Literature DB >> 25219982

Safety evaluation of "retina implant alpha IMS"--a prospective clinical trial.

Veronique B D Kitiratschky1, Katarina Stingl, Barbara Wilhelm, Tobias Peters, Dorothea Besch, Helmut Sachs, Florian Gekeler, Karl Ulrich Bartz-Schmidt, Eberhart Zrenner.   

Abstract

BACKGROUND: To restore vision in patients with retinitis pigmentosa, several types of electronic devices have been developed to stimulate neurons at different levels along the visual pathway. Subretinal stimulation of the retina with the Retina Implant Alpha IMS (Retina Implant AG, Reutlingen, Germany) has been demonstrated to provide useful vision in daily life. Here we evaluated the safety of this device.
METHODS: An interventional, prospective, multi-center, single-arm study was conducted in patients with retinitis pigmentosa with the Retina Implant Alpha IMS. The results from the first nine patients of a single center regarding safety of the device are reported. Any untoward medical occurrence related or unrelated to the tested device was documented and evaluated.
RESULTS: Nine adult subjects were included in the study at the Tübingen site. Seventy-five adverse events occurred in total, and 53 affected the eye and its adnexa. Thirty-one ocular adverse events had a relationship to the implant that was classified as "certain" while 19 had a probable or possible relationship; three had no relationship to the implant. Thirty-nine ocular adverse events resolved without sequelae, two resolved with sequelae, 11 remained unresolved, and in one the status was unknown. The intensity of ocular adverse events was mild in the majority of cases (n = 45), while six were of moderate and two of severe intensity. There was no non-ocular adverse event with certain relationship to the device. One subject lost light perception (without light localization) in her study eye.
CONCLUSIONS: In conclusion, this prospective study, "Safety and Efficacy of Subretinal Implants for Partial Restoration of Vision in Blind Patients," shows that the Retina Implant Alpha IMS is an option for restoring vision using a subretinal stimulation device with a clinically acceptable safety profile.

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Year:  2014        PMID: 25219982     DOI: 10.1007/s00417-014-2797-x

Source DB:  PubMed          Journal:  Graefes Arch Clin Exp Ophthalmol        ISSN: 0721-832X            Impact factor:   3.117


  18 in total

1.  Pattern recognition with the optic nerve visual prosthesis.

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Review 2.  [What can blind patients see in daily life with the subretinal Alpha IMS implant? Current overview from the clinical trial in Tübingen].

Authors:  K Stingl; K U Bartz-Schmidt; D Besch; F Gekeler; U Greppmaier; G Hörtdörfer; A Koitschev; T Peters; H Sachs; B Wilhelm; E Zrenner
Journal:  Ophthalmologe       Date:  2012-02       Impact factor: 1.059

3.  Positioning of electronic subretinal implants in blind retinitis pigmentosa patients through multimodal assessment of retinal structures.

Authors:  Akos Kusnyerik; Udo Greppmaier; Robert Wilke; Florian Gekeler; Barbara Wilhelm; Helmut G Sachs; Karl Ulrich Bartz-Schmidt; Uwe Klose; Katarina Stingl; Miklos D Resch; Anusch Hekmat; Anna Bruckmann; Kristof Karacs; Janos Nemeth; Ildiko Suveges; Eberhart Zrenner
Journal:  Invest Ophthalmol Vis Sci       Date:  2012-06-20       Impact factor: 4.799

4.  The artificial silicon retina in retinitis pigmentosa patients (an American Ophthalmological Association thesis).

Authors:  Alan Y Chow; Ava K Bittner; Machelle T Pardue
Journal:  Trans Am Ophthalmol Soc       Date:  2010-12

5.  Overview of the boston retinal prosthesis: challenges and opportunities to restore useful vision to the blind.

Authors:  Joseph F Rizzo; Douglas B Shire; Shawn K Kelly; Phil Troyk; Marcus Gingerich; Bruce McKee; Attila Priplata; Jinghua Chen; William Drohan; Patrick Doyle; Oscar Mendoza; Luke Theogarajan; Stuart Cogan; John L Wyatt
Journal:  Conf Proc IEEE Eng Med Biol Soc       Date:  2011

6.  Retinal fluorescein leakage in retinitis pigmentosa.

Authors:  D A Newsome
Journal:  Am J Ophthalmol       Date:  1986-03-15       Impact factor: 5.258

Review 7.  Coats'-type retinitis pigmentosa.

