Retina New Zealand Newsletter November 2011 No 51

Charities Commission Reg No 23240

A Member of Retina International

Important Notice

If you are receiving this newsletter in email format please note that the membership renewal form is attached to the email. If you are receiving the newsletter on CD the renewal form will be posted to you in print shortly. Please complete and return to us as soon as possible. If you subscribe to the Retina NZ newsletter from overseas please ignore this notice.

1. From the Editor………………………………………... 2

2. From the President’s Desk…………………………... 3

3. AGM report………………….……………………...…….. 4

4. Tapes being replaced by CDs……………………...….. 4

5. Research……………………………………….….………. 5

6. AMD likely to trigger depression……………………… 5

7. Oxford University trials new glasses………………… 6

8. Studentship Research Award……………………...….. 7

9. Audio Description adds to TV, DVDs, theatre……… 7

10. Farewell to Susan……………………………………… 10

11. Youth pages………………………………….………….. 11

12. Laser toys and camera flash dangers……..……… 14

13. Calling a cab made easier……………………...……. 15

14. Book Review……………………………………….…… 16

15. Notices……………………………………………...... 18

1. From the Editor

This newsletter has been produced by me, Camille Guy and my

sighted friend John Wishart. Although we are both trained

journalists, we are quite new to this Retina task, so let us know

about any errors you notice or improvements you would like to see.

I have been a Retina member since first losing most of my “useful

vision” through retinal haemorrhaging due to high myopia. That

was around ten years ago.

My adjustment to sight loss was made easier by the wonderful

support received from fellow Retina and RNZFB members, so I am

keen to support others who might still be in the early stages of this difficult transition.

I know what helped me most adjust to sight loss was both acquiringinformation about retinal disorders and getting to know and enjoy a community of people dealing with similar problems. I am happy to report that with the aid of brilliant technology, my life is now

somewhat back on track.

But at the Auckland Film Festival this year I saw a movie about legaldoctor-assisted suicide in the US. In the movie terminally ill patientsand their families elected to go through this process. We got to

know the patient well. But most frustratingly, the description of theirdying and its aftermath were put in print on screen, with no

voiceover. So I was cheered to read Kiran’s account in this issue of “audio description”.

Also in this issue is a review of the latest book by neurologist OliverSacks who has had a melanoma in his retina and is losing sight. Hisbook about this focuses on the brain and vision. New Zealand

author Michael Morrissey brought the book to my attention, so we

are reprinting his review of it. To my knowledge the book is not yet available in audio, but I expect it will eventually be recorded.

All the best to readers for the festive season and we hope you enjoy a happy summer.

Camille Guy

2. From the President’s Desk

As a member of Retina New Zealand, you may well be familiar with one of our key objectives as an organisation promoting and supporting the quest for treatments for retinal disorders. Probably not as

well known across our membership is the fact that many of you

have generously contributed financially to our research account –

the account which contributed $10,000 recently to help establish thedatabase for New Zealanders with inherited retinal disorders.

With the kind assistance of a long time friend of Retina New Zealand,Associate-Professor Gordon Sanderson from the department of

Medicine at Otago University, we now have agreed on regulations

and guidelines to be used to distribute the annual earnings of our

research fund. Commencing in 2012, Retina New Zealand will

offer a $2,500 Summer Studentship to an undergraduate student

undertaking a summer research project in a field related to

advancing knowledge that will lead to better prevention, diagnosis and treatment of retinal disorders.

It is our hope that students completing undergraduate programs in medicine, nursing, optometry and other health-care professional

programmes, by being involved in retinal research, will consider

specialist postgraduate training in ophthalmology and optometry

which will ultimately contribute to enhanced healthcare for us all.

Associate-Professor Sanderson and I look forward to announcing

our first successful recipient and presenting their work in this

newsletter and in person at our 2012 AGM. You can read more aboutthe Studentship elsewhere in the newsletter and we are looking to

everyone in our networks to spread the word about this opportunity.Any assistance with this or suggestions of where we should

advertise further would be appreciated.

