The Newsletter of Retina New Zealand Inc

A Member of Retina International

Winter Newsletter August 2007 No34

 

Contents

1. From the Editor

2. Letters to the Editor

3. Kaye Newton

4. Do You Need Sunglasses?

5. Coping-Caring For Your Spectacles

6. Coping-Organising and Identifying Objects

7. Large Print Books

8. What is Happening in Research-New Radiation Treatment for Wet AMD; Clinical Trial of Gene Therapy for Stargardt’s Disease Planned; Predicting Severity and Progression Rates of ADRP; Stem Cell Research; Genetic Database

9. Glossary

10. Foundation of the Blind Names New CEO

11. Office for Disability Issues Nominations Service

12. Now That You Mention It…By Mary Dobbie

13. Branch News

14. Kapiti VIP Support Group

15. Snippets

16. Book Reviews 

 

1. From the Editor

I wish I had not waited so long to travel to Britain, I had a wonderful time.  I found the history particularly interesting, everything is just so old!  I had planned my trip with care to ensure I saw as many of the things and places I had dreamed of for so long, and was seldom disappointed.  A white cane is recognized and respected in the UK, and I found people, in general, to be extremely helpful.  I would certainly recommend making maximum use of your cane if you are travelling, but do take a folding one, the rigid canes could be quite awkward.  If you want to hear more about my trip and traveling with a vision impairment I will be speaking at the AGM in Christchurch. 

 

A personal experience while away has reinforced for me the message about smoking published in the last newsletter.  I stayed with friends in the Cotswolds, one of whom chain-smoked.  The effect this has had on my eyes, even in such a short time span, now means I have to make an unplanned early visit to my ophthalmologist.  Please heed the warnings about the damage that cigarette smoke can do to your eyes. 

 

I have received many short emails thanking me for interesting and informative newsletters.  These emails are not intended for publication, but I would like to thank all those people who continue to email me, and would like them to know that I do enjoy writing and researching the newsletter. 

 

Thank you also to all those people who have sent in articles and information for this newsletter. It has made my job so much easier with such a short time span to research and write it this time.  Following a tribute to our recently retired President, Kaye Newton, an article on sunglasses seems timely with spring, hopefully, approaching.  Caring for spectacles is the focus of the coping section, a précis of recent research and a glossary of terms used in research articles was a request from our survey.  One of our members, Mary Dobbie, has written a short article about losing sight which I have included on page 15. 

 

Our annual general meeting will be held on the 15th of September at the RNZFB office in Christchurch starting at 10.00am.  I hope many of you, particularly the South Island members, will be able to attend.  We have several very interesting speakers including Alena Reznichenko, the Health Promotion Co-coordinator from the RNZFB.

Susan Mellsopp

editor@retina.org.nz  or 078533612       

 

2. Letters to the Editor

Dear Susan,

I would like to record how much I have enjoyed the last few newsletters.  I appreciate the useful way that technical issues are communicated to a lay readership.  I enjoy the emphasis placed on practical living skills which have been collated from other sources.  Like many readers, I have been able to put some of these ideas into regular use.

 

I would like to have some response from other readers of this newsletter about what other visually impaired people want from their household helpers provided by government agencies.  I would like to know what things other people ask their helpers to do for them other than the obvious cleaning of the bathroom, toilet, and vacuuming.

 

Thanks again for such varied newsletters.

Peter Graham

Paraparaumu 

 

To the Editor, Retina NZ

I have recently come across a website called LibriVox.  It has numerous audio books from the public domain available for free download to anyone who has a computer and an MP3 player.  The address of the website is:

http://librivox.org 

Elizabeth East

 

3. Kaye Newton

Kaye Newton of Christchurch has worked tirelessly and passionately in a number of roles within Retina NZ for over 10 years.  Having been diagnosed with Ushers Syndrome Kaye volunteered to give peer support to members of the Christchurch Branch of Retina NZ.  As national treasurer and a patient advocate she soon gained recognition among the  national executive for her efficiency and reliability.  In 2000 Kaye was elected Vice-President, her knowledge of blindness issues and her ability to motivate others and to sustain the momentum of Retina NZ in the South Island a key factor.  Kaye was elected President of Retina NZ in 2004 and has ensured our mutually beneficial relationships with the RNZFB, consumer groups, related patient groups, clinicians and researchers both in NZ and

overseas.  Kaye was instrumental in organizing and compiling our newest publication, The Good Look Book, and initiating peer support training.

