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The Lions Eye Institute (LEI) is an Australian
medical research Medical research (or biomedical research), also known as experimental medicine, encompasses a wide array of research, extending from "basic research" (also called ''bench science'' or ''bench research''), – involving fundamental scientif ...
institute An institute is an organisational body created for a certain purpose. They are often research organisations (research institutes) created to do research on specific topics, or can also be a professional body. In some countries, institutes can ...
affiliated with the
University of Western Australia The University of Western Australia (UWA) is a public research university in the Australian state of Western Australia. The university's main campus is in Perth, the state capital, with a secondary campus in Albany, Western Australia, Albany an ...
. It was established in 1983 with support of the Lions Clubs of Western Australia and headquartered in the suburb of ,
Western Australia Western Australia (commonly abbreviated as WA) is a state of Australia occupying the western percent of the land area of Australia excluding external territories. It is bounded by the Indian Ocean to the north and west, the Southern Ocean to th ...
. The LEI is a
not-for-profit A nonprofit organization (NPO) or non-profit organisation, also known as a non-business entity, not-for-profit organization, or nonprofit institution, is a legal entity organized and operated for a collective, public or social benefit, in co ...
centre of excellence that combines an ophthalmic clinic with scientific discovery developing techniques for the prevention of blindness and the reduction of pain from blinding eye conditions.


History

At a 1970 convention in
Albany, Western Australia Albany ( ; nys, Kinjarling) is a port city in the Great Southern region in the Australian state of Western Australia, southeast of Perth, the state capital. The city centre is at the northern edge of Princess Royal Harbour, which is a ...
, the Western Australian Lions Clubs created the Lions Save Sight Foundation (WA) Inc. with the aim of leading the development of ophthalmic care. In 1975 the Lions Save-Sight Foundation (LSSF) established the Lions Chair in Ophthalmology at the University of Western Australia. Since its establishment, clinical facilities, new equipment, and research laboratories have been strategically commissioned to support the LEI's core activities. In 1983, under Professor Ian Constable's guidance, the LEI, a not-for-profit organisation was established. With Constable, the LEI became an international centre for scientific research into blindness. Following its development, it relocated to the grounds of Sir Charles Gairdner Hospital. Its current Managing Director Bill Morgan leads a team of clinicians, medical professionals, researchers and support staff. In 1994, the Institute created in partnership with the
University of Western Australia The University of Western Australia (UWA) is a public research university in the Australian state of Western Australia. The university's main campus is in Perth, the state capital, with a secondary campus in Albany, Western Australia, Albany an ...
, the Centre for Ophthalmology and Visual Science (COVS). This centre has an independent University status within the Faculty of Medicine and Dentistry. In 2003, the LEI revised its basis of incorporation from a public benevolent charitable institution to a not-for profit limited liability company.


Overview

The LEI employs scientists,
clinic A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care needs ...
ians, and support staff to conduct scientific research into blindness with known ophthalmic practices in Australia. The Institute also includes a Laser Vision Centre, Western Australia's refractive surgery centre; the
Lions Eye Bank Lions Eye Bank is the designation given to the various non-profit eye banks operated by member chapters within the Lions Clubs International service club, service organisation. The banks store and prepare donated corneas for transplantation. Corneas ...
, Lions Outback Vision, Lions Optics and the LSSF. The LEI actively participates in numerous
clinical trial Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, dietar ...
s for the development of new treatments for eye diseases, in collaboration with scientists, ophthalmologists, and pharmaceutical companies. The Institute receives funds from clinic operations and its
grant Grant or Grants may refer to: Places *Grant County (disambiguation) Australia * Grant, Queensland, a locality in the Barcaldine Region, Queensland, Australia United Kingdom *Castle Grant United States * Grant, Alabama *Grant, Inyo County, C ...
s from organisations such as the
National Health and Medical Research Council The National Health and Medical Research Council (NHMRC) is the main statutory authority of the Australian Government responsible for medical research. It was the eighth largest research funding body in the world in 2016, and NHMRC-funded rese ...
, individual benefactors and the LSSF.


