Neural Integrity Retinal Assessment (NIRA

1
Neural Integrity Retinal Assessment (NIRA)

• Problem
• Photography of the retina for the follow up of
  diabetic retinopathy is a standard test for
  advanced changes that require laser or surgical
  intervention. With the advent of nutritional
  sciences that help control glycemic variables, it
  has become important to quantify the early neural
  effects of glycosylation.
• Solution
• The Neural Integrity Retinal Assessment (NIRA)
  device enables quantification of subtle changes
  in collective neural synapse integrity based on
  retinal and post-retinal visual pathways. This
  helps eye doctors, endocrinology specialists and
  nutrition practitioners to closely monitor their
  diabetic patients.

2
Diabetic Retinopathy

• The standard technique for assessment of diabetic
  change in the retina is based on anatomical
  variables visualized by ophthalmoscopy, or by
  photographing the retina frontally. Advanced
  changes are irreversible.

3
References

• Peto T, Tadros C. Screening for diabetic
  retinopathy and diabetic macular edema in the
  United Kingdom. 2012 August 12(4)338-45. NIHR
  Biomedical Research Centre, Moorfields Eye
  Hospital NHS Foundation Trust, London.
• Chiu CJ, Taylor A. Dietary hyperglycemia,
  glycemic index and metabolic retinal diseases.
  Progress in Retinal Eye Research 2011 January
  30(1)18-53. Jean Mayer United States Department
  of Agriculture Human Nutrition Research Center on
  Aging, Department of Ophthalmology, School of
  Medicine, Tufts University.