Alan’s Story: Gaining Independence with Aira Technology

Trust me when I tell you to grab a tissue. Or roll down your sleeves and get ready to wipe. Me? My eyes are welling up even as I type. Recently, I witnessed a miracle.

I’ll give you a little background while you look for a Kleenex. Twenty years ago, at the age of 8 weeks, my nephew Alan was diagnosed with Leber congenital amaurosis (LCA), a rare disease that limits retinal development. Holding her infant son, my sister Betsy and her husband David listened in disbelief as the retinal specialist explained that Alan would be visually impaired at best, and fully blind at worst. The doctor informed them there was no cure, no treatment, and no adaptive device to correct their son’s condition.

Like his sighted peers, Alan attended public school. His mobility instructor taught him to navigate familiar

Alan Brint, who is blind, is trailed by his mother Betsy and his dog Mo, tries out his new Aira glasses. Aira’s platform works on a wearable device similar to Google glass, that can be paired with a smart phone. The tiny camera mounted on the device [cool sunglasses] provides instant feedback to a trained Aira agent who can safely guide [a wearer] in any activity. Alan was navigating his way to his local train station using an unfamiliar route as a test of the technology.parts of his world with his white cane. By sixth grade, he could walk to school by himself. Now a junior at Beloit College, he’s doing just fine. That’s not the miracle.

Not to dismiss Alan’s role in his accomplishments, but his successes have been in some part reliant on a team of people. Still, there are limits to his independence. Spoiler alert: here comes the miracle.

Last week, Betsy called me. “Get outside now. Alan is walking to the train station. By himself. He’s near the library. Run.”

I ran. Turning the corner, I saw my nephew, cane in hand, walking a route new to him. Betsy trailed silently, about 10 feet behind.

“Hey Aunt Sally. Is that you?” Cue the tears. Remember, Alan is blind. He has never seen me coming his way. For 20 years, we’ve all come up to him and touched him, or spoken to him, or hugged him, letting him know we were there. For the first time, he “saw” me coming.

Alan was wearing an adaptive technology, and it was changing his life in front of my tearing eyes.

The technology is called Aira (eye-rah). According to their website, “Aira’s platform works on a wearable device similar to Google glass, that can be paired with a smart phone. The tiny camera mounted on the device [cool sunglasses] provides instant feedback to a trained Aira agent who can safely guide [a wearer] in any activity.”

Alan’s Aira glasses had arrived the day before. The device is free, and the glasses are free. Like a cell phone contract, users pay a monthly service fee based on the minutes they use. When it’s on, an agent sees a split screen. On one side is a GPS view, to map out the exact location of the route guidance. On the other screen, the agent sees the lens view from the user’s camera. Simple, yet genius.

I fell in step with Betsy, following Alan’s lead for the first time. He made it easily to the train station, then home via a different route. Since then, he’s walked to a local bagel shop and “read” menus. I asked Alan, “What do you like best about this?”

“I like walking somewhere that I’ve never walked to before, by myself, without learning the route. I like reading menus. I like finding people. I found you!”

I turned to my sister. “Well? What are you thinking?”

“It’s totally selfish. I want to be his eyes,” she said.

“Don’t you think you’ve been his eyes?”

“Yeah, I guess. And now I’m turning it over to somebody else.”

There wasn’t a dry eye between us.

Hope in Focus (formally Sofia Sees Hope) is dedicated to ending the isolation that LCA families can feel after their diagnosis by sharing their stories. Read more here. Would you like to share your story? Email info@hopeinfocus.org

Attention LCA Families: Sign up to receive the LCA Family Newsletter!

Hope in Focus (formally Sofia Sees Hope), a nonprofit focused on families living with Leber congenital amaurosis (LCA), will launch a quarterly newsletter in the fall of 2017.

Sofia Sees Hope funds research for diagnosis, treatments and cures for rare retinal disease and provides advocacy and information for the LCA community.

The newsletter will be specifically for LCA patient families to help them connect with each other and with the resources and organizations that can help them. The newsletter will have both a print and a digital version.

“There used to a be a newsletter for LCA families and it was a wonderful resource and a great way to stay informed,” said Sofia Sees Hope co-founder Laura Manfre. “When I attend conferences and hear from families the number one thing other patient families say to me, is they miss the newsletter. I’m happy that Sofia Sees Hope is now in a position to do this.”

September 2017 launch

The newsletter will include LCA research news; contact information for research and trials, family stories, fundraisers, an event calendar, and a section dedicated to education on the patient and family role in advancing research.

Sofia Sees Hope has assembled a team of former journalists to spearhead the project, ensuring that the information it contains will be factual and trustworthy for patient families.

To sign up for the newsletter — and other information from Sofia Sees Hope — please visit this page: https://hopeinfocus.org/resources/newsletter/

You can also send article suggestions to Sofia Sees Hope by visiting https://hopeinfocus.org/contact/.

