back then most eye conditions were brushed under the table and my family were no different. Good or bad this attitude meant that I grew up believing that I was no different to other people and as my condition worsened I went to great lengths to hide it and to fit in with my friends. I was in my early 20’s when I started to wear glasses to help me with my job as a PA and it was at this time that I was told that RP is a genetic condition with no cure and that my sight would continue to deteriorate. Over the years I have lost peripheral vision leaving me with what most people know as tunnel vision and I have become more and more short sighted. In my forties I developed cataracts and was diagnosed with glaucoma which means that pressure builds up behind my eyes. A few years later I underwent surgery to have the cataracts removed from both eyes and lenses fitted. This improved my sight enormously and gave me a new lease of life. Whilst the surgery could not cure my condition it did enable me to fulfill a dreams of travelling to Australia and later standing on top of Table Mountain, seeing the sun setting on the horizon.

Since then my sight has again deteriorated and my vision is blurred and starting to fragment, sort of like looking through glasses smeared with Vaseline. This means that I cannot read without the help of a magnifier as letters in some words are missing and I find it difficult to see the detail in the faces of my grandchildren. For me losing my sight has been a gradual process which has slowed me down but not stopped me. I always see my glass as being half full, I’ve had a great life so far and get on with things as best I can, however, RP can blind some children before they reach adulthood which makes me feel both very lucky and yet, at the same time, very sad.




Last Updated on Monday, 15 September 2008 21:47
 

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