 

We wish Kaye the very best for her new life in Australia, one we hope will be full of new adventures for someone who has never considered her vision impairment a barrier to pursuing her goals.   Kaye is known for giving life her best shot!

 

4. Do You Need Sunglasses?

Sunglasses are bought and worn for many reasons.  Some people buy sunglasses purely as a fashion accessory, while others have special lenses made specifically to suit their vision needs.  Your eyes do have three natural mechanisms for coping with the sun.  Firstly, they act like blinds on a window to shut out light at will, and secondly, the pupils adjust according to the intensity of light they are exposed to.  Thirdly, the retinas adapt to different brightness levels.  These natural mechanisms respond quickly to variations in visible light, but cannot completely exclude ultra-violet (UV) radiation.

 

UV radiation comprises invisible high energy rays from the sun that lie just beyond the blue end of the visible spectrum.  More than 99% of UV radiation is absorbed by the anterior structures of the eye, although some of it does reach the light sensitive retina.  UV absorption by the eye may contribute to age-related changes in the eye and a number of serious eye diseases. 

 

Ultra-violet radiation in sunlight is commonly divided into two components: UV-A (320 to 400 nanometers) which causes tanning and is thought to contribute to ageing of the skin and skin cancer; and UV-B (280-320 nanometers) which causes sunburn and skin cancer.  Experimental studies have shown that UV-B is more damaging, presumably because it has higher energy.  Most of the UV-B is absorbed by the cornea and lens therefore it can cause damage to these tissues, but the retina will be damaged if it is exposed to the UV-B.

 

UV-A radiation has lower energy, but penetrates much deeper into the eye and may also cause injury.  

 

UV Related Eye Diseases

Ultraviolet radiation can play a contributory role in the development of various eye disorders including cataract, pterygium, cancer of the skin around the eye, photokeratitis and corneal degenerative changes, and may contribute to age-related macular degeneration.

 

Epidemiological studies have shown that certain types of cataract are associated with a history of higher exposure to UV, especially UV-B radiation.  Pterygium, a growth of tissue on the white of the eye that may extend onto the cornea, is seen most commonly in people who work outdoors in the sun and wind.  It can be removed surgically but often recurs.  Photokeratitis is essentially a reversible sunburn of the cornea occurring when spending long hours on the beach or snow without eye protection.  Any factor that increases sunlight exposure will increase the risk of ocular damage.  Individuals who have had cataract surgery are at increased risk of retinal injury from sunlight unless a UV absorbing intraocular lens was inserted at the time of surgery.  Those with retinal dystrophies or other chronic retinal conditions are at greater risk as their retinas are less resilient to normal exposure levels.

 

 UV light can damage the eyes even on cloudy days, and is at its strongest, and therefore most dangerous, during the early afternoon.  UV intensity increases with altitude because there is less atmosphere to absorb the damaging rays.  UV-A rays are not absorbed by the ozone layer, although UV-B rays are partially. The depletion of the ozone layer, particularly over New Zealand, brings with it an added urgency to ensure proper protection.

 

Protecting Your Eyes

Optimal sun protection should screen out both types of UV radiation.  A wide-brimmed hat or cap will block roughly 50% of UV radiation and reduces UV that may enter above or around glasses.  Ultraviolet absorbing eyewear provides the greatest measure of UV protection, particularly if of the wraparound design which limits the entry of peripheral rays.  These sunglasses should meet the Australian AS/NZS1067:2003 standard for sunglasses.  This standard classifies sunglasses based on the amount of UV radiation that passes through the lenses, as well as defining lens dimensions and safety requirements.  Within the standard there are five categories of sunglasses.  Those which transmit very little UV radiation and are labelled UV400 or EPF (eyes protection factor) 9 or 10 are the most appropriate.  The EPF number was developed by the Australian Radiation Protection and Nuclear Safety Authority.  Some sunglasses state the amount of UV radiation blocked as a percentage.  For the best protection use wraparound, close fitting, large-lens sunglasses that help to reduced reflected UV radiation, and glare that passes around the edge of some sunglasses and reaches the eyes.

 

Some tinted or clear prescription lenses may provide protection from UV radiation.  Lenses can also be coated with a UV protective layer.  Those that darken when exposed to sunlight provide additional comfort by reducing glare but do not necessarily filter out UV radiation.  Prescription glasses used for sun protection should also be close fitting and wraparound to provide maximum protection.  If you wear prescription sunglasses ask your optometrist about the level of UV protection they provide. 

