UNMC partners with Chinese university, hospital for glaucoma study

Shan Fan, M.D.,Carol Toris, Ph.D., Tao Guo, M.D.

Role of aqueous humor dynamics is key focus of study

A UNMC ophthalmology research team is partnering with a Chinese university and hospital in a study aimed at improving understanding of glaucoma, the leading cause of irreversible blindness in the United States and worldwide.

The UNMC work is being led by Carol Toris, Ph.D., professor of ophthalmology & visual sciences, and Shan Fan, M.D., assistant professor. They are partnering with Tao Guo, M.D., a researcher with Tongji University and Tenth People’s Hospital in Shanghai.

The study is looking at aqueous humor dynamics and the role it plays in glaucoma. More than 60 million people in the world are living with glaucoma. It’s estimated that more than 80 million people will develop glaucoma by 2020.

Glaucoma can occur when the optic nerve is damaged, and frequently this is associated with high intraocular pressure. That’s where aqueous humor dynamics come into play. To maintain intraocular pressure at a steady level requires a fine balance between the production, circulation and drainage of ocular aqueous humor.

Considered one of the leading experts in the world on aqueous humor dynamics, Dr. Toris and her UNMC research team has already studied healthy Caucasian adults, an ethnic group that is prone to a certain type of glaucoma.

Now in collaboration with Tenth People’s Hospital, they are measuring fluid flow in the eyes of healthy Chinese adults, an ethnic group that is prone to a different kind of glaucoma.

The team will compare data to identify differences that may help explain why people may get a particular kind of glaucoma. It is hoped that these findings could help determine the best treatments for the particular type of glaucoma.

“With a population of 1.35 billion, China is a fertile environment for finding research subjects,” said Quan Dong Nguyen, M.D., chairman of ophthalmology and visual sciences and director of the Truhlsen Eye Institute at UNMC. “It’s a great collaboration. To have all these patients studied on Chinese soil is indicative of how well the project is going.”

In the next two years, Dr. Nguyen said the Truhlsen Eye Institute hopes to combine forces on several other projects with Tongji University and Tenth People’s Hospital.

These projects include several areas of significant concern for visual loss such as age-related macular degeneration, diabetic retinopathy, uveitis and ocular inflammation.

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