BACKGROUND: A retina implant for restoring simple basic visual perception in patients who are blind due to photoreceptor loss requires optimisation of stimulation parameters for obtaining high spatio-temporal resolution. We developed effective low-power epi-retinal stimulation and intracortical recording in semichronically prepared cats. METHODS: Individually driveable fibre electrodes were inserted through a small scleral incision and positioned at the area centralis. Polyimide-platinum film electrodes were inserted via a corneal incision and fixed by instillation of perfluorocarbon liquid on the internal limiting membrane. For electrical stimulation we used short charge-balanced current impulses of 100-400 micro s duration and amplitudes ranging from 1 to 100 micro A. During stimulation we recorded multiple single-cell and population activities from areas 17 and 18. Recordings were stored digitally. Stimulus-response relations including response strength, cortical activation zones, information transmission, and electrical receptive fields were analysed off-line. RESULTS: We found low-threshold activations with fibre electrodes and polyimide-platinum film electrodes in close mechanical contact to the retina. Retinal stimulation with bipolar charge-balanced impulses resulted in cortical activation zones corresponding to 1-5 degrees visual angle at paracentral locations dependent on the eccentricity of the retinal stimulation point. Retino-cortical transinformation analysis revealed 20-30 bits/s per electrode, corresponding to 10-15 four-level pictures/s. Electrical receptive fields had sizes of 1-3 degrees visual angle. CONCLUSIONS: Coarse visuomotor coordination and navigation seems possible with retina implants.
BACKGROUND: A retina implant for restoring simple basic visual perception in patients who are blind due to photoreceptor loss requires optimisation of stimulation parameters for obtaining high spatio-temporal resolution. We developed effective low-power epi-retinal stimulation and intracortical recording in semichronically prepared cats. METHODS: Individually driveable fibre electrodes were inserted through a small scleral incision and positioned at the area centralis. Polyimide-platinum film electrodes were inserted via a corneal incision and fixed by instillation of perfluorocarbon liquid on the internal limiting membrane. For electrical stimulation we used short charge-balanced current impulses of 100-400 micro s duration and amplitudes ranging from 1 to 100 micro A. During stimulation we recorded multiple single-cell and population activities from areas 17 and 18. Recordings were stored digitally. Stimulus-response relations including response strength, cortical activation zones, information transmission, and electrical receptive fields were analysed off-line. RESULTS: We found low-threshold activations with fibre electrodes and polyimide-platinum film electrodes in close mechanical contact to the retina. Retinal stimulation with bipolar charge-balanced impulses resulted in cortical activation zones corresponding to 1-5 degrees visual angle at paracentral locations dependent on the eccentricity of the retinal stimulation point. Retino-cortical transinformation analysis revealed 20-30 bits/s per electrode, corresponding to 10-15 four-level pictures/s. Electrical receptive fields had sizes of 1-3 degrees visual angle. CONCLUSIONS:Coarse visuomotor coordination and navigation seems possible with retina implants.
Authors: Dimiter R Bertschinger; Evgueny Beknazar; Manuel Simonutti; Avinoam B Safran; José A Sahel; Serge G Rosolen; Serge Picaud; Joel Salzmann Journal: Graefes Arch Clin Exp Ophthalmol Date: 2008-08-16 Impact factor: 3.117