Sign up for our Newsletter

Living with LCA: Juliet’s Story

Scott and Heather Soady and big sister Gillian welcomed baby Juliet two years ago, and life progressed in an understandably hectic way for the San Diego parents who also are practicing lawyers. But life soon became more complicated as the couple’s new baby was diagnosed with Leber congenital amaurosis.

Juliet was born with strabismus, also known as crossed eyes, a condition that often disappears with time. At the age of 4 months, Juliet’s pediatrician noticed she had involuntary eye movement, a condition called nystagmus. The doctor said Juliet presented the worst case she’d ever seen in a child.

Juliet in a pink snow suit wearing a pooka dot hair and blue glasses — Juliet

Doctors placed Juliet under general anesthesia to scan her optic nerve and eliminate causes of her condition. It was a difficult time, Scott said, for Heather, especially, because she was breastfeeding and Juliet was only 4 months old.

When doctors told Scott, “It’s probably not brain cancer, ” he said, “I didn’t realize that was an option.”

Two months later, with Juliet again under anesthesia, a specialist measured her retina’s light perception by placing contact lenses with electrodes in her eyes. This procedure is called an Electroretinography (ERG) and is used to clinically diagnose LCA and other inherited retinal disorders such as Retinitis Pigmentosa (RP), cone-rod dystrophies, X-linked juvenile retinoschisis, achromatopsia and others.

Twenty minutes later, the family received a confirmed clinical diagnosis of Leber congenital amaurosis.

“What you’re told is, there’s this condition you’ve never heard of, that’s extremely rare, that has no cure, that’s she’s going to be blind and there is nothing you can do about it,” Scott said.

“… You go through this grieving process of the life that you envisioned for your child. I would constantly think about these things, going to the beach, seeing a sunset, watching a movie, doing all of these things with her and sharing the world with her, and all of a sudden, that’s never going to happen with her.”

Gradually, his perspective changed: “You’re still going to do all these things, but you’re going to do it in a different way. … There is nothing in the world that tells you what that’s going to be like for her. … You have to adapt everything so that it will happen.”

At the age of 2, Juliet is legally blind. With glasses, her vision is 20/470. In other words, Scott said, the same object and details you can see at 470 feet away, she will only be able to see at 20 feet. Doctors say her vision may deteriorate over time.

Looking for more information and answers, Scott attended the national VISIONS conference hosted by the Foundation Fighting Blindness last summer in Baltimore.

“That’s where I met Laura Manfre (Hope in Focus, or formally known as Sofia Sees Hope’s co-founder) and a bunch of other families that have kids with the same condition. That was truly amazing,” Scott said. “You feel so alone, the condition is so rare, there’s not going to be someone you just run into.”

He said he was touched that for the first time, people asked how he was doing.

Meeting parents who are dealing with LCA and seeing young people with LCA functioning as normal teen-agers gave Scott comfort and hope that everything’s going to be OK.

Through Laura, Scott and Heather connected with Spark Therapeutics’ “ID your IRD” initiative for Juliet’s genetic testing. Scott said he still held hope that maybe Juliet really did not have LCA, but the genetic findings confirmed otherwise.

The testing also revealed that Juliet has what is called a de novo mutation of the CRX gene, which caused it to be autosomal dominant rather than autosomal recessive. This means Juliet’s condition is a result of a gene mutation, rather than from inheriting it from her parents. It also means that Juliet could pass it on to her children.

“It’s not quite the normal LCA,” Scott said. Of those who have LCA, 1 percent to 5 percent have this gene mutation.

Genetic therapy also is more complicated. Rather than inserting a good gene and having the bad one go away or bypassed, the CRX dominant gene first needs to be turned off before a good gene can be inserted

The Soadys connected with a doctor who was conducting this research but had to stop for lack of funding.

“The light at the end of the tunnel got much dimmer,” Scott said of the end of the research. “It would be nice to see if there’s a potential cure.”

For now, the family is in the intense process of preparing Juliet for a new time in her life, from a home environment to a school environment, as she begins preschool. Gillian, who turns 5 in September, will be in kindergarten.

Feeling the Mission

There was nothing in my life to prepare me for the experience of Dinner in the Dark. I’ve supported many nonprofits, as a board member, consultant, and donor. I’ve been to many luncheons and galas where I heard many speeches, sat through many tug-at-the-heartstrings videos, and joined in many silent or live auctions that inflicted varying degrees of pain or entertainment. However, never have I attended an event that immersed me as deeply in the mission of the organization as Dinner in the Dark did.

It’s pretty basic. Hope in Focus (formally Sofia Sees Hope) fights rare, inherited retinal diseases like Leber congenital amaurosis (LCA) in hopes of curing blindness. Dinner in the Dark offers a multi-course, gourmet meal with wine pairings. While blindfolded. To say it’s challenging, and life-altering, is putting it mildly.

