The front cover of the Nystagmus Network guide to nystagmus and the early years.

Nystagmus and the early years

The Nystagmus Network is proud to launch a new guide to nystagmus and the early years. Written for new parents and carers where a baby is newly diagnosed with nystagmus, this digital guide talks you through what to do, where to find help and how to support your child’s development from 0 to 5 years.

Nystagmus and the Early Years is the latest in a whole range of information guides for parents and carers, all available to download for free from our website in PDF and Word doc format. Plain text print versions are available on request to [email protected]

Reviewing the new guide, Nystagmus Network trustee and chair of the charity’s Support Committee, Kathryn Swanston, said: “Congratulations on another excellent resource. Well done to all involved in putting this together. The addition of the parent’s perspective is great.”

Download your copy of the new early years guide here

 

A patient is having their vision tested at an optical practice.

Measurement of visual function in infantile nystagmus: a systematic review

As a member of NUKE, the Nystagmus UK Eye Research group, the Nystagmus Network is delighted to see the publication of a literature review of functional vision testing for Infantile (Congenital) Nystagmus. The authors are Bader Almagren, NUKE and Matt Dunn.

NUKE sees this as a step towards establishing vision testing in cases of nystagmus which more closely measures what people living with the condition actually see.

Read the full article online at the BMJ/BJO here

Background/aims Recent work has called into question the ability of visual acuity (VA) to accurately represent changes in visual function in infantile nystagmus (IN). This systematic review investigated factors affecting visual performance in IN, to guide development of suitable alternatives to VA.

Methods Included studies used an experimental manipulation to assess changes in visual function in people with IN. Interventional studies, case series and case studies were excluded. Six databases were searched in August 2023. Selection, detection, attrition and measurement bias were assessed. Due to heterogeneous methodologies, narrative synthesis was undertaken.

Results Eighteen relevant papers were identified, 11 of which complied with the review criteria. Articles were grouped according to the factor manipulated to evoke within-participant changes in performance (motion blur, psychological state, gaze angle or visual crowding). Optotype, image, grating and moving stimuli have been employed under varying lighting conditions and exposure duration.

Conclusion Several factors affecting visual performance should be considered when assessing visual function in IN. While maximum VA is a useful metric, its measurement deliberately minimises nystagmus-specific factors such as changes in visual performance with gaze angle and the ‘slow to see’ phenomenon. Maximum VA can be measured using the null zone, providing unlimited viewing time, reducing stress/mental load and minimising visual crowding. Gaze-dependent functional vision space is a promising measure which quantifies the impact of the null zone but does not consider temporal vision. Although no complete measurement technique has yet been proven, this review provides insights to guide future work towards development of appropriate methods.

Please help Asmaa with her research

Asmaa is a postgraduate research student at the University of Sheffield. She’d love you to take part in her current study. Here she is to introduce it:
 
“Hi, I’m Asmaa, an eye doctor from Egypt. Throughout my career, I’ve met a lot of people with low vision for whom we have minimal low vision clinical and support services. My passion to help them and start a low vision clinic at my University Hospitals in Egypt has led me to Sheffield to explore the available services for young people with low vision here in the UK, so that I can help my patients when I return home. Your experience with these services and your ideas for service improvement will help me a lot with my new service in Egypt.”
 
“If you are interested in sharing your experience in an online interview, and you are aged between 16 and 25, please contact me:
or just follow the link below to indicate your interest and I will email you our research study details. 
You can also read our study announcement below just in case you need more details.”

Your experience matters and would help us improve low vision services for children.If you are a vision-impaired person, aged between 16 and 25,
and have accessed UK- based eye clinic and low vision services as a child or young adult, we would like to invite you to take part in a research project.We want to understand the impact of paediatric low vision clinical services from your point of view. We would like to invite you to talk about your experiences in a Google Meet interview.  
The research team is based at the Division of Ophthalmology and Orthoptics, University of Sheffield.

For more details, contact Asmaa Elgohary

[email protected]

Or follow this link:

https://docs.google.com/forms/d/1-kz2UapQ_HsTbO8Vnk8Eycy3W_zY5ZsZlZBLsiCTtGA/edit

An eye care practitioner is testing a patient's eyes using a RETeval device.

