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View Annual Report - Jules Stein Eye Institute

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Orbital Disease Center<br />

The Orbital Disease Center, under the direction of<br />

Dr. Robert Alan Goldberg, was founded in 1991.<br />

The Center brings multidisciplinary expertise to the<br />

treatment and study of orbital diseases arising from<br />

trauma, cancer, inflammation, and infection. Care is<br />

organized around a team of experts in ophthalmology,<br />

neuroradiology, neurosurgery, head and neck surgery,<br />

radiation oncology, and craniofacial surgery, bringing<br />

to the treatment of orbital diseases a depth of knowl-<br />

edge and experience not available elsewhere in<br />

Southern California.<br />

The Center provides both medical and surgical management<br />

of orbital diseases; however, surgery is the primary<br />

treatment approach. The team performs procedures in<br />

the <strong>Institute</strong>’s modern operating rooms that are not<br />

usually available in the community, including orbital<br />

decompression microsurgery for orbital apical tumors,<br />

optic canal decompression, and bony reconstruction<br />

to address traumatic or congenital defects. The Center<br />

has an active program on Graves disease. New surgical<br />

techniques are evaluated for Graves patients and basic<br />

science research is carried out to advance understanding<br />

about the disease.<br />

Vision Genetics Center<br />

Initially established in 1978 as the UCLA Retinitis<br />

Pigmentosa Registry, the Vision Genetics Center, under<br />

the direction of Dr. Michael B. Gorin, is an integrated<br />

clinical and research program that addresses the full<br />

spectrum of hereditary eye disorders. Center members,<br />

representing multiple disciplines, combine their efforts<br />

to understand the underlying molecular basis of a broad<br />

range of ocular conditions, including those involving<br />

the development of the eye, cornea, lens, extraocular<br />

muscles, retina, vitreous, and optic nerve. Areas of<br />

interest include both simple inherited conditions caused<br />

by alterations in single genes, as well as conditions in<br />

which multiple genetic variations and other risk factors<br />

play a role.<br />

The Center offers patients and their family members<br />

state-of-the art diagnosis and care of the hereditary eye<br />

or vision condition. Services include genetic counseling<br />

and, when appropriate, DNA testing either as a clinical<br />

diagnostic service, a research program, or in combination.<br />

The Center’s faculty members collaborate with a<br />

number of genetic research groups around the world<br />

to ensure that patients can participate in the most<br />

advanced research for their particular condition.<br />

Vision Rehabilitation Center<br />

The Vision Rehabilitation Center is under the direction<br />

of Dr. Melissa W. Chun with Dr. Steven D. Schwartz as<br />

medical advisor. The Center was established to provide<br />

rehabilitation to maximize visual function and quality of<br />

life of patients with low vision, defined as best corrected<br />

vision of 20/70 or worse in the better eye. These<br />

outcomes are accomplished with a rehabilitation plan<br />

tailored to each patient’s specific needs and goals.<br />

The Center provides assistance in the form of patient<br />

consultation and training, including reading and computer<br />

training, as well as evaluation with the latest<br />

low-vision devices that can help patients adapt to their<br />

visual restrictions. The Center utilizes a wide array of<br />

technologically advanced devices, such as magnifiers,<br />

telescopes, and digital and computer technology.<br />

Customized for each patient’s individual needs, ser-<br />

vices may range from simple solutions to specialized<br />

approaches. One unique feature of the Center is a<br />

special “lending library” of select low-vision devices that<br />

enables patients to try them at home or in the office<br />

prior to purchase. When appropriate, referrals are<br />

provided to assist independent living through occupational<br />

therapy and orientation and mobility training.<br />

Programs | Research and Treatment Centers 83

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