2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS

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2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS
2020-2021
   Hector MacLean Scholarship Projects

                                               Project: A non-cytotoxic approach to reduce ocular
                                               fibrosis
                                               Supervised by: Dr Manisha Shah, Dr Elsa Chan &
                                               Dr Jennifer Fan Gaskin
                                               Research Group: Ocular Fibrosis Unit
Project Summary: Wound healing is a classical response to any �ssue injury repair and this process
o�en leads to scar-forming fibro�c lesions. Scarring response is a major problem that influences the
surgical outcome in pa�ents with eye diseases. The post-surgical scarring in the eye causes vision
impairment and blindness. There are some non-selec�ve cytotoxic drugs currently being used in the
clinic that exerts serious side-effects and leads to a high recurrence rate of fibrosis and surgical
failure. Hence there is an immediate need to inves�gate safer and more effec�ve therapeu�c
alterna�ves.

The unit focuses on inves�ga�ng post-opera�ve ocular scar forma�on. By understanding the
involvement of NADPH oxidase-associated pathways in Reac�ve Oxygen Species (ROS) produc�on in
post-surgical ocular fibrosis, we aim to inves�gate how to improve long-term success of ocular
surgery and prevent/treat post-opera�ve ocular scar forma�on and vision loss in pa�ents. We use
various molecular and cell culture techniques, cell signalling pathway analysis, histological and
immunohistochemical analysis and preclinical mouse models of ocular fibrosis to study the various
aspects of this project.

Students will have an opportunity to learn techniques such as Western blot, histology and
immunohistochemical analysis, microscopy and imaging as well as some aspects of preclinical
mouse model of glaucoma filtra�on surgery. The student will be trained and expected to perform
respec�ve techniques and data analysis.

                               Project: The applica�on of ar�ficial intelligence for re�nal hyper-
                               spectral image analysis
                               Supervised by: Dr Xavier Hadoux & A/Prof Peter van Wijngaarden
                               Research Group: Ophthalmic Neuroscience

Project Summary: Hyperspectral imaging involves the imaging of objects across a wide range of
wavelengths of light. Our team is one of the first groups to apply this method to re�nal imaging for
the detec�on of biomarkers of eye and central nervous system diseases. A key element of this
process is the development and op�misa�on of data analysis methods using a variety of image
processing and ar�ficial intelligence approaches including deep learning. The research candidate
will have the opportunity to work with large well labelled image data sets to develop and tune deep
learning networks for the detec�on of a range of disease biomarkers.

Applicants with proficiency in computer programming are encouraged to apply. Prior experience
with machine learning is desirable.

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2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS
2020-2021
   Hector MacLean Scholarship Projects

                 Project: How COVID-19 affects monitoring of glaucoma pa�ents

                 Supervised by: Dr George Kong

                 Research Group: Clinical Research

Project Summary: Glaucoma is an op�c neuropathy which causes loss of peripheral vision and is
o�en associated with elevated intraocular pressure. Glaucoma pa�ents require ongoing monitoring
of visual field and intraocular pressure to detect any disease progression and to ins�tute appropriate
treatment. This effort to monitor glaucoma pa�ents is made difficult due to the COVID-19 period,
with several hundreds of clinic appointments being forced to defer by several months. Whether
there are any detrimental effects of this deferral is not clear.

In this project, we will examine the clinical outcomes of glaucoma pa�ents who have had their
appointments deferred by 3-6 months. It involves reviewing the electronic medical records of
pa�ents with deferral of appoinments. Clinical deteriora�on is defined as any eleva�ons in
intraocular pressure, or any worsening of visual field defect. The clinical factors that increase the risk
of clinical deteriora�on will be analysed using mul�-variate analysis. The knowledge arising from
this project will help develop a clinical risk calculator to help classify pa�ents into those most at risk
of progression.

