About My Research
Center/Research Area Affiliations
- AMD Center of Excellence
- Diabetic Eye Disease Center of Excellence
- Infectious Disease Institute
- Ocular Regenerative Medicine Institute
Biography
Dr. Young's research interests focus on intravitreal drug toxicities, retinal infections, retinal complications associated with KPro implantation, and host-pathogenrelations in Toxoplasma gondii infection.
Education
1977: BS Molecular Biology (with distinction), University of Wisconsin–Madison
1980: MD, University of Wisconsin–Madison
1982: MA, Biology, Harvard University
1984: PhD, Biology, Harvard University (advisor: John E. Dowling, Ph.D.)
Postgraduate Training
1985: Internship, Framingham Union Hospital, Framingham, MA
1988: Residency (Ophthalmology), Harvard Medical School, Massachusetts Eye and Ear Infirmary
1990: Fellowship (Vitreoretinal disease),Massachusetts Eye and Ear Infirmary
Academic Appointments
1987 - 1992: Research Associate, Harvard University
1989 - 1992: Instructor in Ophthalmology, Harvard Medical School
1992 - 1997: Assistant Professor of Ophthalmology, Harvard Medical School
1998 - present: Associate Professor of Ophthalmology, Harvard Medical School
Professional Memberships
1982 - present: Association for Research in Vision and Ophthalmology
1984 - present: Society for Neuroscience
1988 - present: Massachusetts Eye and Ear Infirmary Alumni Association
1989 - present: American Academy of Ophthalmology
1990 - present: Massachusetts Society of Eye Physicians and Surgeons
1994 - present: The Retina Society (2007 - present: The Fellowship Research and Raymond R. Margherio Award Selection Committee)
1995 - present: The New England Ophthalmological Society
1995 - present: American College of Surgeons
1996 - present: The Macula Society
2002 - present: Club Jules Gonin
Honors
1974 - 1977: Epsilon Sigma Epsilon
1974 - 1977: Chancellor’s Vilas Scholarship
1974 - 1977: Letters and Science Honors Program
1974 - 1977: Dean’s List, graduated with distinction, University of Wisconsin–Madison
1981 - 1984: Springer Verlag Scholarship (NIH Training Fellowship), National Institutes of Health
1988 - 1989: Heed Fellowship, Heed Foundation
1988 - 1990: National Research Service Award, National Institutes of Health
1989 - 1990: Heed Foundation/Knapp Fellowship AOS-Knapp Fund
1998: Teaching Award, Lancaster Course in Ophthalmology
1998: Nominee, A. Clifford Barger Award for Excellence in Mentoring, Harvard Medical School
2004: Nominee, A. Clifford Barger Award for Excellence in Mentoring, Harvard Medical School
2004: Distinguished Service Award Massachusetts Eye and Ear Infirmary
2005: Nominee, A. Clifford Barger Award for Excellence in Mentoring, Harvard Medical School
2006: Nominee, A. Clifford Barger Award for Excellence in Mentoring, Harvard Medical School
2011: First Annual Vitreoretinal Fellowship Teaching Award, Massachusetts Eye and Ear
- Ocular Siderosis. Int Ophthalmol Clin. 2024 Apr 01; 64(2):163-174.
- Novel uses of complement inhibitors in myasthenia gravis-Two case reports. Muscle Nerve. 2024 Mar; 69(3):368-372.
- The Effect of Sample Medication Use on Subsequent Anti-VEGF Agent Selection for Neovascular Age-Related Macular Degeneration. Semin Ophthalmol. 2022 Oct-Nov; 37(7-8):902-908.
- Restoration of Vision in Severe, Cicatricial, Ocular Surface Disease With the Boston Keratoprosthesis Type II. Am J Ophthalmol. 2022 11; 243:42-54.
- Endoscopic Cyclophotocoagulation in Boston Keratoprosthesis Type II. Ophthalmol Glaucoma. 2022 Jan-Feb; 5(1):120-123.
