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View Annual Report - Jules Stein Eye Institute

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Research<br />

Research is a key component of the <strong>Institute</strong>’s<br />

mission and a high priority for faculty who often<br />

devote their life’s work to furthering our knowledge<br />

of specific vision processes and eye diseases.<br />

Major research grants are routinely awarded each<br />

year to support this effort. In 2011–2012, faculty<br />

members received important awards from both<br />

public and private organizations. New grants and<br />

grant renewals will enable faculty to further<br />

ongoing vision-science investigations that have<br />

shown promise and to undertake clinical trials that<br />

have direct application to some of the country’s<br />

most common ophthalmic problems.<br />

Drs. Kouros Nouri-Mahdavi and JoAnn Giaconi, along with other<br />

members of the Glaucoma Division, are leading the way in the study<br />

of sophisticated imaging tools that can be used to detect early signs<br />

of glaucoma-related damage.<br />

8 Highlights | Research<br />

Glaucoma Imaging Study<br />

Kouros Nouri-Mahdavi, MD, assistant professor of<br />

ophthalmology, is conducting research projects to<br />

investigate utility of different imaging techniques for<br />

improving detection of glaucoma or its progression.<br />

These studies aim to determine the performance of<br />

various testing modalities available on the newer<br />

spectral-domain optical coherence tomography<br />

(SD-OCT) for discrimination of glaucomatous eyes<br />

from normal eyes.<br />

Because of the higher resolution and the larger<br />

amount of data obtained by SD-OCTs, their use is<br />

expected to lead to better clinical performance and a<br />

higher rate of detection of early glaucoma or its<br />

progression. If the newer imaging devices are proven<br />

to have a better performance, they can potentially be<br />

useful for screening purposes and be especially<br />

valuable for evaluating cases that are suspected to<br />

show early glaucomatous damage where the visual<br />

field is frequently noncon-tributory. On the other end of<br />

the glaucoma spectrum, macular imaging is emerging<br />

as a promising modality for detection of progression in<br />

advanced glaucoma, since the retinal nerve fiber layer<br />

and optic nerve head in patients with advanced<br />

glaucoma are already too damaged to demonstrate any<br />

evidence of progression.

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