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View Annual Report - Jules Stein Eye Institute

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Gary N. holland, mD<br />

Jack H. Skirball Professor of Ocular<br />

Inflammatory Diseases<br />

Chief of the Cornea and Uveitis Division<br />

Director of the Ocular Inflammatory Disease Center<br />

Director of the <strong>Jules</strong> <strong>Stein</strong> <strong>Eye</strong> <strong>Institute</strong><br />

Clinical Research Center<br />

Member of the <strong>Jules</strong> <strong>Stein</strong> <strong>Eye</strong> <strong>Institute</strong><br />

ReseaRch summaRy<br />

Uveitis and Cornea-External<br />

Ocular Diseases<br />

Dr. Holland’s research interests involve infectious and<br />

inflammatory diseases of the eye. A major focus of<br />

current research is ocular toxoplasmosis, the most<br />

common retinal infection in the general population.<br />

Dr. Holland is conducting various epidemiological<br />

and laboratory investigations in collaboration with<br />

investigators at the National <strong>Institute</strong>s of Health, the<br />

U.S. Centers for Disease Control and Prevention, and<br />

other universities in the United States, Brazil, and<br />

Europe to understand the sources of infection, course<br />

of disease, response to treatment, and disease outcomes.<br />

Patient genetic and parasite-related factors<br />

that influence the risk of ocular involvement are<br />

being studied.<br />

Since 1981, Dr. Holland has been involved in the study<br />

of HIV-related eye disease. He is participating in a large,<br />

NIH-supported multicenter study to investigate how the<br />

ocular manifestations of HIV disease have changed<br />

since the introduction of potent antiretroviral drugs. In<br />

particular, he is using data generated in the study to<br />

investigate HIV-related “neuroretinal disorder” (NRD),<br />

a degenerative condition of the retina that appears to<br />

be the cause of subtle changes in vision known to occur<br />

in HIV-infected individuals, even among those whose<br />

immune function has improved because of antiretroviral<br />

drugs. In addition, he is investigating abnormalities of<br />

retinal blood vessels and abnormal blood flow as pos-<br />

sible contributing factors for development of NRD.<br />

Studies performed by Dr. Holland have shown that these<br />

vascular changes are markers of non-ocular, sometimes<br />

life-threatening diseases among people with AIDS.<br />

In conjunction with members of the Department of<br />

Pediatrics–Rheumatology Division, Dr. Holland has<br />

established a program to provide care for children with<br />

uveitis. He is investigating risk factors for development<br />

of vision-threatening complications among children with<br />

44 Faculty | Holland<br />

juvenile idiopathic arthritis and uveitis, and is<br />

studying the most effective techniques for evaluation<br />

and treatment of uveitis in children.<br />

Dr. Holland is also investigating birdshot chorioretinopathy,<br />

a chronic autoimmune disease of the<br />

eye, in conjunction with Drs. Ralph D. Levinson,<br />

Steven Nusinowitz, and researchers in Paris, France.<br />

Public Service<br />

Associate Editor, American Journal of Ophthalmology<br />

Executive Committee Member, American Uveitis Society<br />

Steering Committee Member, Studies of the<br />

Ocular Complications of AIDS<br />

International Council Member, International<br />

Ocular Inflammation Society<br />

Research Grants<br />

Advanced Cell Technology, Academic Research Organization<br />

for Research with Retinal Cells Derived from Stem Cells for<br />

Age-Related Macular Degeneration, 5/31/11–5/30/13<br />

Advanced Cell Technology, Academic Research Organization<br />

for Research with Retinal Cells Derived from Stem Cells for<br />

Stargardt Macular Dystrophy, 4/25/11–4/24/13<br />

National <strong>Eye</strong> <strong>Institute</strong>, Multicenter Uveitis Steroid Treatment<br />

Trial (MUST), 12/1/10–11/30/17<br />

National <strong>Eye</strong> <strong>Institute</strong>, UCLA/AUPO Introduction to<br />

Clinical Research Course, 3/1/11–4/30/12<br />

amfAR AIDS Research, International Conference on<br />

AIDS-related CMV Retinitis, 8/1/10–7/31/11<br />

Elizabeth Taylor AIDS Foundation, International Conference<br />

on AIDS-related CMV Retinitis, 8/1/10–7/31/11

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