- Biallelic RP1-associated retinal dystrophies: Expanding the mutational and clinical spectrum. Mol Vis. 2020; 26:423-433.
- Serotyping of Toxoplasma gondii Infection Using Peptide Membrane Arrays. Front Cell Infect Microbiol. 2019; 9:408.
- Effects of cannabis and its components on the retina: a systematic review. Cutan Ocul Toxicol. 2020 Mar; 39(1):1-9.
- Toxoplasma GRA15 Activates the NF-?B Pathway through Interactions with TNF Receptor-Associated Factors. mBio. 2019 07 16; 10(4).
- Characterization of Epiretinal Proliferation in Full-Thickness Macular Holes and Effects on Surgical Outcomes. Ophthalmol Retina. 2019 08; 3(8):694-702.
- Hydroxychloroquine retinopathy - implications of research advances for rheumatology care. Nat Rev Rheumatol. 2018 12; 14(12):693-703.
- Case 37-2018: A 23-Year-Old Woman with Vision Loss. N Engl J Med. 2018 Nov 29; 379(22):2152-2159.
- Hydroxychloroquine prescription trends and predictors for excess dosing per recent ophthalmology guidelines. Arthritis Res Ther. 2018 07 05; 20(1):133.
- AICAR suppresses TNF-a-induced complement factor B in RPE cells. Sci Rep. 2017 12 15; 7(1):17651.
- Verteporfin-induced formation of protein cross-linked oligomers and high molecular weight complexes is mediated by light and leads to cell toxicity. Sci Rep. 2017 04 21; 7:46581.
- The human immune response to Toxoplasma: Autophagy versus cell death. PLoS Pathog. 2017 03; 13(3):e1006176.
- T cell immunoregulation in active ocular toxoplasmosis. Immunol Lett. 2017 04; 184:84-91.
- Current and Emerging Treatment for Diabetic Macular Edema. Int Ophthalmol Clin. 2017; 57(4):165-177.
- Treatment of Refractory Acute Retinal Necrosis with Intravenous Foscarnet or Cidofovir. Ocul Immunol Inflamm. 2018; 26(2):199-203.
- Characteristics and Outcomes of Simultaneous Bilateral Rhegmatogenous Retinal Detachments. Ophthalmic Surg Lasers Imaging Retina. 2016 09 01; 47(9):840-5.
- Long-term Follow-up and Outcomes in Traumatic Macular Holes. Am J Ophthalmol. 2016 06; 166:206-207.
- Regression of Some High-risk Features of Age-related Macular Degeneration (AMD) in Patients Receiving Intensive Statin Treatment. EBioMedicine. 2016 Mar; 5:198-203.
- Subthreshold Diode Micropulse Laser: A Review. Semin Ophthalmol. 2016; 31(1-2):30-9.
- The role of serological titres in the diagnosis of ocular toxoplasmosis. Acta Ophthalmol. 2016 Aug; 94(5):521-2.
- Long-term Follow-up and Outcomes in Traumatic Macular Holes. Am J Ophthalmol. 2015 Dec; 160(6):1255-1258.e1.
- Optic nerve pit and associated macular detachment. JAMA Ophthalmol. 2015 Jan; 133(1):e141775.
- Toxoplasmic Retinitis: To Treat or Not to Treat and With What Drug? Int Ophthalmol Clin. 2015; 55(4):137-45.
- Scleral Buckle: Does it Still Have a Role in Retinal Detachment Repair? Int Ophthalmol Clin. 2015; 55(4):147-56.
- Management of Diabetic Macular Edema: Is It Time to Say Goodbye to Macular Laser? Int Ophthalmol Clin. 2015; 55(4):113-22.
- Finding the Optimal Treatment Plan for Exudative AMD: A review of Current Anti-VEGF Dosing Regimens. Int Ophthalmol Clin. 2015; 55(4):103-12.
- Complications of subspecialty ophthalmic care: endophthalmitis after intravitreal injections of anti-vascular endothelial growth factor medications. Semin Ophthalmol. 2014 Sep-Nov; 29(5-6):257-62.