Take part in research for shorter waiting lists

Jay Self is Associate Professor at the University of Southampton and a long-term supporter of the Nystagmus Network. He is a nystagmus researcher and eye doctor and is asking us for help with a new research project. Please take part if you can.

Often people with nystagmus (and other eye conditions) have to wait weeks, months or even years to get a diagnosis and much of this is due to NHS waiting lists for specialist tests.

Jay and his team have studied the use of a hand-held device (RETeval®) which can help diagnose many eye conditions and, importantly, can be used in any eye department, anywhere in the country meaning shorter waiting times.

The work so far has found that the device, used as a screening tool, could mean that patients no longer have to wait so long for some very specialist tests called Electroretinograms (ERGs) and Visual Evoked Potentials (VEPs).

They now want to run a large study and need help from people who have been through eye services to advise from a patient’s eye view.

Involvement would mean taking part in a TEAMS or ZOOM meeting a couple of times a year to offer your opinions. Attendance is voluntary, of course.

If you would like to help, please email Mr Self and his team at [email protected] and they will be in touch when the meetings are planned.

Thank you for your help.

This research is supported by Gift of Sight and by the Nystagmus Network who purchased the RETeval® device.

University students studying together in a library.

Making university life better for visually impaired students

Research participation opportunity

Developing university guidance for the socio-emotional needs of students with vision impairment

PARTICIPANT INFORMATION

You are invited to take part in a research project conducted by the Institute for Mental Health, the University of Birmingham. This research work is led by Dr Ifigeneia Manitsa, Research Fellow in Youth Mental Health.

Before you decide, it is important for you to understand why the research is being done and what it will involve. This Information Sheet will tell you about the purpose of the research, along with its potential risks and benefits.

If you agree to take part, we will ask you to sign a Consent Form. If there is anything that you are not clear about, we will be happy to explain it to you. Please take as much time as you need to read it. You should only consent to participate in this research study when you feel that you understand what is being asked of you, and you have had enough time to think about your decision.

It is up to you to decide whether or not to take part. If you decide to take part, you are still free to withdraw at any time during your participation in this study and without giving a reason. If you have any further questions, please contact Dr Ifigeneia Manitsa at [email protected]. If you have any medical/other problems which make it difficult for you to read this information, please contact Ifigeneia for a verbal explanation of the research. If you choose not to take part at all or decide to withdraw your data, you will not be paid for your participation.

When you are happy that you have all the information you need to be able to decide whether or not you would like to take part in the study, please complete the enclosed consent form and return it to Dr Ifigeneia Manitsa at [email protected].

Current Study

The Institute for Mental Health at the University of Birmingham in collaboration with the Vision Impairment Centre for Teaching and Research (VICTAR), Kingston University, University of Edinburgh, Abertay University and Bristol Sensory Support Service are conducting research to understand more about the university experiences of individuals with vision impairment who are currently enrolled and pursuing a university degree (undergrad, masters, and doctoral students) and/or have recently (within the last five years) completed a university degree in the UK. This research project is also looking at the experiences of professionals from national organisations (e.g., consultants and habilitation officers) and university staff (e.g., academics and disability officers) supporting students with vision impairment in Higher Education. This project is funded by the Thomas Pocklington Trust Grants Programme.

What do I have to do?

This study will consist of two phases. First, we would like you to complete a short demographic questionnaire and participate in an online interview with us via Microsoft Teams in September/October 2023 (Phase 1). The online interview will last approximately one hour, and you will be asked to talk about your experiences in Higher Education and what type of support you are receiving (or received) during your university degree. We would also like to hear your ideas and suggestions for how universities might better support students with vision impairment in the future. Then, our research team will need some time to analyse the data that we will collect during Phase 1.

In Phase 2 that will run from February to April 2024, we would like to conduct three online 60-minute sessions with 4-6 students with vision impairment. Researchers will ask some questions and you will be able to share your thoughts and experiences about the support you receive with others in these online sessions. You will also be asked to discuss the findings of Phase 1 and discuss the socio-emotional support that should be provided to people with vision impairment in Higher Education. In addition, during these online group sessions, the research team may ask you to discuss the mental health and wellbeing guide provided by Thomas Pocklington Trust for students who want to go to university (https://www.pocklington-trust.org.uk/student-support/university/mental-health-and-wellbeing/). The transition guide “Your future, your choice: bridging the gap” developed by RNIB and VICTAR (https://media.rnib.org.uk/documents/Your_Future_Your_Choice_Bridging_the_Gap.pdf) and some of its online resources may also be used and discussed during these online sessions. You may also wish to follow up comments that other people have said and to ask your own questions. You do not have to answer every question, nor should you feel pressurised to talk.

