Feasibility study of a retinal prosthesis: spatial vision with a 16-electrode implant.
OBJECTIVE
To demonstrate that an epiretinal prosthesis can produce patterned visual perception in patients blinded by photoreceptor degeneration who have no other treatment options.


METHODS
A totally blind subject with retinitis pigmentosa had a 16-electrode epiretinal prosthesis implanted. The implant is controlled wirelessly by an external computer or a head-mounted video camera. Spatial vision was assessed by measuring the subject's response to direct stimulation of patterns and by comparing the ability of the subject to identify the orientation of gratings with the system on and off.


RESULTS
In response to stimulation of 2 orthogonal rows of electrodes, the subject drew 2 lines with a mean (SEM) angle of 87.4 degrees (1.8 degrees) between them. With the system on, the subject identified the orientation of the grating target up to a spatial resolution that matches the spacing between the adjacent electrodes. In contrast, with the system off, the subject could not detect or identify the target's orientation.


CONCLUSIONS
Synchronized stimulation of different retinal locations with an epiretinal prosthesis implanted long-term can produce spatial vision with an acuity level determined by the distance between the electrodes.


BACKGROUND
clinicaltrials.gov Identifier: NCT00279500.
Caspi
Avi
A
Second Sight Medical Products, Inc, Sylmar, California 91342, USA.
Dorn
Jessy D
JD
McClure
Kelly H
KH
Humayun
Mark S
MS
Greenberg
Robert J
RJ
McMahon
Matthew J
MJ
D001766:Blindness / Q000503:physiopathology / Q000534:rehabilitation; D003623:Dark Adaptation; D004599:Electric Stimulation Therapy / Q000295:instrumentation; D004567:Electrodes, Implanted; D004596:Electroretinography; D005074:Evoked Potentials, Visual / Q000502:physiology; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation; D012160:Retina / Q000503:physiopathology*; D012174:Retinitis Pigmentosa / Q000503:physiopathology* / Q000534:rehabilitation*; D012684:Sensory Thresholds / Q000502:physiology; D013028:Space Perception / Q000502:physiology*; D014792:Visual Acuity / Q000502:physiology