- Complications of subspecialty ophthalmic care: systemic complications from the intravitreal administration of agents that target the vascular endothelial growth factor pathway. Semin Ophthalmol. 2014 Sep-Nov; 29(5-6):263-75.
- The impact of cataract surgery on AMD development and progression. Semin Ophthalmol. 2014 Sep-Nov; 29(5-6):301-11.
- Transcriptional analysis of murine macrophages infected with different Toxoplasma strains identifies novel regulation of host signaling pathways. PLoS Pathog. 2013; 9(12):e1003779.
- Interleukin-6 gene polymorphism (-174 G/C) is associated with toxoplasmic retinochoroiditis. Acta Ophthalmol. 2013 Jun; 91(4):e311-4.
- Ocular siderosis. Int Ophthalmol Clin. 2013; 53(4):177-84.
- Choroidal osteomas. JAMA Ophthalmol. 2013 Jan; 131(1):124.
- Increased serum levels of soluble tumor necrosis factor receptor-2 (sTNFR2) in patients with active toxoplasmic retinochoroiditis. Braz J Infect Dis. 2012 Nov-Dec; 16(6):540-4.
- Progressive outer retinal necrosis presenting as cherry red spot. Ocul Immunol Inflamm. 2012 Oct; 20(5):384-6.
- Choroidal neovascular membrane formation and retinochoroidopathy in a patient with systemic langerhans cell histiocytosis: a case report and review of the literature. Case Rep Ophthalmol. 2012 Jan; 3(1):128-35.
- Evidence for baseline retinal pigment epithelium pathology in the Trp1-Cre mouse. Am J Pathol. 2012 May; 180(5):1917-27.
- Sympathetic ophthalmia. Semin Ophthalmol. 2011 Jul-Sep; 26(4-5):316-20.
- Ocular toxoplasmosis: advances in detection and treatment. Int Ophthalmol Clin. 2011; 51(4):13-23.
- Medical treatment for cytomegalovirus retinitis. Int Ophthalmol Clin. 2011; 51(4):93-103.
- Antiviral chemoprophylaxis for ocular viral infections in hematopoietic stem cell and bone marrow transplant patients. Int Ophthalmol Clin. 2011; 51(4):53-66.
- Case records of the Massachusetts General Hospital. Case 33-2010. A 22-year-old woman with blurred vision and renal failure. N Engl J Med. 2010 Oct 28; 363(18):1749-58.
- Treatment of acute retinal necrosis. Ophthalmology. 2010 Apr; 117(4):818-24.
- Progression of diabetic retinopathy and maculopathy after phacoemulsification surgery. Int Ophthalmol Clin. 2010; 50(1):155-66.
- Genetics of hereditary vitreoretinal degenerations. Semin Ophthalmol. 2007 Oct-Dec; 22(4):219-27.
- Overexpression of SK2 channels enhances efferent suppression of cochlear responses without enhancing noise resistance. J Neurophysiol. 2007 Apr; 97(4):2930-6.
- Acute retinal necrosis: an overview. Int Ophthalmol Clin. 2007; 47(2):145-54.
- Intraocular foreign body related endophthalmitis. Int Ophthalmol Clin. 2007; 47(2):165-71.
- Predictors of visual outcome and choroidal neovascular membrane formation after traumatic choroidal rupture. Arch Ophthalmol. 2006 Jul; 124(7):957-66.
- Retinal toxicity of intravitreal triamcinolone acetonide: a morphological study. Retina. 2006 May-Jun; 26(5):531-6.
- Diagnostic and therapeutic challenges. Retina. 2006 Feb; 26(2):214-8.
- Management of ocular toxoplasmosis. Int Ophthalmol Clin. 2006; 46(2):183-93.
- Cytomegalovirus retinitis. Int Ophthalmol Clin. 2006; 46(2):91-110.