Considering we can only recruit up to 4-6 students with vision impairment for our online group sessions, we will have to give priority to the students who contact us first. Furthermore, you can decide to only participate in Phase 1 if you do not wish to participate in Phase 2.

We will also be conducting focus groups with people with professionals who work in UK universities to support students with vision impairment.

How will the things I say be used?

Overall, this research project aims to explore the lived experiences of students with vision impairment in Higher Education and to identify the lack of holistic and person-centred approaches to the socio-emotional needs of individuals with vision impairment wishing to attend HE in the UK. This project also aims to initiate the development of university guidance that will address their socio-emotional needs and educational inclusion.

After each session, a summary report with the main findings will be sent to you. Descriptions of research findings will be published in newsletters of the professional support groups and educational institutions involved. In addition, we will publish the findings from the study in scientific journals and will present the results at relevant conferences. No names and identifying information will be published in any reports and future publications. A full report will be submitted to the Thomas Pocklington Trust who may wish to upload it on their website. All of your personally identifiable information will remain anonymous and confidential.

We will video record the focus groups so that we have an accurate recording of the discussion.

Most participants enjoy taking part in research however if this brings up unwanted feelings and you wish to talk it over potential sources of advice are:

The Samaritans – phone: 116 123; email: [email protected]

Citizens Advice – www.citizensadvice.org.uk

RNIB Helpline – 0303 123 999

Will what I say be anonymous?

In our publications and reports your responses will be anonymised but in rare cases where someone knows you very well others may be able to recognise you. Also, the other participants in the online group sessions will hear your responses. We will remind participants that what is said during these sessions must not be discussed outside these online group sessions; however, this relies on everybody sticking to this rule. Further, if you choose to use your camera during the teams call, you may be visually identifiable. You can choose not to turn on your camera if you prefer.

If, during the course of the interview, you inform us that you or someone you know is at serious risk of harm, we will take the appropriate advice and act accordingly.

What should I do if I change my mind?

During the course of the online group session, you can leave at any time by clicking on the ‘leave meeting’ button. Your data will not be included in the research.

If after taking part in an online interview and/online group session you decide that you no longer wish to take part in the project, please email the project lead Ifigeneia Manitsa ([email protected]) and we will remove and permanently delete your data. You must do this within one week of taking part in both tasks (online interview and online group session) otherwise we will not be able to remove your data as we will have begun to analyse it.

Where will data be stored?

The data collected will be kept in locked or password protected storage at the University of Birmingham or held on a password protected database. All information gathered about you will be stored separately from any information that would allow someone to identify who you are (this is known as personal identifying information, e.g., your full names, your address, your contact details). Your personal identifying information will be stored on a local password-protected server and only members of our research team will have access to it. We will only be able to trace the information we have collected about you back to you using a special reference number which we will store in a password protected database held at the University of Birmingham. Only members of our research team will have access to that database. Personal identifying information will be treated as strictly confidential and handled in accordance with the provisions of the Data Protection Act 2018 and the General Data Protection Regulation (GDPR) 2018.

Do I get anything for taking part?

In Phase 1, as a token of appreciation for your time you will receive a £20 payment.

In Phase 2, you will receive a £20 payment after each online group session (three payments in total).

If you need a carer present during the interviews to support you, then an additional payment of £10 will be offered to your carer for assisting you during the interview process.

What will happen to the data afterwards?

The information that you provide will be stored on a local password-protected server and only members of the research team will have access to it. All personal details will be kept separately from the information collected. Participants will be identified by a unique number so that it will only be possible to connect results to individuals via this number. This will ensure that results are kept anonymous.

At the end of the study, your personal details will be destroyed unless you tell us otherwise.  This means that we would no longer be able to trace the results of your assessments back to you. It is optional for you to be contacted by the same research team for future ethically approved research of similar nature. If you agree, the research team will contact you according to your preference via phone or email. If you agree to be contacted for future studies, you do not give consent to future studies. This option does not impact on the participation of this study or any future study. This database is password protected and only approved members of our research team have access to your details.  We do not share your details with anyone outside the research team.