                                  Project: Keratoconus-solu�ons using big data analysis

                                  Supervised by: Dr Srujana Sahebjada & A/Prof Mark Daniell

                                  Research Group: Surgical Research

Project Summary: Keratoconus is a common condi�on that affects the cornea and despite its
increasing prevalence, the cause of keratoconus is largely unknown. The aim of the project is to
be�er understand the underlying molecular causes, clinical characteris�cs and treatment op�ons of
keratoconus to develop strategies that can halt the disease progression. The project also aims at
developing machine learning algorithms to iden�fy features that define early subclinical
keratoconus that are currently refractory as well as iden�fy a series of features that are involved in
a) disease staging, as well as b) risk of progression of Keratoconus. The project involves collec�on of
large datasets from clinical records and images and offers an exci�ng opportunity to conduct big
data analysis and manuscript wri�ng.

Students with a background in either medical, biomedical and computer science, optometry and
visual science, or sta�s�cs are welcome to apply.

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2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS
2020-2021
   Hector MacLean Scholarship Projects

                                Project: REPAIR OF THE CORNEA TO RESTORE VISION: Transla�on
                                to Surgical Repair Device

                                Supervised by: Dr Karl Brown & Prof Greg Dus�ng

                                Research Group: Surgical Research

Project Summary: Severe burns and corneal disease leads to vascularisa�on and ulcera�on of the
corneal surface, which is currently treated by corneal transplants and lifelong an�-rejec�on drugs.
Many countries in the world do not have sufficient donors to meet the increasing demand for this
procedure. At CERA we work closely with chemical engineers and veterinary scien�sts at the
University of Melbourne to develop engineered constructs to replace the damaged corneal
endothelium. Materials and procedures have been patented, and one is under commercial
development.

The current project is to develop a source of corneal endothelium from human induced pluripotent
stem cells (iPS cells) and grow these on patented hydrogel films to replace damaged endothelium.
Alterna�vely, the reprogramming of appropriate cells from pa�ent donors direct to corneal
endothelium will be explored. Mechanisms of adhesion and prolifera�on of these cells will be
examined, and preclinical transplanta�on studies will be carried out in sheep in the veterinary
facility.

This project would be suitable for medical or biomedical science students with an interest in cell
biology, pharmacology or ophthalmology to work towards clinical applica�on of this novel
technique with an ophthalmologist, stem cell scien�st, veterinary scien�sts and other cell biologists.
A short project as part of this program is available for a Summer vaca�on student working alongside
scien�sts and clinicians.

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2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS
2020-2021
   Hector MacLean Scholarship Projects

                                                Project: Func�onal vision assessment of bionic
                                                eyes in a real world se�ng
                                                Supervised by: Dr Carla Abbo�, Dr Lauren Ayton
                                                A/Prof Penelope Allen
                                                Research Group: Bionic Research
Project Summary: Re�ni�s pigmentosa (RP) is an inherited disease that causes loss of the light
sensi�ve cells (photoreceptors) in the re�na, and hence blindness. RP affects 1.5 million people
worldwide and in most cases is not able to be treated. Bionic eyes (re�nal prostheses) have been
developed for people with late-stage RP, to enable them to regain some central vision. Re�nal
prostheses work by bypassing the photoreceptors to target s�mula�on of the re�nal cells leading
into the op�c nerve. At the Centre for Eye Research Australia, there is currently a clinical trial in
progress where RP pa�ents with ultra-low vision have been implanted with a second-genera�on
bionic eye device. During the trial, pa�ents are assessed 3-monthly with the Func�onal Low-Vision
Observer Rated Assessment (FLORA) protocol in their home environment.

This project will involve sta�s�cal analysis of the FLORA outcomes to demonstrate the impact of the
bionic eye and to iden�fy where visual rehabilita�on might increase the func�onal vision skills of the
pa�ents. In pa�ents with a bionic eye due to ultra-low vision, assessment of the impact of the
prosthesis on their daily ac�vi�es and naviga�onal ability is a key part of analysing the usefulness of
the technology.

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2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS 2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS 2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS 2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS 2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS 2020-2021 HECTOR MACLEAN SCHOLARSHIP PROJECTS
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