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View Annual Report - Jules Stein Eye Institute

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Diabetic <strong>Eye</strong> Disease<br />

and Retinal Vascular Center<br />

Under the direction of Dr. Steven D. Schwartz, the<br />

Diabetic <strong>Eye</strong> Disease and Retinal Vascular Center<br />

provides diabetic patients with comprehensive ophthalmic<br />

care. Established more than a decade ago, the<br />

Center has contributed significantly to the understanding,<br />

treatment, and prevention of diabetic eye disease.<br />

Current focus is on innovation in technologies and<br />

techniques that expand the standard of treatment,<br />

such as new lasers and laser strategies, refinement<br />

of microsurgical techniques specific to diabetic eye<br />

diseases, and nontraditional treatment approaches.<br />

The Center’s treatment philosophy is based upon the<br />

systemic nature of diabetes. Patient care is coordinated<br />

with other UCLA departments to address the special<br />

needs of diabetics that lie outside the field of ophthalmology.<br />

Center treatment interventions include laser<br />

and ophthalmic surgery. Recognizing the special care<br />

needed for diabetics in any surgical situation, Center<br />

physicians perform all eye surgeries for diabetics,<br />

including those specific to the disease, as well as<br />

vitrectomy, cataract surgery, and retinal reattachment.<br />

<strong>Eye</strong> Trauma and Emergency Center<br />

The <strong>Eye</strong> Trauma and Emergency Center, under the<br />

direction of Dr. Robert Alan Goldberg, provides<br />

immediate response to ophthalmic emergencies<br />

through an eye trauma team available 24 hours a day<br />

for consultative, medical, and surgical care involving<br />

both primary and secondary ocular repairs. Ophthal-<br />

mic emergency care has been provided by the UCLA<br />

Department of Ophthalmology since its inception.<br />

In 1980, the <strong>Eye</strong> Trauma and Emergency Center was<br />

formally established to encompass all levels of ocular<br />

trauma within the UCLA hospital system, including<br />

support to affiliated institutions.<br />

Patients are commonly referred to the Center for such<br />

ocular traumas as ruptured globe, intraocular foreign<br />

bodies, acute orbital hypertension, retinal detachment,<br />

chemical burns of the cornea and conjunctiva, and<br />

acute vitreous hemorrhage. The Center offers complete<br />

evaluation and treatment of the traumatically injured<br />

eye, including vitreoretinal and/or orbital and ophthal-<br />

mic plastic surgery, anterior segment surgery, and<br />

medical follow up. Primary surgical repairs are performed<br />

immediately for new trauma while secondary<br />

repairs are usually scheduled.<br />

Gerald Oppenheimer Family Foundation<br />

Center for the Prevention of <strong>Eye</strong> Disease<br />

Established with a generous pledge from Gail and<br />

Gerald H. Oppenheimer, the Gerald Oppenheimer<br />

Family Foundation Center for the Prevention of <strong>Eye</strong><br />

Disease is committed to the discovery of agents and<br />

methods to prevent ophthalmic diseases. Areas of<br />

study supported by the Foundation include genetic<br />

and environmental factors that may cause eye disease,<br />

and pharmacologic and natural agents to prevent eye<br />

disease. The Center complements an expanding array<br />

of research in many other fields at UCLA, where<br />

rigorous scientific methods are being applied to study<br />

novel approaches to health care.<br />

UCLA Laser Refractive Center<br />

The UCLA Laser Refractive Center is under the direc-<br />

tion of Dr. David Rex Hamilton. Founded in 1991,<br />

the Center specializes in refractive surgery of both<br />

the cornea and lens of the eye, including clinical and<br />

research applications of new laser technology. The<br />

Center is one of a few in the United States to pioneer<br />

investigations into laser eye surgery.<br />

The UCLA Laser Refractive Center offers all cornea<br />

refractive procedures, including LASIK and LASEK/<br />

PRK; astigmatic keratotomy; conductive keratoplasty,<br />

and intracorneal ring implantation. Advanced intraocular<br />

lens (IOL) procedures are also available, including<br />

presbyopia-correcting IOLs (multifocal and accommodating),<br />

toric IOLs, and phakic IOLs. Patients referred<br />

to the Center undergo a complete ocular examination<br />

that includes corneal topographic mapping, wavefront<br />

analysis, and corneal biomechanical measurements<br />

to identify conditions that may interfere with surgical<br />

correction of refractive errors. Candidates for laser or<br />

intraocular lens surgery receive intensive education<br />

to understand the benefits, risks, and alternatives to<br />

surgery. Participation in clinical trials for new refractive<br />

devices and techniques to treat nearsightedness,<br />

farsightedness, and presbyopia may be an option for<br />

qualified patients.<br />

Programs | Research and Treatment Centers 81

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