What happens if I decide that I no longer want my details on the database?

All you would need to do is contact Ifigeneia, the Principal Investigator of the study, at [email protected]. Your details will be removed from the database immediately.

Consent

After having read all the information and having received appropriate responses to any questions that you may have about the study you will be asked to give your consent to participate in the study if you decide that you do wish to participate. We need to receive consent from you in order for you to participate.

Withdrawal

You are free to withdraw from the study within 7 days from taking part in the one-to-one interview (Phase 1) and each online group session (Phase 2). Should you choose to withdraw from Phase 1, you can also request that any data collected from your participation be withdrawn from the study. If you request this, any data collected from you will be located and destroyed. However, once each online group discussion is complete (Phase 2), we will be unable to destroy any of your data. However, we will exclude them from the analysis. Even if you decide to withdraw from the study, you will still receive your compensation.

What if there is a problem?

If you have a concern about any aspect of this study, you should ask to speak to the researchers who will do their best to answer your questions. Please contact the Principal Investigator Ifigeneia Manitsa at [email protected] in the first instance. If you remain unhappy and wish to complain formally, you can contact: Professor Ed Wilding; Head of School; School of Psychology, University of Birmingham, Birmingham, B15 2TT, by email: [email protected] or by phone on 0121 414 4931.

Review

The study has been approved by the Science, Technology, Engineering and Mathematics Ethical Committee.

Further information

If you would like any more information about the study, please contact the Principal Investigator Ifigeneia Manitsa at [email protected].

Research team

Principal Investigator: Dr Ifigeneia Manitsa, Research Fellow in Youth Mental Health, Institute for Mental Health, School of Psychology, University of Birmingham, [email protected]

Co-Investigator: Dr Rachel Hewett, Associate Professor, School of Education, University of Birmingham

Co-Investigator: Dr Fiona Barlow-Brown, Associate Professor, Department of Psychology, Kingston University London

Consultant: Professor John Ravenscroft, Moray House School of Education and Sport, IETL, University of Edinburgh

Consultant: Dr Mhairi Thurston, Senior Lecturer, School of Applied Sciences, Abertay University

Consultant: Dr Joao Roe, Head of Sensory Support Service, Bristol City Council

A person is undergoing a sight test in a clinic.

Research participation opportunity in Cambridge

This study aims to look at how the brain behaves in response to changes in vision. There will be two visual examination tasks: one which involves a standard vision chart displayed on a computer screen and the second which involves a microperimetry exam to assess visual field sensitivity. There will also be two behavioral computerised tasks. All of the tasks have been approved and validated by the ethics committee as well as previous researchers who have used these methods. None of the tasks involve any risk and we are offering travel expenses of up to £50 per person to Cambridge. The research will take place at the Vision and Eye Research Institute at Young Street in Cambridge and the tasks should take no longer than 60 minutes. Only one visit will be required.

To take part, please contact Natalie Assaf by email at [email protected]

A poster with all the details of this research participation opportunity, as given in the accompanying text article.

Nystagmus research participation opportunity

Perceptual Learning for Nystagmus

We are delighted to offer people who have nystagmus the opportunity to take part in an exciting new research study at the University of Plymouth, in collaboration with Cardiff University and jointly funded by the Nystagmus Network and Fight for Sight.

Who are we looking for?

Anyone aged between 18 and 35, diagnosed with Infantile (Congenital) Nystagmus

What will you be doing?

  • Complete vision tests on computer at the University of Plymouth to assess how well you can see static and moving letters and static dots
  • Complete vision training at home for 1 hour per day, 3 days a week over a period of 4 weeks

Who are we?

Dr Mahesh Joshi

Dr Mahesh Joshi

Dr Asma Zahidi

Dr Asma Zahidi

For more information, please contact: [email protected] or [email protected]

Travel Expenses

We will be paying your travel expenses to Plymouth up to £50.

A woman supports a child with music and movement exercises.