- Ocular manifestations of helminthic infections: onchocersiasis, cysticercosis, toxocariasis, and diffuse unilateral subacute neuroretinitis. Int Ophthalmol Clin. 2006; 46(2):1-10.
- Diagnostic tests for posterior segment inflammation. Int Ophthalmol Clin. 2006; 46(2):195-208.
- Future laser approaches in melanoma treatment. Int Ophthalmol Clin. 2006; 46(1):27-39.
- Diagnostic and therapeutic challenges. Retina. 2005 Oct-Nov; 25(7):930-5.
- Treatment options for metastatic tumors to the choroid. Semin Ophthalmol. 2005 Oct-Dec; 20(4):207-16.
- Sturge-Weber syndrome (choroidal hemangioma and glaucoma). J Pediatr Ophthalmol Strabismus. 2005 Sep-Oct; 42(5):320.
- Vogt-Koyanagi-Harada disease. Semin Ophthalmol. 2005 Jul-Sep; 20(3):183-90.
- Ocular manifestations and treatment of syphilis. Semin Ophthalmol. 2005 Jul-Sep; 20(3):161-7.
- Sympathetic ophthalmia. Semin Ophthalmol. 2005 Jul-Sep; 20(3):191-7.
- MRI of blood volume with superparamagnetic iron in choroidal melanoma treated with thermotherapy. Magn Reson Imaging. 2004 Jul; 22(6):779-87.
- Sustained-release drug implants for the treatment of intraocular disease. Int Ophthalmol Clin. 2004; 44(3):33-9.
- MRI of blood volume with MS 325 in experimental choroidal melanoma. Magn Reson Imaging. 2003 Sep; 21(7):725-32.
- Treatment of experimental choroidal melanoma with an Nd:yttrium-lanthanum-fluoride laser at 1047 nm. Arch Ophthalmol. 2003 Mar; 121(3):357-63.
- [Photodynamic therapy of pigmented choroidal melanomas in rabbits]. Zhonghua Yan Ke Za Zhi. 2002 Aug; 38(8):491-4.
- MRI of blood volume and cellular uptake of superparamagnetic iron in an animal model of choroidal melanoma. Ophthalmic Res. 2002 Jul-Aug; 34(4):241-50.
- Anterior and posterior segment intraocular foreign bodies. Int Ophthalmol Clin. 2002; 42(3):107-20.
- Closed-globe contusion injuries of the posterior segment. Int Ophthalmol Clin. 2002; 42(3):79-86.
- Ultrasonography in the traumatized eye: intraocular foreign body versus artifact. Int Ophthalmol Clin. 2002; 42(3):121-8.
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Toxoplasma gondii is a protozoan parasite that is present globally and causes a common infection in animals and humans. One of Dr. Young's interests is to determine whether there are specific factors that determine disease outcome in an individual patient infected with Toxoplama gondii. Are there host factors? Are there certain strain types that are more virulent? In collaboration with Prof. Jeroen Saeij, an Assistant Professor at MIT, Dr. Young is working on the following projects:
Cytokine Polymorphism
We are interested in looking at various cytokines for possible polymorphisms that may explain why some patients show massive inflammation once infected with this parasite and why some patients seem to have repeated recurrences as if they’re unable to maintain the parasite in the dormant cyst stage. We will collaborate with several Brazilian ophthalmologists from Brazil and will have access to blood of patients with documented ocular toxoplamosis. We will process their blood DNA for single nucleotide polymorphism (SNPs) from cytokine genes at the Broad Institute Center.
Serotyping Toxoplasma gondii Strains
Some strains cause disease in the eye by creating excessive stimulation of the immune system leading to toxic levels of cytokines (extensive vasculitis and macular edema) and some cause massive retinal destruction by the large numbers of parasites present in the retina. Using available genome sequence from a number of Toxoplasma gondii strains, we will have the most polymorphic Toxoplasma proteins identified. With these proteins, we will synthesize polymorphic peptides to design an improved serological assay to better characterize the specific strain that is the culprit. With this assay, we will be better prepared to treat patient according to the virulence of their strain.