Of course being our last Newsletter in 2011, it just leaves me room

to thank you all for your support and continuing confidence in our

organisation and wish you the warmest of seasons greetings.

As you tuck into your turkey and think of Quade Cooper, your

slaughtered lamb and think of Robbie Deans and remove your

ham-strings and think of Kurtly Beale, do spare a thought for our

Retina Australia friends who look forward to welcoming us to their biennial conference next year – Sydney in October!

Best wishes, Fraser Alexander: President

3. Annual General Meeting report

Around 60 members and supporters attended the AGM of Retina NZ in Tauranga on August 27. Some came from as far as Palmerston

North, Tokoroa, Hamilton, Matamata and Rotorua.

After the usual formalities and roll call the president and treasurer

presented their reports. Resolutions included retaining membershipsubscriptions at the present levels. Election of executive was

followed by a report from Fraser Alexander on his attendance at oursister organisation in the United States - the Foundation Fighting

Blindness. The Foundation celebrated breakthroughs, progress

and hope in retinal research during its VISIONS 2011 national

conference this year.

Apart from the inspiring medical and scientific content, Fraser

covered information gleaned in the leadership, technology, coping and employment sessions along with an update on what Retina

International, our worldwide umbrella organisation, is doing to

facilitate the earliest possible worldwide availability of effective

cures and treatments for retinal disorders.

After lunch, Minnie Baragwanath, chief executive of the Be Institute,spoke to us about her organisation. It is a social change enterprise that aims to inspire and enable a 100% accessible society for all

New Zealanders. For the past 10 years, Minnie has worked in the

disability sector advising the former Auckland City Council. Her

collaborative insight and open leadership style has brought

together Auckland Council, AUT and ADHB as founding partners to help launch this new enterprise.The Be Institute has now developeda partnership with the Ministry of Social Development to lead the

way in creating accessibility for the whole of New Zealand.

Tauranga ophthalmologist, Dr Clive Straker, spoke on Macular

Degeneration and other retinal disorders - What is happening at the back of the eye? He explained how to best cope with the

condition.The following day the executive and observers met for

intensive reviewing and planning to ensure the continuing wellbeingof Retina NZ.

4. No more cassette tapes - it’s CDs from now on

Subscribers who usually receive their newsletter on audio tape will this month be posted a CD instead. This is because the RNZFB,

which converts our newsletter into audio has finally gone digital.

The Foundation no longer uses cassette tapes. We hope all our

subscribers have access to a CD player. These discs should work

on any player. And the CD is yours to keep, so do not try to return it to the Foundation or to Retina.

If this is not convenient and you wish to change the format you

receive the newsletter in, please ring 0800 233 833 with details.

Remember, the newsletter is also available in print or in digital MP3 format which you can receive by email.

5. Research: Gene Therapy Trials begin

Trials have begun in the UK on gene therapy for a retinal disorder.

In an update from ground-breaking UK scientist, Professor Robin

Ali and his gene therapy research team at The Institute of

Ophthalmology in London, Professor Ali writes in “Looking

forward”, the quarterly magazine of our UK sister organisation RP

fighting blindness

“As a result of major advances over the last two decades, gene

therapy for retinal disorders is now a realistic prospect. We are

currently conducting the world’s first ocular gene therapy trial for

Leber’s Congenital Amaurosis and have established proof of

principle for gene therapy in inherited retinal disease. We have also demonstrated proof of concept of gene therapy in animal models of several other forms of LCA, and developed a therapeutic pipeline

for at least 11 forms of early-onset severe retinal dystrophies

including 9 of the 16 different forms of LCA.”

“Over the next 5 years we intend to build a programme of clinical

trials for various forms of retinal dystrophy. However, before we areable to advance to clinical trials we first need to design trial

protocols, secure regulatory approvals and perform further efficacy and toxicity studies using vectors manufactured to pharmaceutical standards. Our immediate priority is to secure the core expertise in gene therapy clinical trials that we have established over the last

five years to maintain the momentum generated by our first clinical trial,” said Prof. Ali.