Stress busting workshop for parents and carers

Parents’ online get together, November 29 2023 7-9pm – guest speaker from CONTACT*

At our next online get together for parents and carers we will be joined by a speaker from CONTACT who will deliver a workshop on  Wellbeing Workshop for parents and carers

Here’s what the workshop is about:

Stress can be a huge factor for families. What causes you stress and how do you cope with it?

This online workshop will give you the opportunity to hear other parents’ experiences, learn new strategies and share as much or as little of your story as you wish. We will explore ways of reducing your stress by improving the areas that could help you feel more positive and able to get the most out of life.

After the session you will: 

• understand clearly what stress is and how it affects you 

• learn about coping mechanisms and other people’s coping styles 

• identify new ways of coping with stress and reducing your stress levels

• be motivated to try new stress busting ideas until you find ones that suit you

• improve your wellbeing

To express your interest in joining the session on Wednesday 29 November from 7 to 9pm, please email us at [email protected]. Thank you

*CONTACT is the charity for families with disabled children

The Concise Practice Point for managing nystagmus in childhood, published April 2023

Publication of Concise Practice Point for managing nystagmus in childhood

PRESS RELEASE, Thursday 5 October 2023

The Nystagmus Network has welcomed the publication of new guidance on the management of nystagmus in children by the Royal College of Ophthalmologists.
The purpose of the Concise Practice Point, now available on the Royal College website, is to provide a single point of reference for busy clinicians when managing patients with this complex eye condition.
The Practice Point can be found online at this link:
https://www.rcophth.ac.uk/resources-listing/managing-nystagmus-in-childhood/
The Nystagmus Network contributed to the development of the Practice Point through its membership of NUKE, the Nystagmus UK Eye research group. Members of NUKE worked together to develop a Nystagmus Care Pathway which sets guidelines on diagnosis and care for patients with nystagmus – the first time such guidelines have been created for this condition.
Vivien Jones, founder and Honorary President of the Nystagmus Network, said “The adoption of these guidelines means that clinicians can now refer to them when treating patients with nystagmus – something that we hope will lead to continuing
improvements in developing standardisation of medical diagnosis and care.”

Clinician Jay Self, University of Southampton, an author of the
Practice Points and founding member of NUKE said “Managing children with nystagmus can be complex and nuanced. By sharing best practice, in an easy to follow guide, we hope to improve all aspects of care for children and their families.”
Coinciding with the publication, Nystagmus Network trustees met Marsha De Cordova MP, who chairs the Eye Health and Visual Impairment All Party Parliamentary Working Group. Trustees were able to brief the MP, who herself has nystagmus, on the future impact of the work that has been done and the publication of the Practice Point.

Watch the CPP Launch video on our YouTube Channel here

Ends

For further information, please contact the Nystagmus Network
Email: [email protected]
Tel: 01427 718093
Nystagmus Network website
www.nystagmusnetwork.org
Royal College of Ophthalmologists Practice Points
https://www.rcophth.ac.uk/resources-listing/managingnystagmus-
in-childhood/
NUKE members include
Gemma Arblaster, University of Sheffield
Matt J. Dunn, Cardiff University
Jonathan T. Erichsen, Cardiff University
Helen Griffiths, Sheffield Children’s NHS Foundation Trust
Chris Harris, Royal Eye Infirmary, Plymouth & University of Plymouth
Helen Kuht, University of Leicester
Helena Lee, University of Southampton
Rebecca McLean, University of Leicester
Lee McIlreavy, Cardiff University
Frank Proudlock, University of Leicester
Sue Ricketts, Nystagmus Network
Jay E. Self, University of Southampton
John Sanders, Independent Patient Representative
Fatima Shawkat, University Hospital Southampton
Maria Theodorou, Moorfields Eye Hospital
Mervyn Thomas, University of Leicester
Nikita Thomas, Cardiff University
Katherine Ward, Cardiff University
J. Margaret Woodhouse, Cardiff University

A card featuring the Nystagmus Network logo and an ice cream cornet and the text 'please take a moment to nominate us'.

Please nominate us to win a £1,000 donation

Please take a moment to nominate the Nystagmus Network for the chance to win a £1,000 donation. That’s enough to pay for a year’s supply of nystagmus information leaflets for families across the UK.

The competition is being run by the Benefact Group.

Please use the link below to nominate us. Thank you!

Nominate Nystagmus Network here