Cited by 14Neuroscience and Neural EngineeringTactile and Sensory InteractionsVisual perception and processing mechanisms

Writing to the Mind’s Eye of the Blind

Open access
Roelfsema, Pieter R.·2020·Cell

Abstract

The implantation of electrodes on the visual cortex of blind individuals could lead to the restoration of a rudimentary form of sight. In this issue of Cell, Beauchamp et al. use electrical stimulation of the visual cortex to create visual perception of shapes.

AI snapshot

Written from the paper’s full text.

TL;DR

This Cell Preview comments on Beauchamp et al. (2020), who implanted electrode arrays on the visual cortex of sighted and blind subjects and showed that dynamic, sequential stimulation can write recognizable letter shapes into perception. It reviews the history of cortical prosthetics and the remaining challenges for restoring useful vision.

Key findings

  • Beauchamp et al. implanted silastic sheets with multiple embedded electrodes on the visual cortex of sighted individuals (implanted as part of epilepsy treatment) and two blind individuals; one blind subject received a prototype of the Orion device with 60 electrodes, built by Second Sight.
  • Simultaneous stimulation of multiple electrodes produced unpredictable percepts: phosphenes typically merged into larger phosphenes, making shape recognition impossible. The current required for a single phosphene with surface stimulation is on the order of a few milliamperes.
  • Current steering worked: concurrent stimulation of two electrodes at 70% of the base current each elicited a "virtual" phosphene between the two individual phosphene locations, and varying current proportions controlled its position along the line between them — addressing more visual-field locations than the number of implanted electrodes.
  • Rapid successive stimulation tracing letter shapes was readily recognized and reproduced by both seeing and blind subjects, which the author calls the first clear demonstration of shape perception with electrical stimulation of the visual cortex in the blind.

Methods

  • This is a Preview/commentary article, not a primary study; it summarizes and contextualizes Beauchamp et al. (2020) and reviews prior work (Brindley, Dobelle, the Argus II retinal prosthesis).
  • No new data are collected or analyzed; the described procedures (surface electrode implantation, single- and multi-electrode stimulation, current steering, sequential stimulation) are those of the Beauchamp et al. study being discussed.

Limitations

  • Stated by the paper: dynamic stimulation limited to one cortical location at a time limits the bandwidth of shape generation, because viewing time increases with the number of phosphenes needed; it may be difficult to convey information about objects that move or change shape, since drawing a single shape takes time; it is unknown whether multiple items can be presented dynamically (e.g., one per hemifield or quadrant).
  • Evident from the text: the article is a commentary rather than primary evidence, so its claims rest on the cited Beauchamp et al. study; the author also declares a competing interest as co-founder of Phosphoenix, a startup developing a visual cortex prosthesis.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.cell.2020.03.014

Cites

10 of 10 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 14 cited sources checked · 0 supported · 0 flagged

  • Premiseown data
    § Writing to the Mind's Eye of the Blind · p. 2

    The subjects easily recognized and reproduced the shape written to their visual cortex.

    “the surprising result was that the subjects readily recognized and reproduced the shape that had been written to their visual cortex.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Beauchamp et al., 2020 source

      Not checked in the free run.

  • Premisecitation
    § Writing to the Mind's Eye of the Blind · p. 2

    Rapid successive stimulation produces a series of phosphenes that traces the outline of letters.

    “phosphenes that traces out the shape of letters (Figure 1).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Beauchamp et al., 2020 source

      Not checked in the free run.

  • Interpretationreasoning
    § Writing to the Mind's Eye of the Blind · p. 2

    The study provides the first clear demonstration of shape perception through electrical stimulation of the visual cortex in blind people.

    “the study thereby presents the first clear demonstration of shape perception with electrical stimulation of the visual cortex in the blind.”
    Quote in the paperSubstantial claim
  • Premisecitation
    § Writing to the Mind's Eye of the Blind · p. 1

    Where a phosphene appears depends on which point of the cortical sheet is stimulated.

    “phosphene location depended on the stimulation point on the cortical sheet (Brindley and Lewin, 1968).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Brindley and Lewin, 1968 source

      Not checked in the free run.

  • Premisecitation
    § Writing to the Mind's Eye of the Blind · p. 1

    Stimulating the visual cortex of blind people electrically produces perceptions of light spots called phosphenes.

    “The subjects perceived dots of light upon stimulation, known as phosphenes, and Brindley studied the properties of these percepts.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Brindley and Lewin, 1968 source

      Not checked in the free run.