Services

The LEI provides a range of services including standard
clinic A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care needs ...
al services,
LASIK LASIK or Lasik (''laser-assisted in situ keratomileusis''), commonly referred to as laser eye surgery or laser vision correction, is a type of refractive surgery for the correction of myopia, hyperopia, and an actual cure for astigmatism, since ...
surgery at the Lions Laser Vision Center,
cataract A cataract is a cloudy area in the lens of the eye that leads to a decrease in vision. Cataracts often develop slowly and can affect one or both eyes. Symptoms may include faded colors, blurry or double vision, halos around light, trouble w ...
micro-surgery and lens implantation,
plastic surgery Plastic surgery is a surgical specialty involving the restoration, reconstruction or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofa ...
of the eyelids and full optometric service at Lions Optics. The Lions Eye Bank collects and distributes
corneal The cornea is the transparent front part of the eye that covers the iris, pupil, and anterior chamber. Along with the anterior chamber and lens, the cornea refracts light, accounting for approximately two-thirds of the eye's total optical power ...
tissue, scleral tissue and supplies thousands of corneal transplants throughout Western Australia. The Institute initiated the Pilbara Aboriginal Eye Health Program, a strategy targeting indigenous people who suffer from diabetes and associated blinding eye diseases prevalent within the Aboriginal population. As part of the Australian Government aid to the Indonesian Government, In July 2007, the LEI was instrumental in setting up the
Bali Mandara Eye Hospital The Bali Mandara Eye Hospital ( id, Rumah Sakit Mata Bali Mandara, until 2013 Australia Bali Memorial Eye Centre or ABMEC) is an ophthalmology clinic and day surgery centre in Indonesia, built in memory of the 2002 Bali bombings. History The co ...
which was handed over to the Indonesian Government on 13 October 2015. The LEI provides open consultations and health education seminars in cooperation with several organisations including Glaucoma Australia,
Retinitis Pigmentosa Retinitis pigmentosa (RP) is a genetic disorder of the eyes that causes loss of vision. Symptoms include trouble seeing at night and decreasing peripheral vision (side and upper or lower visual field). As peripheral vision worsens, people may ...
Society of Western Australia, Macular Degeneration Foundation and the Australian Foundation for the Prevention of Blindness. Its ophthalmologists also consult at Perth's main teaching public hospitals including
Sir Charles Gairdner Hospital Sir Charles Gairdner Hospital (SCGH) is a teaching hospital in Nedlands, Western Australia. Opened in 1958 as the Perth Chest Hospital and later named in honour of Sir Charles Gairdner, governor of Western Australia from 1951 to 1963, it is pa ...
,
Royal Perth Hospital Royal Perth Hospital (RPH) is a 450-bed adult and teaching hospital located on the northeastern edge of the central business district of Perth, Western Australia. History The hospital traces its history back to the first colonial hospital, whi ...
and
Fremantle Hospital Fremantle Hospital is an Australian public hospital situated on South Terrace in central Fremantle, southwest of Perth, Western Australia. It was formerly the major hospital in its region; however, with the opening of Fiona Stanley Hospi ...
.