 

Types of Lenses

Glass lenses are generally more resistant to scratching.  However, they are more easily broken than plastic lenses, and this carries with it a safety risk.  They are also likely to be heavier and therefore potentially less comfortable.  High quality glass lenses are excellent at selectively absorbing undesirable rays and are available in fixed (solid) or photochromic (light sensitive) tints.

 

Resin (plastic) lenses are safer than glass as they do not shatter so easily.  Often they feature a scratch-resistant hard coating and this helps to ensure a long life.  Plastics are as optically correct as glass, and are lighter in weight.  Tints available include solid, graduated, polarized, or  photochromic forms. Polycarbonate lenses are stronger still and are a must for eye safety when playing sports.  They offer the ultimate in eye protection and safety, and the range of tints is extensive.

 

Most of the options mentioned above are also available in prescription lenses.  Your optometrist can discuss the huge range of options available to ensure your options are met.

 

Coloured Lenses?

Different lens colours and treatments provide differing levels of protection against UV radiation.  Brown or amber lenses are good for absorbing UV light and blue light.  This can serve to enhance contrast.  Grey lenses do not distort colours while polarized lenses absorb reflected light.  No sunglass lens is ever dark enough to observe the sun or eclipses.  Never look directly at the sun or an eclipse.  Sunglasses do make it difficult to see well in poor light conditions, so dark lenses should never be worn while driving at night.

 

What About Frames

An optometrist will provide you with specific information about your needs.  Your sunglass frames should be comfortable, serviceable, and fashionable.  For certain situations wraparound frames can be fitted with tinted prescription lenses, though this would be more expensive than the standard options.  Plastic frames are strong and durable.  Take time to ensure they fit well on your nose.  Metal frames are adjustable, but have moving parts that will require maintenance.  Cheap frames may be brittle and less durable. 

 

Remember that you only have one set of eyes, and protecting them from the damage of UV rays should be a priority. 

 

Information for this article was downloaded from:

The New Zealand Association of Optometrists www.nzao.co.nz

Australian Optometrists Association

www.optometrists.asn.au

Cancer Council Australia, Eye Research Australia

seniorhealth.about.com         

 

5. Coping: Caring For Your Spectacles

Please handle spectacles carefully, they are custom made hi-tech appliances that serve a very important function-they help you to see!  If they become maladjusted your ability to see comfortably or clearly may be compromised. 

 

What is the Best Way to Put Your Spectacles On?

Whether putting your frames on or taking them off, you should hold your spectacles in both hands.  To minimize the risk of damage hold the front of the frames when putting them on, or alternatively, hold the temples (side pieces).  When putting your spectacles on, push the temples gently over your ears and ease the frame onto your nose.  You can remove your spectacles by using the same two-handed grip simultaneously raising the temples and sliding your specs forward.  Do not rest your spectacles on your forehead or high up on your head.  This stretches the temples out of shape and will make for uncomfortable wearing.

 

How Do You Clean Your Lenses?

Most lenses can be cleaned by running warm (not hot) soapy water over them.  Rinse, then gently dry your lenses off using a tissue or soft cloth; be sure to hold the frame at the edge of the lens you are wiping.  This will avoid unnecessary strain on the bridge piece of the frame.  Anti-reflection coatings are commonly used these days, and special care is required when cleaning to ensure a smear free finish.  Satin-like ‘micro-cloths’  should be used for this purpose.

 

Cleaning your lenses with a dirty cloth is a sure way to scratch them.  If you choose to use a lens cloth take particular care to make sure it is clean.  Cleaning cloths and ‘micro-cloths’ are available from your optometrist. 

 

Cleaning Your Frames

Warm soapy water will also clean your spectacle frames.  If your spectacles have nose pads or a bridge these can be cleaned by applying a soft toothbrush gently to the required area.  Be very careful not to use the brush on the lenses.  You should always wash your glasses after they have been exposed to perspiration, salt spray, sea water, dirt and chemicals (sprays and liquids). 

 

What To Do When Not Wearing Your Spectacles

Take care of them!  Keep them in their case which will protect the frames and lenses from knocks and scratches.  If you have to put your spectacles down make sure they are not touching anything.  Some forms of lens scratch easily if they are exposed to hard or rough surfaces. 

 

Cases do not last forever so keep them in good condition.  The flocked lining inside can gradually attract dust, and this can scratch your lenses, particularly if the spectacles are a tight fit in the case.  If there is a sticker inside the case watch out for the edges lifting as the sticky surface will attract dust.  If you need a replacement case ask your optometrist.

