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PhD studentship
Bart’s and the London School of Medicine and Dentistry
Queen Mary, University of London

Estimating visual outcomes in ophthalmic epidemiology by developing
statistical methodology for visual field data

Wolfson Institute of Preventive Medicine
Supervisor: Dr A R Rudnicka Co-Supervisor: Professor D Ashby

A graduate in mathematics or statistics with at least an upper second class
honours degree or a lower second class honours degree with a masters in
statistics or medical statistics is required for this project based at the
School’s West Smithfield campus in the city of London.

In Britain 350,000 people are registered blind or partially sighted and a
further 350,000 are thought to have significant visual impairment (visual
acuity < 6/18). Eye diseases that cause severe visual impairment are
common - in people over 65 in Britain about 3% have glaucoma, 3% macular
degeneration, 1% diabetic retinopathy. This problem can be expected to
increase with the ageing population. Ophthalmic epidemiology is a
relatively new and expanding field, and a number of methods are now under
investigation for treating or preventing these common eye diseases. They
share a major problem in quantifying response to treatment. Eye diseases
are usually slowly progressive: serious visual impairment and blindness
develop over a decade or more so they are not suitable endpoints in a
study. Accurate short term markers of visual loss are needed in randomised
trials and epidemiological studies and the two most common, the Snellen
chart and the visual field test, have limitations.  Snellen acuity only
gives a measure of central vision. The visual field test gives a more
comprehensive (detailed) measure of visual function with around 70
locations tested in the field of vision of each eye, but the wealth of data
that is generated is not well utilised at present.  Data from all points
tested is often summarised as an overall average loss in sensitivity.
However, this fails to quantify the spatial pattern of visual loss caused
by eye diseases, such as enlargement of specific areas within the field
where vision has been lost.  Statistical methods for quantifying visual
function are needed.  The PhD student will need to develop statistical
spatial methods using Bayesian conditional independence modelling to
quantify the variations in visual function between eyes and across
individuals.

For an informal discussion, please contact the lead project supervisor:
Dr Alicja R Rudnicka
Tel: 020 7 882 6286  Email: [log in to unmask]


This studentship is funded by the Special Trustees of the Royal London & St
Bartholomew’s Hospitals and comes with a tax free stipend of £13000.00 per
annum. Home/EU tuition fees will be paid by the Special Trustees of the
Royal London & St Bartholomew’s Hospitals. Non EU applicants will have to
fund the difference between home and overseas tuition fees themselves,
approximately £8000.00 per annum for a minimum of three years.



Closing date for applications is 30th July 2004.