It’s harder to enjoy a fine meal when you can’t appreciate the presentation. Sometimes it was even hard to tell what was served, though the scents and tastes were tantalizingly familiar! It’s hard to carry on a conversation when you can’t make eye contact to interrupt, or to share a joke, and when you don’t even know if someone is still at the table. And it’s hard to savor nice wines when you can’t see them – especially when you’re afraid of knocking over a wineglass while attempting to locate your knife.

Don’t get me wrong – Dinner in the Dark is a tremendously fun event that will have you laughing and reflecting for months afterward. It’s also very challenging and very moving, and will make you truly appreciate the gift of your eyesight. And the ability to take off the blindfold to bid and to dance!

Love Golf? Hate Golf? Both Can Help Cure IRDs and LCA!

Birdies for Charity is a great program that we joined this year to help us raise awareness about Leber congenital amaurosis (LCA) and to help raise funds to cure LCA and other rare inherited retinal disease (IRD). For golfers, it’s a chance to be part of the Travelers Tournament, a decades-long tradition that brings the PGA tour’s top players to Connecticut. For non-golfers, it’s an easy, fun way to help Hope in Focus (formally Sofia Sees Hope) by m aking a pledge as low as two cents per birdie.

It’s very simple and works like a walk-a-thon. People pledge some amount per birdie, just like they might pledge some amount per mile walked in a disease walk-a-thon. In this case, they usually pledge anywhere from two cents to one dollar per birdie, because professional golfers are likely to make about 1800 birdies during the tournament.

This part is for the non-golfers! A birdie means they hit “one under par” for a given golf hole. Par is the number of strokes (times you hit a golf ball) a person is likely to need to get the ball in the hole. A professional is expected to do much, much better than the average golfer, so they would normally be under par most of the time, requiring fewer strokes than normal people would. So they make a lot of birdies!

For the real golfers and fans, we have a limited number of day passes available for people who pledge. First come, first served, so click here to go to our dedicated Birdies for Charity page now!

To Test or Not To Test: 5 Reasons We Think You Can And Should Get a Genetic Diagnosis For Your IRD

Hey LCA or IRD family, does any of this sound familiar?

You or your child has received a clinical diagnosis of LCA (leber congenital amaurosis), RP (retinitis pigmentosa), cone-rod dystrophy, or another crazily-named inherited retinal disease AND…

Your doctor wants to help, but isn’t sure where to direct you or what to do next.
Your doctor doesn’t even think you should bother. (There aren’t any cures or treatments available so why waste your time and energy?)
You’ve been genetically tested at least once (and maybe five times before). No one gets back to you and if they do, the results are negative.
Your insurance company doesn’t want to cover the cost.
OMG, you’re frustrated! No one seems to be able to give you clear direction and you’re not getting any answers.

On one hand, we wish we could say this experience is rare and unique! But the truth is that you’re in good company. There is still so much confusion around getting to a genetic diagnosis for your inherited retinal disease. The good news is, we are not confused on one item: YOU NEED TO GET TESTED! And here are five reasons why.

Misdiagnosis is still more common than we wish. Until you have a genetic diagnosis, you just can’t be sure you really have LCA, or RP, or another IRD.
It’s not just about blindness. This is the somewhat scary part that you might not be aware of, but several of the genetic defects that come with these rare IRDs, also impact other organs. For example, some LCA genes are reno-retinal genes, meaning that they may also impact kidney function. We’re not sharing this information to scare you into getting tested, but to highlight just how important it is to make sure you have a clear, genetic diagnosis so you can be prepared and provide the best care possible for any other possible conditions.

Treatments and cures are coming! That tired story of don’t bother because there’s nothing you can do is bogus. There is already a proven treatment for one form of LCA (RPE65) and there will be others. If you don’t have a diagnosis, you can’t participate in clinical trials or take advantage of treatments as they become available. That is a real bummer.

We know where you can get tested. We are so close to cures and treatments today that there are FREE programs like Spark Therapeutics’ ID Your IRD and programs through the Foundation FIghting blindness that you may be able to take advantage of. Check out our website resources for information, or contact us and let us help!
Knowledge is power. ‘Nuff said.

It’s April Fool’s Day, and we’ve got a great post to share with you!

“We can all make our lives much happier if we choose to laugh, live our lives more intentionally and find joy in the little things.”

Jack McCormick

The quote above is from our friend, Jack McCormick’s blog. You may know seen the video, Jack’s Story, at Dinner in the Dark last year, or on Facebook or our website. Jack’s story is one of clinical misdiagnosis – something that happens all too frequently. It’s also about living with a visual impairment, the role his parents played in his life, and getting to a correct diagnosis. (Spoiler alert! Jack has LCA.) If you haven’t seen it yet, take a few minutes to watch!

If you’re raising a blind child, then we also recommend this post from Jack, Let’s Laugh: At Me! There are so many emotions and worries that keep parents up at night, and Jack’s post is a reminder that our kids are not just rare and beautiful, but sometimes just plain goofy, and a little humor and laughter can go a long way!