Authors:  J A Khan; C H Ide; M P Strickland
Journal:  Surv Ophthalmol       Date:  1988 Mar-Apr       Impact factor: 6.048

8.  Intraocular epiretinal prosthesis to restore vision in blind humans.

Authors:  W Mokwa; M Goertz; C Koch; I Krisch; H K Trieu; P Walter
Journal:  Conf Proc IEEE Eng Med Biol Soc       Date:  2008

9.  Subretinal electronic chips allow blind patients to read letters and combine them to words.

Authors:  Eberhart Zrenner; Karl Ulrich Bartz-Schmidt; Heval Benav; Dorothea Besch; Anna Bruckmann; Veit-Peter Gabel; Florian Gekeler; Udo Greppmaier; Alex Harscher; Steffen Kibbel; Johannes Koch; Akos Kusnyerik; Tobias Peters; Katarina Stingl; Helmut Sachs; Alfred Stett; Peter Szurman; Barbara Wilhelm; Robert Wilke
Journal:  Proc Biol Sci       Date:  2010-11-03       Impact factor: 5.349

10.  Artificial vision with wirelessly powered subretinal electronic implant alpha-IMS.

Authors:  Katarina Stingl; Karl Ulrich Bartz-Schmidt; Dorothea Besch; Angelika Braun; Anna Bruckmann; Florian Gekeler; Udo Greppmaier; Stephanie Hipp; Gernot Hörtdörfer; Christoph Kernstock; Assen Koitschev; Akos Kusnyerik; Helmut Sachs; Andreas Schatz; Krunoslav T Stingl; Tobias Peters; Barbara Wilhelm; Eberhart Zrenner
Journal:  Proc Biol Sci       Date:  2013-02-20       Impact factor: 5.349

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  14 in total

Review 1.  Persistent remodeling and neurodegeneration in late-stage retinal degeneration.

Authors:  Rebecca L Pfeiffer; Robert E Marc; Bryan William Jones
Journal:  Prog Retin Eye Res       Date:  2019-07-26       Impact factor: 21.198

Review 2.  Electronic retinal implants and artificial vision: journey and present.

Authors:  J O Mills; A Jalil; P E Stanga
Journal:  Eye (Lond)       Date:  2017-05-26       Impact factor: 3.775

3.  Five-Year Safety and Performance Results from the Argus II Retinal Prosthesis System Clinical Trial.

Authors:  Lyndon da Cruz; Jessy D Dorn; Mark S Humayun; Gislin Dagnelie; James Handa; Pierre-Olivier Barale; José-Alain Sahel; Paulo E Stanga; Farhad Hafezi; Avinoam B Safran; Joel Salzmann; Arturo Santos; David Birch; Rand Spencer; Artur V Cideciyan; Eugene de Juan; Jacque L Duncan; Dean Eliott; Amani Fawzi; Lisa C Olmos de Koo; Allen C Ho; Gary Brown; Julia Haller; Carl Regillo; Lucian V Del Priore; Aries Arditi; Robert J Greenberg
Journal:  Ophthalmology       Date:  2016-07-21       Impact factor: 12.079

4.  Interim Results of a Multicenter Trial with the New Electronic Subretinal Implant Alpha AMS in 15 Patients Blind from Inherited Retinal Degenerations.

Authors:  Katarina Stingl; Ruth Schippert; Karl U Bartz-Schmidt; Dorothea Besch; Charles L Cottriall; Thomas L Edwards; Florian Gekeler; Udo Greppmaier; Katja Kiel; Assen Koitschev; Laura Kühlewein; Robert E MacLaren; James D Ramsden; Johann Roider; Albrecht Rothermel; Helmut Sachs; Greta S Schröder; Jan Tode; Nicole Troelenberg; Eberhart Zrenner
Journal:  Front Neurosci       Date:  2017-08-23       Impact factor: 4.677

Review 5.  Progress in the clinical development and utilization of vision prostheses: an update.

Authors:  Alice Brandli; Chi D Luu; Robyn H Guymer; Lauren N Ayton
Journal:  Eye Brain       Date:  2016-05-11

6.  Meclofenamic acid improves the signal to noise ratio for visual responses produced by ectopic expression of human rod opsin.

Authors:  Cyril G Eleftheriou; Jasmina Cehajic-Kapetanovic; Franck P Martial; Nina Milosavljevic; Robert A Bedford; Robert J Lucas
Journal:  Mol Vis       Date:  2017-06-16       Impact factor: 2.367

Review 7.  Retinal Prosthetic Approaches to Enhance Visual Perception for Blind Patients.

Authors:  Shinyong Shim; Kyungsik Eom; Joonsoo Jeong; Sung June Kim
Journal:  Micromachines (Basel)       Date:  2020-05-24       Impact factor: 2.891

8.  Investigation of Surgical Techniques for Optimization of Long-Term Outcomes of LCP-Based Retinal Prosthesis Implantation.

Authors:  So Hyun Bae; Joonsoo Jeong; Sung June Kim; Hum Chung; Jong-Mo Seo
Journal:  Transl Vis Sci Technol       Date:  2018-08-24       Impact factor: 3.283

9.  Comparison of 5-year progression of retinitis pigmentosa involving the posterior pole among siblings by means of SD-OCT: a retrospective study.

Authors:  Leonardo Colombo; Giovanni Montesano; Barbara Sala; Fabio Patelli; Paolo Maltese; Andi Abeshi; Matteo Bertelli; Luca Rossetti
Journal:  BMC Ophthalmol       Date:  2018-06-26       Impact factor: 2.209

Review 10.  Contemporary approaches to visual prostheses.

Authors:  Rebecca M Mirochnik; John S Pezaris
Journal:  Mil Med Res       Date:  2019-06-05
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