Ophthalmology
The inherited eye disease team is an active and diverse team composed of consultants, clinicians, researchers employed by both the University and the Trust. We conduct translational research covering a broad range of inherited eye conditions, from basic science through observational studies to clinical trials.
- Gene discovery. Work has been carried out over a number of years and has been fundamental in discovering the genetic basis of a range of conditions including congenital cataract (2017M), anophthalmia (2004) and inherited retinal dystrophy (2015).
- Functional insights. Such discoveries have enabled fundamental exploration of the role of these genes in causing blindness. This strategy led to the description of novel syndromes (Autosomal bestrophinopathy); expansion of clinical phenotypes (Cohen syndrome, Brittle cornea syndrome); discovery of new molecules (C2ORF71, MiR-204).
- Clinical diagnostics. We have a widely recognized multidisciplinary team providing top level clinical and diagnostic services for patients genetic disorders of vision including inherited retinal dystrophy and childhood cataract.
- From discovery to translation. The translation of such discoveries into improved health service provision is a major aspect of our work. Our team launched the first comprehensive UK gene testing services utilizing next-generation sequencing (NGS).
- We work closely with patient groups to ensure our work is relevant to patient needs. This has allowed health economic and Qualitative research, approaches, led to innovative strategies for patient management and collaboration in clinical trials. Our partners within the Trust are involved in pioneering implantable technology trials in RP patients
The team also provides direct support to the joint genetics & ophthalmology clinics hosted at the Manchester Royal Eye Hospital (MREH). We work in close collaboration with other leading sites in the UK including Oxford, Leeds, UCL and Moorfields Eye Hospital, and other groups in the Trust including the Manchester Vision Regeneration (MVR) Lab and the NIHR Clinical Research Facililty (CRF).
Team Members
MCGM Clinical & Research
MCGM Laboratory
Name |
Role |
Dr Simon Ramsden |
Consultant Clinical Scientist |
Mr Jamie Ellingford |
Clinical Research Fellow |
MVR Laboratory
Name |
Role |
Professor Paulo Stanga |
Consultant Ophthalmologist and Vitreoretinal Surgeon;
Professor in Ophthalmology and Retinal Regeneration |
Mrs Danielle Marrochia |
Senior Clinical Trials Coordinator |
University of Manchester
Patient Groups
Partner Institutions
Funding Partners
Research Projects
- The RP Genome Project – A multi-centre 3 year study involving 7 UK sites, conducting next generation genomic analysis of unsolved cases of inherited retinal dystrophies (2015-2018). Funded by RP Fighting Blindness & Fight for Sight.
- The NIGHT study – A global 18 month natural history (observational) study in Choroideremia patients (2015-2017). Funded by Nightstar.
- XIRIUS trial (in set up) – A phase I/II clinical trial in gene therapy in X-linked Retinitis Pigmentosa. Funded by Nightstar (2017-2019)
- GTAC171 – A phase I clinical trial in gene therapy in Choroideremia. Funded by the Wellcome Trust (2015-2017)
- Interpretation of genomic sequencing for inherited ophthalmic disease: an integrated approach MRC Case studentship (2016-2020)
- Designing, Developing and Delivering Integrated Foundations for Genomic Medicine. Wellcome Trust Strategic Award (2016-2020)
- Evaluating the economic benefits of complex interventions: accounting for non-health effects – NIHR Doctoral Research Training Fellowship (2015-2018)
- Health Economics of Next Generation Sequencing – NIHR Research Methods Fellowship and Internship (2015-2017).
- Bioinformatics of Retinal Dystrophies; BBSRC studentship (2014-2017).
Recent Publications
- Ellingford JM, Campbell C, Barton S, Bhaskar S, Gupta S, Taylor RL, Sergouniotis PI, Horn B, Lamb JA, Michaelides M, Webster AR, Newman WG, Panda B, Ramsden SC, Black GC. Validation of copy number variation analysis for next-generation sequencing diagnostics.Eur J Hum Genet. 2017 Apr 5. doi: 10.1038/ejhg.2017.42.