6. AMD likely to trigger depression
A study investigating depressive symptoms and quality of life in
people with age-related macular degeneration has concluded that
psychological and functional outcome measures are reduced in
people with AMD. Earlier recognition and treatment of depressive
symptoms in people with AMD may be crucial to maintaining qualityof life in this group. The study at the School of Optometry and
Vision Science, University of New South Wales, Australia involved
145 AMD participants (mean age 78.0) and 104 age and
gender-matched controls (mean age 78.1). 44.4% of people with
AMD had clinically significant depressive symptoms compared to
17.5% of controls.

7. Oxford University Scientists Prototyping Special Glasses

Using video cameras, position detectors, face recognition and

tracking software, the team is working on a normal-looking pair of

glasses that could help those who have just a small area of vision

left, have cloudy or blurry vision, or can’t process detailed images. They would be suitable for common types of visual impairment suchas age-related macular degeneration and diabetic retinopathy.

“We want to be able to enhance vision in those who’ve lost it or who have little left or almost none,” says Dr Stephen Hicks of the

Department of Clinical Neurology.

“The glasses should allow people to be more independent - finding their own directions, and spotting warning signals.” The glasses

have video cameras mounted at the corners to capture what the

wearer is looking at, while a display of tiny lights embedded in the

lenses feed back extra information about objects, people or

obstacles in view.

Different colors could represent people or objects, and brightness

indicate how close an object is. A pocket computer recognises

objects in the video image or tracks where a person is, driving the

lights in the display in real time.

“The glasses must look discreet, allow eye contact between people and present a simplified image to people with poor vision, to help

them maintain independence in life,” says Hicks. “These guiding

principles are important for coming up with an aid that is

acceptable for people to wear in public, with eye contact being so

important in social relationships.”

The team is also working on including optical character recognition,allowing everything from newspaper headlines to barcodes to be

read. Hicks reckons the glasses could cost as little as £500 in the

UK. The team is planning a year-long feasibility study starting later

this year.

8. $2500 Studentship Researcher Award

Retina NZ would like to make its first $2,500 award to a 2011-2012

Summer studentship researcher and requests that applications be

sent to: by 15 December 2011.

Application Process:

a.Please provide one page summarising what the aims of the

research are (in the form of a question): e.g. how many Maori and

Pacific Island people go blind with glaucoma in New Zealand every year?

b. Please give a brief account of the methodologyto be used.

c. Please state why you are the right person to answer the research
question?. Detail your qualifications, research experience, support and supervision, equipment, facilities, etc.

d. Please attach your CV detailing relevant research or other

experience.

Recipient Criteria

a. You must be a NZ Citizen or permanent resident and carry out theresearch within New Zealand.

b. You are expected to report on your completed project in such a

way that encourages patients affected by retinal disorders to

financially support retinal research in New Zealand. Your reportwill use language understandable by non-medical, non-scientific

readers and listeners.

c. You will present at a Retina NZ AGM and conference following

completion of funded projects. Retina NZ will cover all related

expenses for this.

9. Audio Description: Additional narration for the visually impaired

When watching television, have you struggled to read the

background information sometimes shown at the beginning? Are

you curious about what’s going on during those silent scenes?
Or annoyed because you cannot read facial expressions?

Or have you just given up on live theatre because it’s difficult to

know what’s happening on stage and you don’t want to continually

interrupt your companion to ask?

Since March this year TVNZ has audio described limited television programs including all episodes of Coronation Street. Audio

Description applies to television, DVDs and theatre. It is additional narration to explain nonverbal details you might otherwise miss

such as facial expressions, body language, on-screen action,

costumes and scenery. The original soundtrack remains and the

audio description occurs during quiet moments.

Although an objective and succinct explanation of the non verbal

on-screen action is given, for practical reasons not all detail is

described.


As a recently introduced service in New Zealand, audio description is at present available on only a few shows. Here is how audio
description is used in TV programs, DVDs and theatre shows: