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Professor Matthew Burton

PhD MA MBBCh DTM&H MRCP FRCOphth

Professor
of International Eye Health | Wellcome Trust Senior Research Fellow in Clinical Science

Room
Room 492

LSHTM
Keppel Street
London
WC1E 7HT
United Kingdom

Tel.
+44 (0)20 7927 2329

Matthew Burton is Professor of International Eye Health and a Wellcome Trust Senior Research Fellow based at the International Centre for Eye Health, London School of Hygiene & Tropical Medicine (LSHTM). He leads a large international research group of clinicians and scientists, working to improve eye health in low and middle-income countries.

Professor Burton is also the Director of the Commonwealth Eye Health Consortium, funded by the Queen Elizabeth Diamond Jubilee Trust. The Consortium supports public health and research capacity development, sub-specialist ophthalmology training, health systems strengthening and technology development for eye health professionals.

He is an Honorary Consultant Ophthalmologist in Cornea & External Eye Disease at Moorfields Eye Hospital, London, where he specialises in the diagnosis and treatment of microbial keratitis.

Matthew qualified in medicine from Cambridge University. His post-graduate training was in Oxford and at Moorfields Eye Hospital, London. He joined the International Centre for Eye Health in 2000. He was based at the MRC Laboratories, The Gambia (2001-2003), whilst doing his PhD, for which he received the LSHTM’s Woodruff Medal. After the completion of specialist training he spent four years based at KCMC Hospital, Moshi, Tanzania (2008-2012), where he established new trachoma research programmes in Tanzania and Ethiopia, which was funded through a Wellcome Trust Career Development Fellowship.  Wellcome have continued to support Matthew’s trachoma research (2013-2018) through a Senior Research Fellowship in Clinical Science and more recently through a Collaborative Award (2017-2022). Recently his Wellcome Senior Research Fellowship was renewed for a further five years (2018-2023), for research on corneal infection in Uganda, Tanzania and Nepal.

Affiliations

Department of Clinical Research
Faculty of Infectious and Tropical Diseases

Teaching

Matthew teaches on the MSc in Public Health for Eye Care and the East African Diploma in Tropical Medicine & Hygiene in Tanzania. He is also involved in the development of free online courses for eye health.

Research

Professor Burton leads a group of more sixty research clinicians, epidemiologists, laboratory scientists and research assistants, working closely with academic partners in five countries. His main research focus is blinding eye infection (trachoma and corneal infection); in addition, he works on ocular surface squamous neoplasia, glaucoma, eye disease surveys and technology development. Clinical trials form a central component of the groups work.

Trachoma remains the commonest infectious cause of blindness in the world.  Our trachoma research has involved several clinical trials to improve the treatment of trachomatous trichiasis, quality of life, studies investigating the immunopathogenic basis of this disease, and developing more effective control strategies. This has led to changes in policy and practice in trachoma endemic countries. For example, a recent trichiasis surgery trial (Lancet Global Health 2016a) found substantially better outcomes from one particular operation.

New research in Ethiopia, supported through a Wellcome Collaborative Award called Stronger-SAFE, is seeking to understand the routes and determinants of ocular Chlamydia trachomatis transmission, develop interventions to suppress these, and to test these alongside enhanced antibiotic treatment schedules in a cluster randomised trial.

Corneal infection or microbial keratitis is a relatively common and devastating problem in tropical regions, where fungal pathogens account for >50%. Our research in Uganda, Tanzania, Nepal and India is investigating the epidemiology, microbiology, susceptibility patterns and pathophysiology of severe corneal infections, particularly those caused by fungi. We are developing and evaluating diagnostic tools and conducting a series of clinical intervention trials.

Ocular surface squamous neoplasia is a common and aggressive eye cancer in East Africa and elsewhere. We are investigating the epidemiology, pathophysiology and diagnostic tools. In Kenya, we recently completed a placebo-controlled trial of post-operative 5-fluorouracil eye drops and found a substantial reduction in recurrent disease (Lancet Global Health 2016b).

Glaucoma is a major cause of blindness, particularly in Sub-Saharan Africa. Our studies are focusing on developing and evaluating low cost tools for detection and we are currently conducting a clinical trial of a laser procedure (Selective Laser Trabeculoplasty), which may reduce the need for life-long use of daily eye drops.

Peek: Technology for Eye Care. We are developing and testing a package of mobile phone-based applications for eye care: Peek - Portable Eye Examination Kit. This will allow the user to conduct comprehensive examinations and to record data in remote locations, with a major impact on access to eye care and accuracy of diagnosis. Initial device applications are currently being field tested in Kenya, Tanzania, Botswana and India. The first application, a visual acuity app, has been released and shows excellent agreement with conventional devices (JAMA Ophthalmology 2015).

Research Area
Bacteria
Clinical trials
Complex interventions
Decision analysis
Diagnostics
Drug resistance
Innate immunity
Disease control
Environmental Health
Global Health
Discipline
Immunopathology
Epidemiology
Immunology
Opthalmology
Disease and Health Conditions
Eye diseases
Infectious disease
Trachoma
Neglected Tropical Diseases (NTDs)
Country
Ethiopia
Gambia, The
India
Kenya
Nepal
Tanzania
Uganda
Region
South Asia
Sub-Saharan Africa (developing only)

Selected Publications

Posterior lamellar versus bilamellar tarsal rotation surgery for trachomatous trichiasis in Ethiopia: a randomised controlled trial.
Habtamu, E.; Wondie, T.; Aweke, S.; Tadesse, Z.; Zerihun, M.; Zewudie, Z.; Kello, A.B.; Roberts, C.H.; Emerson, P.M.; Bailey, R.L.; Mabey, D.C.; Rajak, S.N.; Callahan, K.; Weiss, H.A.; Burton, M.J.;
2016
Lancet Glob Health
Topical fluorouracil after surgery for ocular surface squamous neoplasia in Kenya: a randomised, double-blind, placebo-controlled trial.
Gichuhi, S. ; Macharia, E. ; Kabiru, J. ; Zindamoyen, A.M. ; Rono, H. ; Ollando, E. ; Wachira, J. ; Munene, R. ; Maina, J. ; Onyuma, T. ; Sagoo, M.S. ; Weiss, H.A. ; Burton, M.J. ;
2016
Lancet Glob Health
Development and Validation of a Smartphone-Based Visual Acuity Test (Peek Acuity) for Clinical Practice and Community-Based Fieldwork.
Bastawrous, A.; Rono, H.K.; Livingstone, I.A.; Weiss, H.A.; Jordan, S.; Kuper, H.; Burton, M.J.;
2015
JAMA Ophthalmol
Surgery versus epilation for the treatment of minor trichiasis in ethiopia: a randomised controlled noninferiority trial.
Rajak, S.N. ; Habtamu, E. ; Weiss, H.A. ; Kello, A.B. ; Gebre, T. ; Genet, A. ; Bailey, R.L. ; Mabey, D.C. ; Khaw, P.T. ; Gilbert, C.E. ; Emerson, P.M. ; Burton, M.J. ;
2011
PLoS Med
Absorbable versus silk sutures for surgical treatment of trachomatous trichiasis in ethiopia: a randomised controlled trial.
Rajak, S.N. ; Habtamu, E. ; Weiss, H.A. ; Kello, A.B. ; Gebre, T. ; Genet, A. ; Bailey, R.L. ; Mabey, D.C. ; Khaw, P.T. ; Gilbert, C.E. ; Emerson, P.M. ; Burton, M.J. ;
2011
PLoS Med
The conjunctival transcriptome in scarring trachoma.
Burton, M.J.; Rajak, S.N.; Bauer, J.; Weiss, H.A.; Tolbert, S.B.; Shoo, A.; Habtamu, E.; Manjurano, A.; Emerson, P.M.; Mabey, D.C.; Holland, M.J.; Bailey, R.L.;
2010
Infect Immun
Re-emergence of Chlamydia trachomatis infection after mass antibiotic treatment of a trachoma-endemic Gambian community: a longitudinal study.
Burton, M.J.; Holland, M.J.; Makalo, P.; Aryee, E.A.; Alexander, N.D.; Sillah, A.; Faal, H.; West, S.K.; Foster, A.; Johnson, G.J.; Mabey, D.C.; Bailey, R.L.;
2005
Lancet
A randomised controlled trial of azithromycin following surgery for trachomatous trichiasis in the Gambia.
Burton, M.J.; Kinteh, F.; Jallow, O.; Sillah, A.; Bah, M.; Faye, M.; Aryee, E.A.; Ikumapayi, U.N.; Alexander, N.D.; Adegbola, R.A.; Faal, H.; Mabey, D.C.; Foster, A.; Johnson, G.J.; Bailey, R.L.;
2005
Br J Ophthalmol
See all Professor Matthew Burton's Publications