- Taylor RL, Parry NR, Barton SJ, Campbell C, Delaney CM, Ellingford JM, Hall G, Hardcastle C, Morarji J, Nichol EJ, Williams LC, Douzgou S, Clayton-Smith J, Ramsden SC, Sharma V, Biswas S, Lloyd IC, Ashworth JL, Black GC, Sergouniotis PI. Panel-Based Clinical Genetic Testing in 85 Children with Inherited Retinal Disease. Ophthalmology. 2017 Mar 21. pii: S0161-6420
- Davison N, Payne K, Eden M, McAllister M, Roberts SA, Ingram S, Black GC, Hall G. Exploring the feasibility of delivering standardized genomic care using ophthalmology as an example. Genet Med. 2017 Mar 16. doi: 10.1038/gim.2017.9
- Taylor RL, Handley MT, Waller S, Campbell C, Urquhart J, Meynert AM, Ellingford JM, Donnelly D, Wilcox G, Lloyd IC, Mundy H, FitzPatrick DR, Deshpande C, Clayton-Smith J, Black GC. Novel PEX11B Mutations Extend the Peroxisome Biogenesis Disorder 14B Phenotypic Spectrum and Underscore Congenital Cataract as an Early Feature. Invest Ophthalmol Vis Sci. 2017 Jan 1;58(1):594-603
- Arno G, Agrawal SA, Eblimit A, Bellingham J, Xu M, Wang F, Chakarova C, Parfitt DA, Lane A, Burgoyne T, Hull S, Carss KJ, Fiorentino A, Hayes MJ, Munro PM, Nicols R, Pontikos N, Holder GE; UKIRDC., Asomugha C, Raymond FL, Moore AT, Plagnol V, Michaelides M, Hardcastle AJ, Li Y, Cukras C, Webster AR, Cheetham ME, Chen R. Mutations in REEP6 Cause Autosomal-Recessive Retinitis Pigmentosa. Am J Hum Genet. 2016 Dec 1;99(6):1305-1315. doi: 10.1016/j.ajhg.2016.10.008
- Bedoni N, Haer-Wigman L, Vaclavik V, Tran HV, Farinelli P, Balzano S, Royer-Bertrand B, El-Asrag ME, Bonny O, Ikonomidis C, Litzistorf Y, Nikopoulos K, Yioti G, Stefaniotou M, McKibbin M, Ellingford J, Booth AP, Black G, Toomes C, Inglehearn CF, Hoyng CB, Bax N, Klaver CC, Thiadens AA, Murisier F, Schorderet DF, Ali M, Cremers FP, Andréasson S, Munier FL, Rivolta C. Mutations in the polyglutamylase gene TTLL5, expressed in photoreceptor cells and spermatozoa, are associated with cone-rod degeneration and reduced male fertility.Hum Mol Genet. 2016 Aug 22. pii: ddw282
- Edwards TL, Jolly JK, Groppe M, Barnard AR, Cottriall CL, Tolmachova T, Black GC, Webster AR, Lotery AJ, Holder GE, Xue K, Downes SM, Simunovic MP, Seabra MC, MacLaren RE. Visual Acuity after Retinal Gene Therapy for Choroideremia. N Engl J Med. 2016 Apr 27.
- Eden M, Payne K, Jones C, Wright SJ, Hall G, McAllister M, Black G. Identifying variation in models of care for the genomic-based diagnosis of inherited retinal dystrophies in the United Kingdom. Eye (Lond). 2016 Apr 15. doi: 10.1038/eye.2016.74
- Gillespie RL, Urquhart J, Anderson B, Williams S, Waller S, Ashworth J, Biswas S, Jones S, Stewart F, Lloyd IC, Clayton-Smith J, Black GC. Next-generation Sequencing in the Diagnosis of Metabolic Disease Marked by Pediatric Cataract. Ophthalmology. 2016 Jan;123(1):217-20. doi: 10.1016/j.ophtha.2015.06.035
- Porter LF, Galli GG, Sally Williamson S, Selley J, Knight D, Elcioglu N, Ali Aydin A, Elcioglu M, Venselaar H, Anders H. Lund AH, Bonshek R, BlackGC, Manson FD, A role for repressive complexes and H3K9 di-methylation in PRDM5-associated brittle cornea syndrome Hum Mol Genet. 2015 Dec 1;24(23):6565-79.