 

A spare pair of spectacles for an emergency is important.  This is particularly important if you require spectacles for driving.  The back-up pair do not have to be your most recent prescription.   

 

Repairs

Because spectacles are worn frequently there is a chance they may become loose or out of shape.  If you notice your frames loosening please get them adjusted.  This service is offered free by optometrists throughout New Zealand.

 

Downloaded from www.nzao.co.nz

The New Zealand Association of Optometrists 

 

Quote: Cheerfulness and contentment are great beautifiers and famous preservers of good looks: Charles Dickens 1812-1870

 

 

6. Coping/Organising and Identifiying Objects

Reduce Clutter

1.            Group items with clips or rubber bands, or store them together in small plastic baskets, trays, or in zippered plastic bags.  When you need an item take the storage container and place it on a bench in good light for easier selection.

2.            Decide where items belong and return the items to the same place so you can find them whenever you need them.

3.            Place sharp kitchen knives in holders or in a wooden block.

4.            Store important documents in accordion files rather than single file folders.      

 

Labelling Systems

Decide on a system that suits you.  These could be permanent labels or portable labels such as Braille, Dymo, white sticky labels, or plastic magnetic letters.

1.            Labels can serve as part of a shopping list, they can be attached to items with a rubber band, wire tie or magnet so they are reusable.

2.            Thin magnetic sheets are available from craft shops.  They are A4 page size and can be cut, brailled, and attached to food tins.

3.            Varied numbers of rubber bands can be used to differentiate between containers of similar shape and size-one around the curry, two around the paprika and so on.

 

Lighting and Other Hints

1.            Keep cupboard interiors painted a light colour or white.

2.            To see inside darker cupboard or storage areas use a torch, or have a light fitted inside larger storage cupboards and pantries.  A torch is useful when looking for a particular food in the deepfreeze.

3.            If you are using a lot of low vision aids wear clothes with pockets, or an apron with pockets to store your torch or magnifier.  Alternatively, store low vision devices where they will be used the most, a magnifier near recipe books and a torch in a cupboard.

4.            A small timber lip along the edge of cupboard shelves can prevent items being knocked off shelves.

5.            Construct a filing system for your favourite recipes.  Have them enlarged and store in plastic sleeves.

6.    Purchase a clearfile to store your enlarged and regularly  

       used phone numbers.  Put a label on front which clearly

       shows who should be contacted in case of an emergency.  

 

Downloaded from www.visionaustralia.org.au and suggestions from other members.

 

7. Large Print Books

There are a wide variety of international bookshops which produce large print books for the vision-impaired.  Huge Press Print custom enlarges everything from Bibles to textbooks and cookbooks.  You can order the font size you require and what book you wish to have enlarged and they will produce it for you.  Their books are in a convenient 8.5x11 format.  You can contact Huge Print Press via email at  info@hugeprint.com or by mail at Huge Print Press, 1700 Commerce Suite 1140, Dallas, Texas.

 

Large Print Books.com offer free shipping on orders over $US25.  They offer titles ranging from biographies to history, the Chicken Soup series, inspiration and cookbooks, along with romance and science fiction.  Their books are all unabridged.  Large print magazines, audio books and books in other languages are also available.  Their website address is www.largeprintbooks.com  

 

Quotes: When one door closes another opens; but often we look so long at the closed door that we do not see the one that has opened: Anon

 

Great opportunities come to men who make the most of small ones: Anon  

 

 

8. What is Happening in Research

 

A. New Radiation Treatment for Wet AMD

NeoVista Inc announced in June the official commencement of the CABERNET (Cnv secondary to Amd treated with BEta RadiatioN Epiretinal Therapy) clinical trial for the treatment of subfoveal choroidal neovascularisation associated with wet AMD.  The proprietary Epi-Rad90™ Ophthalmic System, developed by Neo Vista, is being utilized in the CABERNET trial.

 

Dr Nelson Sabates treated the first patient enrolled in the CABERNET study.  He commented: “It was no different than performing a common vitrectomy and the Epi-Rad delivery device allowed me to deliver a well focused dose of radiation to the lesion.  Treating neovascular AMD using a multi-faceted approach like the use of radiation and anti-VEGF therapy may well be the next frontier in combating this sight threatening disease”.

