Appropriate Electrode Positions Improve Stimulation Efficacies in Electrical Eye Stimulations

Electrical stimulations have demonstrated positive effects in improving the survival rates of retinal cells and restoring the visual acuity in patients with ophthalmic diseases. However, optimal application parameters of electrical stimulations still need further exploration for better clinical efficacy. In this paper, a simulation study was performed for the electrical eyes stimulation with the stimulating electrode placed at six different positions on the eyelids. The results showed that the induced electric field was mainly distributed around front parts in the eye, while back position near retina had only strongly attenuated induced fields. Additionally, stimulating electrodes located at upper and outer positions on eyelid tended to produce stronger electric fields in eye than located at the opposite positions. This simulation study demonstrated that electrode positions played an important role in retina cell activities modulation in electrical eyes stimulation, and appropriate configurations that can increase retina stimulation efficiency are of great concern in practical clinical application, which need further exploration and investigation.

[1]  Ava K. Bittner,et al.  Longevity of visual improvements following transcorneal electrical stimulation and efficacy of retreatment in three individuals with retinitis pigmentosa , 2018, Graefe's Archive for Clinical and Experimental Ophthalmology.

[2]  A. Fedorov,et al.  Repetitive transorbital alternating current stimulation in optic neuropathy. , 2010, NeuroRehabilitation.

[3]  Eberhart Zrenner,et al.  Phosphenes electrically evoked with DTL electrodes: a study in patients with retinitis pigmentosa, glaucoma, and homonymous visual field loss and normal subjects. , 2006, Investigative ophthalmology & visual science.

[4]  Alexander Opitz,et al.  Spatiotemporal structure of intracranial electric fields induced by transcranial electric stimulation in humans and nonhuman primates , 2016, Scientific Reports.

[5]  Eberhart Zrenner,et al.  Transcorneal electrical stimulation for patients with retinitis pigmentosa: a prospective, randomized, sham-controlled exploratory study. , 2011, Investigative ophthalmology & visual science.

[6]  Eberhart Zrenner,et al.  Transcorneal Electrical Stimulation for Patients With Retinitis Pigmentosa: A Prospective, Randomized, Sham-Controlled Follow-up Study Over 1 Year. , 2017, Investigative ophthalmology & visual science.

[7]  S. Kremmer,et al.  Transpalpebral electrotherapy for dry age-related macular degeneration (AMD): an exploratory trial. , 2013, Restorative neurology and neuroscience.

[8]  Eberhart Zrenner,et al.  Transcorneal Electrical Stimulation in Patients with Retinal Artery Occlusion: A Prospective, Randomized, Sham-Controlled Pilot Study , 2013, Ophthalmology and Therapy.

[9]  C. Gall,et al.  Restoration of vision after optic nerve lesions with noninvasive transorbital alternating current stimulation: a clinical observational study , 2011, Brain Stimulation.

[10]  Michael Bennet,et al.  Microcurrent stimulation in the treatment of dry and wet macular degeneration , 2015, Clinical ophthalmology.

[11]  Wei Liu,et al.  Using Electrical Stimulation to Enhance the Efficacy of Cell Transplantation Therapies for Neurodegenerative Retinal Diseases: Concepts, Challenges, and Future Perspectives , 2017, Cell transplantation.

[12]  Luigi Aloe,et al.  Effects of electroacupuncture on retinal nerve growth factor and brain-derived neurotrophic factor expression in a rat model of retinitis pigmentosa , 2006, Brain Research.

[13]  Bernhard A. Sabel,et al.  Noninvasive transorbital alternating current stimulation improves subjective visual functioning and vision-related quality of life in optic neuropathy , 2011, Brain Stimulation.

[14]  Oliver Speck,et al.  Transorbital alternating current stimulation modifies BOLD activity in healthy subjects and in a stroke patient with hemianopia: A 7 Tesla fMRI feasibility study. , 2020, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[15]  Gislin Dagnelie,et al.  Randomized controlled trial of electro‐stimulation therapies to modulate retinal blood flow and visual function in retinitis pigmentosa , 2018, Acta ophthalmologica.

[16]  Axel Thielscher,et al.  Field modeling for transcranial magnetic stimulation: A useful tool to understand the physiological effects of TMS? , 2015, 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[17]  Kin-Sang Cho,et al.  Electrical Stimulation as a Means for Improving Vision. , 2016, The American journal of pathology.

[18]  Tao Chen,et al.  The transcorneal electrical stimulation as a novel therapeutic strategy against retinal and optic neuropathy: a review of experimental and clinical trials. , 2016, International journal of ophthalmology.