A method and technical equipment for an acute human trial to evaluate retinal implant technology

This paper reports on methods and technical equipment to investigate the epiretinal stimulation of the retina in blind human subjects in acute trials. Current is applied to the retina through a thin, flexible microcontact film (microelectrode array) with electrode diameters ranging from 50 to 360 microm. The film is mounted in a custom-designed surgical tool that is hand-held by the surgeon during stimulation. The eventual goal of the work is the development of a chronically implantable retinal prosthesis to restore a useful level of vision to patients who are blind with outer retinal degenerations, specifically retinitis pigmentosa and macular degeneration.

[1]  R. H. Propst,et al.  Visual perception elicited by electrical stimulation of retina in blind humans. , 1996, Archives of ophthalmology.

[2]  S. Kelly,et al.  Perceptual efficacy of electrical stimulation of human retina with a microelectrode array during short-term surgical trials. , 2003, Investigative ophthalmology & visual science.

[3]  J. L. Stone,et al.  Morphometric analysis of macular photoreceptors and ganglion cells in retinas with retinitis pigmentosa. , 1992, Archives of ophthalmology.

[4]  B. Jones,et al.  Retinal remodeling in inherited photoreceptor degenerations , 2003, Molecular Neurobiology.

[5]  B. Hoefflinger,et al.  The development of subretinal microphotodiodes for replacement of degenerated photoreceptors. , 1997, Ophthalmic research.

[6]  Nigel H. Lovell,et al.  CMOS neurostimulation ASIC with 100 channels, scaleable output, and bidirectional radio-frequency telemetry , 2001, IEEE Transactions on Biomedical Engineering.

[7]  B. Jones,et al.  Retinal remodeling triggered by photoreceptor degenerations , 2003, The Journal of comparative neurology.

[8]  S. Kelly,et al.  Methods and perceptual thresholds for short-term electrical stimulation of human retina with microelectrode arrays. , 2003, Investigative ophthalmology & visual science.

[9]  N. Bornfeld,et al.  Verification of threshold parameters and tissue compatibility of IrOx film–electrodes on epiretinal electrical stimulation of retina in mini pigs , 2004 .

[10]  X. Beebe,et al.  Charge injection limits of activated iridium oxide electrodes with 0.2 ms pulses in bicarbonate buffered saline (neurological stimulation application) , 1988, IEEE Transactions on Biomedical Engineering.

[11]  J. Weiland,et al.  Pattern electrical stimulation of the human retina , 1999, Vision Research.

[12]  R. Eckmiller Learning retina implants with epiretinal contacts. , 1997, Ophthalmic research.

[13]  K Heimann,et al.  Successful long-term implantation of electrically inactive epiretinal microelectrode arrays in rabbits. , 1999, Retina.

[14]  A. Y. Chow,et al.  Subretinal electrical stimulation of the rabbit retina , 1997, Neuroscience Letters.

[15]  Gislin Dagnelie,et al.  Visual perception in a blind subject with a chronic microelectronic retinal prosthesis , 2003, Vision Research.

[16]  A. Milam,et al.  Preservation of the inner retina in retinitis pigmentosa. A morphometric analysis. , 1997, Archives of ophthalmology.

[17]  J. Weiland,et al.  Long-term histological and electrophysiological results of an inactive epiretinal electrode array implantation in dogs. , 1999, Investigative ophthalmology & visual science.

[18]  Joseph F. Rizzo,et al.  Ocular implants for the blind , 1996 .