 

The CABERNET clinical trial will involve clinical sites in the United States, Europe, Israel, and South America.  The trial protocol is divided into two treatment arms: investigational and control.  The investigational treatment arm consists of concomitant delivery of Beta radiation, via the Epi-Rad delivery device, and the anti-VEGF agent Lucentis.  This treatment is administered during an outpatient surgical procedure and delivers Beta radiation directly to the area of the retina that has been compromised by the disease.  An injection of the anti-VEGF agent is administered at the time of surgery with one additional injection administered 30 days after surgery.  The control arm is utilizing Lucentis alone.  According to NeoVista the benefits of radiation therapy over pharmacotherapeutic therapy are that the treatment is effective over a longer term.  It also mitigates the inflammatory and fibrotic responses, is minimally invasive, and it can be performed in a single outpatient treatment.

 

More information can be obtained at www.neovistaine.com    

 

B. Clinical Trial of Gene Therapy for Stargardt’s Disease Planned

Researchers from Oxford BioMedica and Columbia University are planning to launch a clinical study of a gene therapy for Stargardt’s disease.  The therapy is called StarGen.  Stargardt’s  disease is caused by a mutation in the ABCA45 gene needed for the production of a protein involved in normal photoreceptor cell functioning.  The therapy involves transferring a normal ABCA4 gene to photoreceptors of the retina using Oxford BioMedica’s proprietary lentiviral vector delivery system.  StarGen has achieved positive results in an animal model of Stargardt’s disease.

 

C. Predicting Severity and Progression Rates of ADRP

Mutations in the gene that encode for the protein rhodopsin account for up to 40% of cases of autosomal dominant retinitis pigmentosa (ADRP).  Researchers looked at a correlation between the severity and progression rates of ADRP and the particular mutation in the gene that then affects a discrete portion of the rhodopsin molecule.  In their study of four families with different mutations of the rhodopsin gene, they found that the R135L  and R135W mutations caused diffuse, severe disease.  The R135W mutation caused more severe and more rapidly progressive RP.  The P180A mutation was related to a mild phenotype  (observable trait or characteristic) with regional variability.  The G188R mutation resulted in diffuse disease of moderate severity.  Characterising the impact of particular rhodopsin mutations will improve the understanding of RP and yield information that could help doctors and patients predict the course of the disease.  Researchers have also shown that the same mutation in different people does not always produce the same disease phenotype.  This suggests that others genes are modifying the expression of the shared mutation.

 

D. Stem Cell Research

Human cells that are yet to become one type of cell or another can be urged to turn into retinal pigment epithelial cells or retinal progenitor cells say researchers.  They have been studying ways to prepare cells for transplantation into the retina of people with degenerative retinal disorders.  The researchers studied the influence on hESC, in the lab, on various culture dish environments; they report that the cells took on biologic characteristics of RPE and immature retinal cells.  Other researchers report similar observations taking retinal progenitor cells and growing them in special laboratory (cell culture) environments.  The cells showed characteristics of retinal ganglion and bipolar cells.  The cell type was confirmed by looking for protein expression that is particular to it. 

 

E. Genetic Database

A database has been developed for European clinicians and researchers to conveniently report and analyse clinical and genetic data from patients with AMD.  The database is a project of EVI-GENORET, a consortium of academic and industrial partners formed to develop an integrated European database with genotype, phenotype, developmental  and functional data concerning the retina in health and disease.  The design of the database and its reporting forms make the database easy to access.  There are no special computer software or hardware requirements for users. 

 

This information was sourced from presentations at the Association for Research in Vision and Ophthalmology 2007 Conference held in Florida

 

9.  Glossary

Angiogenesis:  This refers to the growth of new blood vessels.  When uncontrolled angiogenesis can cause destruction of the retina due to leakage, or cause accelerated growth of a tumour in certain cancers.  Angiogenesis is associated with the wet form of age-related macular degeneration where it is thought that blood vessels grow from the choroids (vessels behind the retina) through the Bruch’s membrane (blood-retina barrier) and leak blood into the retina where RPE and photoreceptor cells reside.

 

Autosomal Dominant Disease:  The affected person has one altered/mutated gene paired with one normal gene.  These genes lie on one of the 22 pairs of autosomal chromosomes (the non- sex chromosomes x or y) that are inherited from parents.  A larger number of identified disease-causing genes are from dominant diseases since there is normally an affected person in every generation. 

 

Bruch’s Membrane:  The blood-retina barrier that separates the RPR cells from the choroids.  It is synonymous with the blood-brain barrier because the eyes are extensions of the brain.  A rupture of this barrier can cause diseases like AMD where the choroid blood vessels grow through into the retina and cause damage, ultimately affecting vision. 