Research Activities

The LEI teams investigate all major causes of blindness including cataracts,
diabetes Diabetes, also known as diabetes mellitus, is a group of metabolic disorders characterized by a high blood sugar level ( hyperglycemia) over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased ap ...
related eye disease,
glaucoma Glaucoma is a group of eye diseases that result in damage to the optic nerve (or retina) and cause vision loss. The most common type is open-angle (wide angle, chronic simple) glaucoma, in which the drainage angle for fluid within the eye rem ...
,
retina The retina (from la, rete "net") is the innermost, light-sensitive layer of tissue of the eye of most vertebrates and some molluscs. The optics of the eye create a focused two-dimensional image of the visual world on the retina, which then ...
l degenerations,
corneal The cornea is the transparent front part of the eye that covers the iris, pupil, and anterior chamber. Along with the anterior chamber and lens, the cornea refracts light, accounting for approximately two-thirds of the eye's total optical power ...
, and
immune In biology, immunity is the capability of multicellular organisms to resist harmful microorganisms. Immunity involves both specific and nonspecific components. The nonspecific components act as barriers or eliminators of a wide range of pathogens ...
-based diseases. More than 70 scientists at the LEI use a range of technologies to develop treatments for blinding diseases, including
gene therapy Gene therapy is a medical field which focuses on the genetic modification of cells to produce a therapeutic effect or the treatment of disease by repairing or reconstructing defective genetic material. The first attempt at modifying human DN ...
and telemedicine. The LEI has national and international institutional partnerships including American Juvenile Diabetes Foundation, Shanghai University, Swedish University of Agricultural Science, University of Missouri and the National Eye Institute (USA). For example, the LEI participates in joint research and development projects with the American Juvenile Diabetes Foundation,
Swedish University of Agricultural Sciences The Swedish University of Agricultural Sciences, or Swedish Agricultural University (Swedish: ''Sveriges lantbruksuniversitet'') (SLU) is a university in Sweden. Although its head office is located in Ultuna, Uppsala, the university has several c ...
,
University of Missouri The University of Missouri (Mizzou, MU, or Missouri) is a public university, public Land-grant university, land-grant research university in Columbia, Missouri. It is Missouri's largest university and the flagship of the four-campus Universit ...
and the
National Eye Institute The National Eye Institute (NEI) was established in 1968. It is located in Bethesda, Maryland, United States. The NEI is one of 27 institutes and centers of the US National Institutes of Health (NIH), an agency of the US Department of Health and ...
(USA). Research carried out by the Institute teams led to the first retinal vein bypass treatment of blockages, and the development of the first transgenic mouse model for
Age-Related Macular Degeneration Macular degeneration, also known as age-related macular degeneration (AMD or ARMD), is a medical condition which may result in blurred or no vision in the center of the visual field. Early on there are often no symptoms. Over time, however, som ...
, the leading cause of blindness for people over 55. This model is expected to accelerate the development of ARMD leading to an effective treatment. At the LEI, the first artificial cornea, the AlphaCor was developed and implanted into a human eye. The LEI is acknowledged as a core academic centre involved in clinical trials of new pharmaceutical therapies and surgical procedures before government approval. For example, the Xen Gel Stent, an implantable transcleral microsurgical device developed at the LEI was approved for use in the US by the FDA in 2016.


See also

*
Health in Australia Australia is a high income country, and this is reflected in the good status of health of the population overall. In 2011, Australia ranked 2nd on the United Nations Development Programme’s Human Development Index, indicating the level of develo ...
* Corneal dystrophies in human * List of eye surgeries *
List of systemic diseases with ocular manifestations An ocular manifestation of a systemic disease is an eye condition that directly or indirectly results from a disease process in another part of the body. There are many diseases known to cause ocular or visual changes. Diabetes, for example, is th ...
*
Gene therapy of the human retina Retinal gene therapy holds a promise in treating different forms of non-inherited and inherited blindness. In 2008, three independent research groups reported that patients with the rare genetic retinal disease Leber's congenital amaurosis had be ...
*
Lions Club International The International Association of Lions Clubs, more commonly known as Lions Clubs International, is an international non-political service organization established originally in 1916 in Chicago, Illinois, by Melvin Jones. It is now headquartere ...


References

{{authority control Medical research institutes in Western Australia Ophthalmology organizations Lions Clubs International Eye care in Australia
Eye diseases This is a partial list of human eye diseases and disorders. The World Health Organization publishes a classification of known diseases and injuries, the International Statistical Classification of Diseases and Related Health Problems, or ICD-10. ...
University of Western Australia 1983 establishments in Australia Research institutes established in 1983