Take part in research on disorientation

A team of researchers led by Dr Heiko Rust, based at the University of Basel Hospital in Switzerland, are inviting members of the UK nystagmus community to take part in a new research project.

They want to find out to what extent people with congenital or acquired nystagmus are more or less susceptible to developing disorientation symptoms compared to the general population.

Participation in the study will involve a 10-minue phone conversation with Dr Rust. You will be advised of the questions in advance. There will also be the option to record your eye movements on a smart-phone and submit the recording to the team.

Please download using the links below full details of the research including contact details for Dr Rust.

In PDF:

1a and 4a study infomation_nystagmus_and_disorientation symptoms_HMR_V1.0

In Word Doc:

1a and 4a study infomation_nystagmus_and_disorientation symptoms_HMR_V1.0

Nystagmus Network Trustee Paul Rose and Dr Matteo Rizzi from the UCL Institute of Ophthalmology, looking at images captured with their high-speed camera.

Nystagmus Network visits pioneering research in London

The Nystagmus Network is committed to supporting groundbreaking research, from understanding the root causes of nystagmus through to managing and treating the condition.

Recently our trustees, Paul Rose and Harshal Kubavat met with Dr Matteo Rizzi to discuss his team’s innovative work at the University College London (UCL) Institute of Ophthalmology.

For those who follow the charity’s research activity, Dr Rizzi is no stranger: in 2022 he was a recipient of the Small Grant Award funded jointly by the Nystagmus Network and Fight for Sight.

The effects of nystagmus on individuals and their families can be wide and varied. For some it has a relatively low impact on daily life, while for others it proves to be a debilitating condition, making everyday activities challenging. Current research, like that carried out by Dr Rizzi’s team, is crucial in finding broader solutions that could benefit a wide range of patients.

Dr Rizzi’s research into Gene Therapy

During our visit we were shown how Dr Rizzi’s research explores the use of gene therapy to target specific retinal cells responsible for nystagmus. At their research facility they are testing new DNA sequences called “promoters”, which are designed to limit the production of therapeutic molecules to specific retinal cells. When testing this gene therapy on healthy (non-human) subjects with ‘evoked nystagmus’ (evoked by showing moving stripes on a computer screen), the gene therapy was seen to dampen and almost eliminate the nystagmus-like movements. The next step is to try this approach on subjects who have nystagmus and see whether the same effect can be seen.

From our discussions it seems a promising approach that could, in the future, offer significant improvements in vision quality for many patients. Truly remarkable! Of course, this comes with the usual caveats – this work is at the very early stages and exploratory. It takes years and in many instances decades to come to fruition, if successful. But we have a beginning!

In Dr Rizzi’s own words:

“The Small Grant Award from the Nystagmus Network alongside Fight for Sight has been unquestionably instrumental for me to start work in this space. It provided me with the resources to test out our initial thinking and has enabled us to generate hugely valuable data that we hope will contribute to a greater understanding of nystagmus, and perhaps eventually a treatment. Thanks to all those that supported our work”

IMAGE: Nystagmus Network Trustee Paul Rose and Dr Matteo Rizzi from the UCL Institute of Ophthalmology, looking at images captured with their high-speed camera (acquired through a Fight for Sight / Nystagmus Network grant) / July 2024.

The Value of Fundraisers and Supporters

Our visit underlines the importance of why continued funding for such research is vital. It not only allows scientists to explore new avenues but also helps translate these findings into something that may one day become a clinical treatment that can change lives. This is where our community of fundraisers and supporters becomes invaluable. Every donation, every fundraising event and every act of support contributes directly to advancing research that holds the potential to alleviate the challenges faced by those with nystagmus.

Fundraisers and supporters are the backbone of our charity. Your contributions provide the essential resources needed for pioneering research. For instance, the Fight for Sight Joint Small Grant Award has enabled Dr Rizzi’s team to get this far. Imagine how much further they could get with continued funding and support? Each breakthrough, no matter how small, brings us closer to finding effective treatments and improving the quality of life for those living with nystagmus.

Pride in the UK Research Community

We take immense pride in the continued support and collaboration of the UK research community in tackling nystagmus. Institutions such as the UCL Institute of Ophthalmology and Moorfields Eye Hospital have been at the forefront of ocular gene therapy research. Their integrated approach – where therapeutic strategies are developed and clinically tested within the same ecosystem – exemplifies the synergy between research and practical application. These research programmes and wider international collaborations have been instrumental in identifying the specific retinal cells involved in nystagmus, paving the way for targeted treatments.

The Journey Forward

The journey to understanding and treating nystagmus is long and complex, but with your support, we are making significant strides. The research funded by Nystagmus Network is not just about scientific discovery; it’s about bringing hope to thousands of individuals and families living with this condition.

As we look to the future we remain dedicated to supporting innovative research, fostering collaborations and ensuring that the findings of today become the treatments of tomorrow. Your ongoing support is crucial in this mission. Together, we can continue to push the boundaries of what’s possible, bringing us closer to a world where nystagmus is no longer a barrier to a fulfilling life.