 

Choroid:  The layer of cells that sits just below the retinal pigment epithelial (RPE) cells.  The choroid is rich in blood vessels, and is a major supplier of oxygen and nutrients to the RPE and photoreceptor cells.  It also takes away the waste from these cells.

 

Phenotype:  The observable characteristics or clinical symptoms present in an individual with a particular retinal degenerative disease.  Scientists are attempting to correlate the phenotype with the genotype for every retinal degenerative disease.

 

Information obtained from the Foundation Fighting Blindness

 

10. Foundation of the Blind Names New CEO

The Royal New Zealand Foundation of the Blind has appointed Sandra Budd as its new Chief Executive Officer.  She took up the position in July.  Ms Budd has been a leader in New Zealand and Australian health services during her 35 year career.  Prior to her appointment to the RNZFB she was Executive Director, Workforce Development, Greater Southern Health Service, New South Wales.  She was responsible for strategic leadership on workforce planning, workforce organizational development, and human resources strategy for over 5000 staff in 154 facilities. 

 

Ms Budd’s previous roles have included Executive Director of several health services in Australia and Maternity Manager of the National Women’s Hospital in Auckland.  She began her career in health in 1972 and worked on the ‘front lines’ for over 20 years before moving into general management in the health sector. 

 

She is a strong advocate for the rights of individuals to participate fully in society.  She is ‘keen to use the skills I have to help the Foundation do even greater things in the future’.  Ms Budd is also actively involved in volunteer work with Plunket, Meals on Wheels, and is a member of the Hohepa Homes Family Association. 

 

11. Office for Disability Issues Nominations Service

The Office for Disability Issues has developed a nominations service so the Minister of Disability Issues can nominate appropriately skilled disabled people to government boards and committees.  The service will maintain a database of disabled people with relevant skills and experience and match people to vacant positions.  The Office for Disability Issues would like to receive applications from disabled people wishing to be nominated to government boards.  Please advise anyone who you think would be appropriate and suggest they go to http://www.odi.govt.nz/  for more information and an application form. 

 

Snippet:               

Do you know about our 0800 peer support number?  If you ring 0800 233 833 you will be connected to a member of our peer support team who will be able to help you with information about your eye condition, where to go for help and support, connect you with other Retina members in your area, or help you or your family with enquiries about Retina NZ.  

 

 

12. Now That You Mention It……  By Mary Dobbie

I am not one who shares the comforting belief that failure of one faculty-sight for instance-is automatically compensated for by sharpening of another; hearing usually.  While respectfully awaiting research my own experience is that hearing worsens when one can no longer read the lips of the person one is talking to, something that has been automatic from infancy.  Sociability can suffer too, linked as it so often is to a sympathetic reading of another’s face and knowing when to nod and smile and when not to.

 

I don't suppose that the ability to spell could be classed as a faculty, but mine has gone downhill.  A teaching daughter tells me that sight is memory’s backup and it is the repetitive viewing of a word on the printed page that fixes its spelling in the mind.  Ah well.  Bring on really big print dictionaries.

 

In this matter of compensatory faculties I have to concede that my sense of smell has improved, sharpening beyond the burnt saucepan and melted plastic handle stage to the point of detecting the more subtle smell of a meal that is merely sticking to the bottom of the pan.  A budget saver.

 

The sense of touch, has it sharpened?  Or is it just that giving up on wearing gardening gloves has made it easier to distinguish the slightly furry leaf  of a straying forget-me-not from the smooth one of a wanted young lettuce?  When blindfolded any kitchen gardener would know by touch the difference between a cauliflower and a head of broccoli; a spinach and a silverbeet.

 

It is inside the kitchen that a more defining sense of touch would be welcome.  How to butter a piece of bread without buttering the plate, how to open that bottle whose top is permanently sealed with a skin of impervious plastic.  Printed instructions would be of little use.  My thoughts go to light-fingered Jimmy Valentine of the legendary song:

With a touch that lingers

In his sand-papered fingers

He can find the combination

Of the strongest lock.

 

Should sandpaper go on my next shopping list?  Could perhaps be helpful for the new coinage!  