- Conte I, Hadfield KD, Barbato S, Carrella S, Pizzo M, Bhat RS, Carissimo A, Karali M, Porter LF, Urquhart J, Hateley S, O’Sullivan J, Manson FD, Neuhauss SC, Banfi S, Black GC. MiR-204 is responsible for inherited retinal dystrophy associated with ocular coloboma. Proc Natl Acad Sci U S A. 2015 Jun 8. pii: 201401464
- Ellingford JM, Sergouniotis PI, Lennon R, Bhaskar S, Williams SG, Hillman KA, O’Sullivan J, Hall G, Ramsden SC, Lloyd IC, Woolf AS, Black GC. Pinpointing clinical diagnosis through whole exome sequencing to direct patient care: a case of Senior-Loken syndrome. Lancet. 2015 May 9;385(9980):1916. doi: 10.1016/S0140-6736(15)60496-2.
- El-Asrag ME, Sergouniotis PI, McKibbin M, Plagnol V, Sheridan E, Waseem N, Abdelhamed Z, McKeefry D, Van Schil K, Poulter JA; UK Inherited Retinal Disease Consortium, Johnson CA, Carr IM, Leroy BP, De Baere E, Inglehearn CF, Webster AR, Toomes C, Ali M. Biallelic Mutations in the Autophagy Regulator DRAM2 Cause Retinal Dystrophy with Early Macular Involvement. Am J Hum Genet. 2015 Jun 4;96(6):948-54. doi: 10.1016/j.ajhg.2015.04.006. Epub 2015 May 14.
- Gillespie RL, Urquhart J, Lovell SC, Biswas S, Parry NR, Schorderet DF, Lloyd IC, Clayton-Smith J, Black GC. Abrogation of HMX1 Function Causes Rare Oculoauricular Syndrome Associated With Congenital Cataract, Anterior Segment Dysgenesis, and Retinal Dystrophy. Invest Ophthalmol Vis Sci. 2015 Jan 8;56(2):883-91. doi: 10.1167/iovs.14-15861.
- Harrison M, Birch S, Eden M, Ramsden S, Farragher T, Payne K, Hall G, Black GC. Variation in healthcare services for specialist genetic testing and implications for planning genetic services: the example of inherited retinal dystrophy in the English NHS. J Community Genet. 2015;6:157-65. doi: 10.1007/s12687-014-0210-4.
- Clarke E, Combs R, Black G, Hall G. Patient Expectations and Attitudes Towards Specialist Genetic Eye Services. J Genet Couns. 2015 Apr;24(2):349-57. doi: 10.1007/s10897-014-9775-7.
- Gillespie RL, O’Sullivan J, Ashworth J, Bhaskar S, Williams S, Biswas S, Kehdi E, Ramsden SC, Clayton-Smith J, Black GC, Lloyd IC. Personalized Diagnosis and Management of Congenital Cataract by Next-Generation Sequencing. Ophthalmology. 2014 Jul 29. pii: S0161-6420(14)00507-7.
- Clarke E, Combs R, Black G, Hall G.Patient Expectations and Attitudes Towards Specialist Genetic Eye Services.J Genet Couns. 2014 Oct 3
- MacLaren RE, Groppe M, Barnard AR, Cottriall CL, Tolmachova T, Seymour L, Clark KR, During MJ, Cremers FP, Black GC, Lotery AJ, Downes SM, Webster AR, Seabra MC.Retinal gene therapy in patients with choroideremia: initial findings from a phase 1/2 clinical trial. Lancet. 2014 Mar 29;383(9923):1129-37. doi: 10.1016/S0140-6736(13)62117-0. Epub 2014 Jan 16. PMID:24439297
- Köhler S, Doelken SC, Mungall CJ, Bauer S, Firth HV, Bailleul-Forestier I, Black GC, Brown DL, Brudno M, Campbell J, FitzPatrick DR, Eppig JT, Jackson AP, Freson K, Girdea M, Helbig I, Hurst JA, Jähn J, Jackson LG, Kelly AM, Ledbetter DH, Mansour S, Martin CL, Moss C, Mumford A, Ouwehand WH, Park SM, Riggs ER, Scott RH, Sisodiya S, Van Vooren S, Wapner RJ, Wilkie AO, Wright CF, Vulto-van Silfhout AT, de Leeuw N, de Vries BB, Washingthon NL, Smith CL, Westerfield M, Schofield P, Ruef BJ, Gkoutos GV, Haendel M, Smedley D, Lewis SE, Robinson PN. The Human Phenotype Ontology project: linking molecular biology and disease through phenotype data. Nucleic Acids Res. 2014 Jan;42966-74. doi: 10.1093/nar/gkt1026. Epub 2013 Nov 11.PMID:24217912