  • Classified as probably not a substantial claim. 3
  • May combine two claims. 9
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation
    § Writing to the Mind's Eye of the Blind · p. 1

    Dobelle placed electrodes on the visual cortex surface in a greater number of blind people between 1970 and 2000.

    “One of these scientists was William Dobelle, who implanted electrodes on the surface of the visual cortex in a larger number of blind individuals between 1970 and 2000 (Dobelle, 2000).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Dobelle, 2000 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data
    § Writing to the Mind's Eye of the Blind · p. 1

    A single phosphene from surface stimulation needs a current of a few milliamperes, and the combined current from stimulating several electrodes may activate neurons in poorly controlled patterns.

    “The current required for a single phosphene with surface stimulation is in the order of a few milliamperes, and the total current produced by the stimulation of multiple electrodes may combine to activate neurons in poorly controlled constellations.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation
    § Writing to the Mind's Eye of the Blind · p. 1

    Stimulating several electrodes at once made the extent to which the phosphenes merged into recognizable shapes unpredictable, and they usually fused into larger phosphenes so that shapes could not be recognized.

    “However, when multiple electrodes were stimulated at the same time, the degree to which the phosphenes combined into recognizable shapes was unpredictable. Typically, they merged into larger phosphenes, making shape recognition impossible.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Beauchamp et al., 2020 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation
    § Writing to the Mind's Eye of the Blind · p. 1

    The Argus II assists blind people in locating objects, but it is of limited use for recognizing shapes.

    “The Argus II helps blind individuals to localize objects, but its utility for the recognition of shapes is limited (Stronks and Dagnelie, 2014).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Stronks and Dagnelie, 2014

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation
    § Writing to the Mind's Eye of the Blind · p. 2

    Optogenetics can stimulate neural tissue with high bandwidth, reaching single-cell resolution.

    “Researchers are also developing other methods to stimulate neuronal tissue with a high bandwidth, such as optogenetics with up to singlecell resolution (Marshel et al., 2019).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Marshel et al., 2019 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning
    § Writing to the Mind's Eye of the Blind · p. 1

    People whose retina or early visual pathways are damaged can still receive a cortical implant, which is an advantage of cortical over retinal devices.

    “One advantage of cortical compared with retinal devices is that patients with damage to the retina or early visual pathways are still candidates for cortical implantation.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation
    § Writing to the Mind's Eye of the Blind · p. 2

    Both sighted and blind subjects recognized the letters.

    “Both seeing and blind subjects recognized letters”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Beauchamp et al., 2020 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation
    § Writing to the Mind's Eye of the Blind · p. 1

    Dobelle's devices worked for only a short time, and the patients seemed to gain little overall benefit in daily life.

    “However, the useful lifespan of his devices was short, and patients appeared to receive little overall benefit in their daily lives, leading to diminished enthusiasm for cortical prosthetics.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Dobelle, 2000 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation
    § Writing to the Mind's Eye of the Blind · p. 2

    Penetrating electrodes need far less current and create smaller phosphenes than surface electrodes.

    “Penetrating electrodes require orders of magnitude less current and produce smaller phosphenes (Schmidt et al., 1996).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Schmidt et al., 1996 source

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Interpretationreasoning
    § Writing to the Mind's Eye of the Blind · p. 2

    It may be possible to stimulate several nearby penetrating electrodes at once, which would improve the resolution of artificial vision.

    “It might therefore be possible to simultaneously stimulate multiple nearby electrodes, enhancing the resolution of artificial vision.”
    Quote in the paperSubstantial claim
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Authors
Roelfsema, P. R.
Affiliations
Netherlands Institute for Neuroscience (NL)
Corresponding author
Roelfsema, Pieter R.
Venue
Cell
Publisher
Elsevier BV
Published
2020-05
Volume
181
Issue
4
Pages
758-759
ISSN
0092-8674 (ISSN-L)
OpenAlex
W3024092857
Cited by
14
References
10
Citations by year
2026: 1 · 2025: 5 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 1 · 2020: 1
FWCI
0.80
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, cc-by-nc-nd)
  • KNAW Research Portal (The Royal Netherlands Academy of Arts and Sciences) (submittedVersion, cc-by-nc-nd)
  • VU Research Portal (submittedVersion)
Funders
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Tactile and Sensory Interactions
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Visual perception and processing mechanisms
Keywords
visual cortex, electrical stimulation, visual perception, blindness, vision restoration, cortical implants, shape perception, brain-computer interface
MeSH terms
Eye, Humans, Visual Cortex, Visual Perception, Writing

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