 

Quotes: They are able who think they are able:Virgil 70-19BC Roman Poet

 

The most fruitful of all the arts is the art of living well: Cicero 106-43BC Orator

 

 

 

13.  Branch News

Auckland Branch/Fraser Alexander

Rob Matthews MBE, a recent immigrant to New Zealand from Britain, spoke on his highly successful running career.  He also talked about his new life in New Zealand which has included meeting his wife Sarah and their baby which is due later this year.  Rob spoke from the heart explaining how attitude was the most vital ingredient in attaining excellence, and how his own attitude drove him to the successes he has achieved.  These include international titles just 3 years after first taking hold of a guide rope.  Rob’s success story as a runner is quite staggering.  He has represented Great Britain 26 times and has set 22 world records, and won 29 international gold medals, (including 8 Paralympic gold medals).  He also recounted the humorous angle of meeting Queen Elizabeth when he received his MBE-as a blind man he did not realize the Queen was just 5’2”! 

 

Those attending the meeting were pleased to hear of Rob’s plans to wear the black singlet and run for New Zealand at the 2008 Paralympics.   Following his talk they took the opportunity to chat with Rob and welcome him to New Zealand.  They wondered how he would find time for running as he takes on new and inspiring challenges; fatherhood, self-employment as a massage therapist, and motivational speaking.

 

Fraser Alexander then gave a summary of the new findings in eye research presented at the 2006 Retina International World Conference in Rio De Janeiro.  Fraser’s summary can be read in the February 2007 newsletter.  Question time brought a healthy debate on matters such as new angiogenic therapies for macular degeneration, vitamin supplementation in retinal degeneration, and the likely time frames for treatment strategies to reach commercial availability. 

 

Retina Auckland would like to thank everyone who attended this meeting and took the opportunity to make new friends and exchange views.  Should you wish to obtain further information from the speakers, suggest topics or presenters for meetings later in the year, or simply offer peer support for people with similar interests to your own please contact either Fraser Alexander on phone 6388091 or by email at  at fraserale@xtra.co.nz  or the Retina NZ peer support number 0800 233 833.

 

Important Notice: Would you like to be part of a dynamic team of people?  The role of President is vacant and we are looking for someone willing to offer their time and commitment to ensuring the continued success of Retina NZ.  If you think this might be you please put your name forward.

 

 

 

14.  Kapiti VIP Support Group

The Kapiti VIP Support Group started the year with 7 new members.  An average of 15-20 people have attended each meeting.  The first meeting after Christmas was a catch-up on what everyone had done over the  holidays.

 

Speakers at meetings since then have included the manager of the local mall to allow members to express their concerns about trouble spots in and around the mall.

 

The Road Safety Officer from the local council came and took notes on people’s concerns about trees overhanging footpaths, crossings, and other outdoor obstacles of concern to those who are vision-impaired.  She returned a couple of months later to report on improvements and what was in the pipeline.

 

A demonstration of medical alarms and how useful they are for the elderly and disabled was the subject of another meeting.

 

Informal meetings without a speaker are held on occasion so members can swap ideas and hints to generally help and support one another. We have farewelled Tim Prendergast, the RNZFB Recreation Officer who visited our group from time to time.  He has gone to live and work in the UK, we will miss him.  33 people attended the mid-winter lunch.

Heather Tofts/Kapiti VIP Support Group

 

15. Snippets

Hamilton Support Group

Is there someone in the Hamilton area who would be interested in organizing get-togethers of local Retina NZ members?  If so, please contact me on 8533612-Susan Mellsopp

 

The Good Look Book

This book is 8 stories of living with vision loss written by members of Retina NZ.  “They are stories of life in all its richness”. This book costs just $10 plus p&p and is available from the National Secretary.  It is also available on tape and CD.

 

Cosmos Seeds

Spring is just around the corner!  When purchasing seeds for your garden please include a packet of Yates Cosmos Bright Eyes.  With every packet purchased a donation of 40c is made to Retina NZ, $476.80 this year.  The seeds are available at supermarkets and garden centres which stock Yates products.

 

Change of Address

Several newsletters are returned to us after each issue is mailed out.  Could you please let the National Secretary know if you change your address, her phone number is 04 299 1801.      

 

16.  Book Reviews

Cockeyed by Ryan Knighton. Published by Atlantic Books, 2007.

Blindness is not something to laugh about, but Ryan Knighton offers us an irreverent, tragicomic, politically incorrect, perceptive, yet articulate memoir about going blind.  On his 18th birthday Ryan Knighton was diagnosed with Retinitis Pigmentosa.  This book tells the story of his fifteen year descent into blindness yet reveals the world of the sighted in all its phenomenal peculiarity.  Knighton describes learning to drive, his first significant relationship, learning to navigate the men’s room, and using a cane.  He tried to pass as fully sighted when taking up a contract to teach Korean children English. 

