Design and validation of a foldable and photovoltaic wide-field epiretinal prosthesis

被引:140
作者
Ferlauto, Laura [1 ]
Leccardi, Marta Jole Ildelfonsa Airaghi [1 ]
Chenais, Naig Aurelia Ludmilla [1 ]
Gillieron, Samuel Charles Antoine [1 ]
Vagni, Paola [1 ]
Bevilacqua, Michele [1 ]
Wolfensberger, Thomas J. [2 ]
Sivula, Kevin [3 ]
Ghezzi, Diego [1 ]
机构
[1] Ecole Polytech Fed Lausanne, Sch Engn, Inst Bioengn, Ctr Neuroprosthet,Medtron Chair Neuroengn, Lausanne, Switzerland
[2] Univ Lausanne, Fdn Asile des Aveugles, Hop Ophtalm Jules Gonin, Dept Ophthalmol, Lausanne, Switzerland
[3] Ecole Polytech Fed Lausanne, Sch Basic Sci, Inst Chem Sci & Engn, Lab Mol Engn Optoelect Nanomat, Lausanne, Switzerland
关键词
RETINAL PROSTHESIS; ELECTRICAL-STIMULATION; MOBILITY PERFORMANCE; VISION; IMPLANTATION; RESTORATION; SAFETY;
D O I
10.1038/s41467-018-03386-7
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Retinal prostheses have been developed to fight blindness in people affected by outer retinal layer dystrophies. To date, few hundred patients have received a retinal implant. Inspired by intraocular lenses, we have designed a foldable and photovoltaic wide-field epiretinal prosthesis (named POLYRETINA) capable of stimulating wireless retinal ganglion cells. Here we show that within a visual angle of 46.3 degrees, POLYRETINA embeds 2215 stimulating pixels, of which 967 are in the central area of 5 mm, it is foldable to allow implantation through a small scleral incision, and it has a hemispherical shape to match the curvature of the eye. We demonstrate that it is not cytotoxic and respects optical and thermal safety standards; accelerated ageing shows a lifetime of at least 2 years. POLYRETINA represents significant progress towards the improvement of both visual acuity and visual field with the same device, a current challenging issue in the field.
引用
收藏
页数:15
相关论文
共 47 条
[1]   Diamond Devices for High Acuity Prosthetic Vision [J].
Ahnood A. ;
Meffin H. ;
Garrett D.J. ;
Fox K. ;
Ganesan K. ;
Stacey A. ;
Apollo N.V. ;
Wong Y.T. ;
Lichter S.G. ;
Kentler W. ;
Kavehei O. ;
Greferath U. ;
Vessey K.A. ;
Ibbotson M.R. ;
Fletcher E.L. ;
Burkitt A.N. ;
Prawer S. .
Advanced Biosystems, 2017, 1 (1-2) :1-2
[2]   Toward a wide-field retinal prosthesis [J].
Ameri, Hossein ;
Ratanapakorn, Tanapat ;
Ufer, Stefan ;
Eekhardt, Helmut ;
Humayun, Mark S. ;
Weiland, James D. .
JOURNAL OF NEURAL ENGINEERING, 2009, 6 (03)
[3]  
[Anonymous], 2014, TRANSL VIS SCI TECHN, V3, P3
[4]   Characterization of a Polymer-Based, Fully Organic Prosthesis for Implantation into the Subretinal Space of the Rat [J].
Antognazza, Maria Rosa ;
Di Paolo, Mattia ;
Ghezzi, Diego ;
Mete, Maurizio ;
Di Marco, Stefano ;
Maya-Vetencourt, Jose Fernando ;
Maccarone, Rita ;
Desii, Andrea ;
Di Fonzo, Fabio ;
Bramini, Mattia ;
Russo, Angela ;
Laudato, Lucia ;
Donelli, Ilaria ;
Cilli, Michele ;
Freddi, Giuliano ;
Pertile, Grazia ;
Lanzani, Guglielmo ;
Bisti, Silvia ;
Benfenati, Fabio .
ADVANCED HEALTHCARE MATERIALS, 2016, 5 (17) :2271-2282
[5]   Semiconductor Nanorod-Carbon Nanotube Biomimetic Films for Wire-Free Photostimulation of Blind Retinas [J].
Bareket, Lilach ;
Waiskopf, Nir ;
Rand, David ;
Lubin, Gur ;
David-Pur, Moshe ;
Ben-Dov, Jacob ;
Roy, Soumyendu ;
Eleftheriou, Cyril ;
Sernagor, Evelyne ;
Cheshnovsky, Ori ;
Banin, Uri ;
Hanein, Yael .
NANO LETTERS, 2014, 14 (11) :6685-6692
[6]   Resolution of the Epiretinal Prosthesis is not Limited by Electrode Size [J].
Behrend, Matthew R. ;
Ahuja, Ashish K. ;
Humayun, Mark S. ;
Chow, Robert H. ;
Weiland, James D. .
IEEE TRANSACTIONS ON NEURAL SYSTEMS AND REHABILITATION ENGINEERING, 2011, 19 (04) :436-442
[7]   Photovoltaic Pixels for Neural Stimulation: Circuit Models and Performance [J].
Boinagrov, David ;
Lei, Xin ;
Goetz, Georges ;
Kamins, Theodore I. ;
Mathieson, Keith ;
Galambos, Ludwig ;
Harris, James S., Jr. ;
Palanker, Daniel .
IEEE TRANSACTIONS ON BIOMEDICAL CIRCUITS AND SYSTEMS, 2016, 10 (01) :85-97
[8]   Selectivity of direct and network-mediated stimulation of the retinal ganglion cells with epi-, sub- and intraretinal electrodes [J].
Boinagrov, David ;
Pangratz-Fuehrer, Susanne ;
Goetz, Georges ;
Palanker, Daniel .
JOURNAL OF NEURAL ENGINEERING, 2014, 11 (02)
[9]   Causes of vision loss worldwide, 1990-2010: a systematic analysis [J].
Bourne, Rupert R. A. ;
Stevens, Gretchen A. ;
White, Richard A. ;
Smith, Jennifer L. ;
Flaxman, Seth R. ;
Price, Holly ;
Jonas, Jost B. ;
Keeffe, Jill ;
Leasher, Janet ;
Naidoo, Kovin ;
Pesudovs, Konrad ;
Resnikoff, Serge ;
Taylor, Hugh R. .
LANCET GLOBAL HEALTH, 2013, 1 (06) :E339-E349
[10]   MOBILITY PERFORMANCE WITH A PIXELIZED VISION SYSTEM [J].
CHA, K ;
HORCH, KW ;
NORMANN, RA .
VISION RESEARCH, 1992, 32 (07) :1367-1372