Get Involved

We invite you to join us in this vital work. Whether through donations, participating in fundraising events or simply spreading the word about nystagmus. Every action makes a difference. Visit our website to learn more about how you can contribute and stay updated on the latest research developments.

Together, we can transform the lives of those living with nystagmus. Thank you for your unwavering support and commitment to this cause.

 

A poster with deails of this research participation opportunity featrung the logo of the University of Strathclyde and a diagram of a map from home to hospital with a car and a bus on a wiggly road.

Calling people living with nystagmus in Scotland who are over 65

Are you an older adult living with visual impairment?
We are a team of researchers at the University of Strathclyde who want to explore your experiences of travelling from home to healthcare premises in Scotland.
What is the purpose of this study?
This study aims to understand the challenges faced and strategies used by older people with visual impairments when navigating to and within healthcare settings. We want to develop recommendations on how healthcare environments should be designed or improved to accommodate the needs of this population among other users.
Who can participate?
You must meet the following criteria to participate:
• Aged 65 and over
• Have a visual impairment (registered or not)
• Speak and understand English
• Live at home
• Able to walk outside of their home (independently or accompanied)
What will you do?
You will participate in one interview session, no longer than 60 minutes.
The interview can take place online, over the phone or in person at the university or somewhere local.
You will be offered a small token of appreciation for your time and any expenses will be reimbursed.
If you are interested in participating or know someone who might be, please contact:
Parastoo Zali
The NHS logo and the words Imperial College Healthcare

Take part in research at Charing Cross Hospital, London

Sarah Hösli, Honorary Senior Research Fellow with the Brain and Vestibular Group at Imperial College London, part of Dr Barry Seemungal’s team, invites study participants.

She writes: “We are currently doing research on understanding the symptom of oscillopsia in people who have nystagmus due to vestibular conditions. To understand the underlying brain mechanisms better, we want to extend this testing to people with congenital nystagmus. The testing involves non-invasive brain stimulation (TMS) and would be done in a single session at Charing Cross Hospital in London. There is no risk associated with the testing.

At a later stage, we might also include patients with acquired nystagmus, especially patients with pendular nystagmus.

More details of the study and application contacts can be found by downloading the below information document.

Call_INS_participants

A flyer for this research participation opportunity giving the same information as in the blog post and including a thumbnail image of Katherine.

Have a brain scan for research – recruiting now!

Aged 18-55?

Diagnosed with infantile nystagmus?

Within travelling distance of Cardiff?

Researchers at Cardiff University invite you to take part in an exciting research study looking into brain activity in infantile nystagmus

What does it involve?

  • A quick eye examination
  • Lie in an MRI scanner and look at moving shapes and patterns on a screen

Where and when will it be?

  • At Cardiff University
  • From now until May 2024

Who will run the session?

Katherine Ward, optometrist and PhD researcher at Cardiff University

Travel expenses

Travel expenses will be paid up to £50

For more information, please contact Katherine at [email protected]

 

A poster for the Isle of Man research containing the text from the blog post below.

Take part in research – Isle of Man residents only

Calling Isle of Man residents
Take part in a research study conducted by Adam Melvin, PhD student at the University of Chester
The purpose of this study is to explore the lived experiences of individuals with nystagmus. You may be eligible to participate in this study if you are over the age of 18 years, live in IoM and have any form of nystagmus (including acquired later in life) or are a Clinician working with nystagmus patients.
You will be asked to participate in one-to-one interviews with lead researcher Adam Melvin.
Your responses will be pseudonymised and confidential.
Feel free to contact Adam at [email protected] for further information or to participate.
Richard stands at a podium and raises his arms in celebration.

The Richard Wilson Essay Prize

The Nystagmus Network is pleased to launch a student essay competition. Open to students of all levels, from undergraduate to post-doctorate, in the fields of Ophthalmology, Optometry and Orthoptics, currently studying or working at UK institutions.

First Prize: £500, the opportunity to present at the Nystagmus Network International Nystagmus Symposium 2024 in June and an invitation to the charity’s Ruby Year celebration at the House of Lords in November.

Second Prize: £200 and the opportunity to present at the Nystagmus Network International Nystagmus Symposium 2024 in June

Third Prize: £100

All three prize winners’ essays will be published on the Nystagmus Network website.

The competition is inaugurated in honour of Richard Wilson OBE, former Chair of Trustees of the Nystagmus Network who sadly passed away in 2023. The prize will be presented by Richard’s widow, Mrs Jackie Wilson on behalf of the charity at a VIP celebration event in London.

Full details of the competition, including how to apply, this year’s essay topic, the judges and the all-important deadline can be found on the Nystagmus Network website here.

Contact details for the Nystagmus Network

email:     [email protected]

Tel:         01427 718093

web:       www.nystagmusnet.org     

 

 

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.

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.

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