 

Knighton developed a truce with his identity as a blind man, and still hesitates to mix with the blind community at large.  He uses his blindness and subsequent anger to provide a window into the human condition.  His experiences offer unexpected insights into sight and the other senses, culture, identity, language and our fears and fantasies.  An irreverence and impatience with words allows this book to offer a  different perspective from others on disability. 

 

Cockeyed was short-listed for several Canadian medals and literary awards.   It has been widely reviewed and has received comments such as ‘the total lack of self pity makes this book an enlightened and enjoyable read’ and ‘this book is unusual in that it’s not the least bit miserable-the blind leading the sighted’ and ‘the blind see things the rest of us can’t’.  

 

Ryan Knighton teaches contemporary literature and creative writing in Vancouver, British Columbia.  He is the author of  books of poetry, short fiction, and has been widely published as a journalist and essayist.  He has also written documentaries about blindness for the Canadian Broadcasting Corporation. 

 

Kurson, Robert. Crashing Through, Random House, 2007.

This is the story of Mike May who was blinded at age 3 yet broke downhill speed skiing records, joined the CIA, and became an inventor.  In 1999 he learned a stem-cell transplant might restore his vision.  Although regarded as a super-blind man who was an expert in echolocation, he decided to have the surgery, and gained some sight.  He then had to learn to align his vision with his brain to improve visual acuity, but he also  stated that he felt he had seen better when he was blind.  

        

 

Mission Statement

To promote public awareness of retinal degenerative disorders

To provide information and support and to foster research leading to treatment and an eventual cure

 

Editor  

Susan Mellsopp

108B Comries Rd

Hamilton

Phone: 07 8533 612

Email: editor@retina.org.nz     

 

Please note: Deadlines for articles for the spring summer and autumn issues are the  15th of October, 16th of January and 18th of April respectively

 

To order:

EMAIL COPIES: contact the National Secretary if you would like your newsletter emailed to you

 

TAPE COPIES: contact the National Secretary if you require your newsletter on cassette tape and advise if you also require a print copy 

 

National Secretary

Janet Palmer

Retina New Zealand

PO Box 17242

Wellington 6147

New Zealand

Telephone: 04 299 1801

Email: secretary@retina.org.nz

 

Peer Support Coordinator   

Elizabeth East

Telephone: 04 299 1801 

   

Retina New Zealand Inc is grateful to the Royal New Zealand Foundation of the Blind for funding the printing of this newsletter

 

List of Publications                        

Booklets

 “A Family Affair”-A New Zealand Guide to Inherited Retinal Degenerations.

Re-published in September 2000, 32 pages.

 

Age-Related Macular Degeneration: What You Should Know-RNZFB

 

Members will receive relevant booklet when joining Retina NZ. Extra copies of “A Family Affair”  can be ordered at $5 each from the National Office.

 

Free Brochures Available from National Office

Coping with some sight loss or a degenerative retinal condition

 

Supporting people with retinal degenerative disorders

  

Detached Retina-a matter of urgency

 

Take the Amsler Test-a self testing card for early detection of macular degeneration

 

Members can obtain these brochures free from the National Secretary, Retina NZ Inc, PO Box 17-242, Karori, Wellington or by emailing her at secretary@retina.org.nz  and requesting the ones you require.  A charge of $5 is made to non-members to cover printing and postage.

 

Membership Subscriptions                     

Annual membership subscriptions are due on the 1st of April each year. Subscriptions are $10 for unwaged people and $20 for waged.  Any person interested in receiving this newsletter is welcome to subscribe.  Donations of 5 and over are tax deductible.

 

Could you please let the National Secretary know if you change your address, her contact details are included in this newsletter.     

 

Do You Need Help or Advice?

The Retina NZ Peer Support programme is a free and confidential service operating nationwide.  To make contact with one of Retina NZ’s peer supporters telephone 0800 233 833.  All calls are treated in strictest confidence.

 

Ring any of the following free-phone numbers if you want to speak to a geneticist or genetic counselor about your own diagnosis or RP, macular degeneration or other retinal degenerative disorders.

 

Auckland Genetic Hotline (Northern Regional Genetic Service)

                                                       0800 476 123

Wellington Genetic Hotline         0508 364 436

Christchurch Genetic Hotline     0508 364 436

END