View Annual Report - Jules Stein Eye Institute
View Annual Report - Jules Stein Eye Institute
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