Help Us Find a Cure
Our laboratory is working to
identify all the genes that cause eye disease. When we learn
more about the genetic background of these eye diseases, we
will have a greater understanding of how to treat and cure
them. If you have been diagnosed with with any of the
following diseases please contact us. To learn more about
these diseases, click on the name of the disease.
Contact:
Jenn Harmon, Genetic Research
Coordinator
Moran Eye Center, University of Utah
65
Medical Drive
Room 6620-C
Salt Lake City , Utah
84112
Office: (801) 585-1297
Toll Free:
1-800-824-2073 ext. 5-1297
Fax: (801) 587-7686
Email:
jenn.harmon@hsc.utah.edu
She will provide you with
information regarding your donation of a DNA sample. There
is no cost to you for participation. Your participation in
this research is very important. Please contact us at your
earliest convenience.
For more information please go to our patient info page or to our physician page if you are a physician or health care provider.
How to
Submit a Sample
- One(1) consent form is to be signed by each subject, if the patient is a minor (under age 18), a parent or guardian should sign the minor consent form. If the minor is old enough to understand the procedure an assent form also needs to be signed. Essentially these forms state that the subject is participating willingly, that you have described to them what you plan to do with the samples, and that their participation will be processed confidentially and at no cost. Please have the subject read and sign the consent form prior to having their blood drawn and ask if they have any questions.
- Complete an enrollment form for each subject. Please include subject's name, phone number, birth date, father and mother's name (maiden) and birth dates. If a doctor examines the subject's eyes, please have the doctor check the area in the eye diseases box so we know the correct diagnosis. Please draw a pedigree if the disease is believed to run in the family. Leave the rest of the form blank.
These documents may be viewed with Adobe Acrobat Reader. To download this free program, please click here. You may download the required forms in PDF format by clicking on the appropriate form:
Download: Adult consent form
Download: Minor consent form
Download: Minor assent form
Download: Enrollment form
Download: Strabismus Scorecard (Only for Strabismus Study)
- Draw three(3) 8.5 ml yellow top (ACD solution A) tubes of blood for each adult subject. Please label the tubes immediately with the subject's name and birth date. Labeling the tubes immediately prevents errors and mixing up samples. For children please adjust the volume of blood drawn by their weight using the following formula: 1ml/kilo weight (2.2 lbs. = 1 kilo) example on a 65 lb. child: 65 lb. ÷ 2.2 = 29.5ml of blood could be drawn, or three tubes.
- Keep the blood specimens at ROOM TEMPERATURE.
- Pack the labeled samples in Styrofoam, tape the Styrofoam closed, include consent forms, enrollment forms, and any pedigrees drawn in a box with the Styrofoam. Please ship to the address below via FedEx standard overnight, preferably the same day blood is drawn, using the account number obtained from Jenn Baird. You may reach FedEx at 1-800-463-3339 or by visiting the FedEx webpage.
Shipping address:
Dr. Kang Zhang
Attn: Jenn Harmon
Moran Eye Center, University of Utah
65 Mario Capecchi Drive
Room 6620-C
Salt Lake City , Utah 84112
If you have any questions or need supplies, please contact us. Thank you for your help!
