Temporal interactions during paired-electrode stimulation in two retinal prosthesis subjects
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PURPOSE: Since 2002, six blind patients have undergone implantation of an epiretinal 4 × 4 electrode array designed to directly stimulate the remaining cells of the retina after severe photoreceptor degeneration due to retinitis pigmentosa. This study was conducted to investigate how the brightness of percepts is affected by pulse timing across electrodes in two of these patients. METHODS: Subjects compared the perceived brightness of a standard stimulus (synchronous pulse trains presented across pairs of electrodes) to the perceived brightness of a test stimulus (pulse trains across the electrode pair phase shifted by 0.075, 0.375, 1.8, or 9 ms). The current amplitude necessary for each phase-shifted test stimulus to match the brightness of the standard was determined. RESULTS: Depending on the electrode pair, interactions between electrodes were either facilitatory (the perceived brightness produced by stimulating the pair of electrodes was greater than that produced by stimulating either electrode alone) or suppressive (the perceived brightness produced by stimulating the pair of electrodes was less than that produced by stimulating either electrode alone). The amount of interaction between electrodes decreased as a function of increased separation both in time (the phase-shift between pulse trains) and space (center-to-center distance between the electrode pair). CONCLUSIONS: For visual prostheses to represent visual scenes that are changing in both space and time requires the development of spatiotemporal models describing the effects of stimulation across multiple electrodes. During multielectrode stimulation, interactions between electrodes have a significant influence on subjective brightness that includes both facilitatory and suppressive effects, and these interactions can be described with a simple computational model. (ClinicalTrials.gov number, NCT00279500.).
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Elicited percepts are affected by other stimulating electrodes even after temporally staggering pulses to remove electric field interactions.
“Horsager et al (2011) found that elicited percepts were affected by other stimulating electrodes (even after temporally staggering pulses to remove electric field interactions) and demonstrated a linear combination of threshold currents for simultaneous stimulation.”
From Axonal stimulation affects the linear summation of single-point perception in three Argus II users (2024) · cites this paper as Horsager et al 2011
There is a linear combination of threshold currents for simultaneous stimulation.
“Horsager et al (2011) found that elicited percepts were affected by other stimulating electrodes (even after temporally staggering pulses to remove electric field interactions) and demonstrated a linear combination of threshold currents for simultaneous stimulation.”
From Axonal stimulation affects the linear summation of single-point perception in three Argus II users (2024) · cites this paper as Horsager et al 2011
When multiple electrodes are stimulated simultaneously, phosphenes tend to merge together in complex ways.
“However, it is not typically that simple: when multiple electrodes are stimulated simultaneously, phosphenes tend to merge together in complex ways (Bosking et al. 2018; Rizzo et al. 2003; Horsager et al. 2011; Horsager, Greenberg, and Fine 2010; Wilke et al. 2011).”
From Sequential epiretinal stimulation improves discrimination in simple shape discrimination tasks only (2022) · cites this paper as Horsager et al. 2011
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Sequential epiretinal stimulation improves discrimination in simple shape discrimination tasks only
Christie, B., Sadeghi, R., Kartha, A., Caspi, A., Tenore, F. V., Klatzky, R. L., Dagnelie, G., & Billings, S. (2022) · Journal of Neural Engineering · doi:10.1088/1741-2552/ac7326 · Cited by 10 · see citing works
In vivo feasibility of epiretinal stimulation using ultrananocrystalline diamond electrodes
Shivdasani, M. N., Evans, M., Burns, O., Yeoh, J., Allen, P. J., Nayagam, D. A. X., Villalobos, J., Abbott, C. J., Luu, C. D., Opie, N. L., et al. (2020) · Journal of Neural Engineering · doi:10.1088/1741-2552/aba560 · Cited by 10 · see citing works
Modeling the perceptual experience of retinal prosthesis patients
Beyeler, M., Rokem, A., Boynton, G. M., & Fine, I. (2017) · Journal of Vision · doi:10.1167/17.10.573 · Cited by 4 · see citing works
Cao, P., Sun, J., Yan, Y., Chen, Y., Chai, X., Sun, X., Ren, Q., & Li, L. (2015) · Graefe s Archive for Clinical and Experimental Ophthalmology · doi:10.1007/s00417-015-3121-0 · Cited by 4 · see citing works
Weitz, A. C., & Weiland, J. D. (2014) · Springer eBooks · doi:10.1007/978-1-4614-8151-5_7 · Cited by 4 · see citing works
The Influence of Phosphene Synchrony in Driving Object Binding in a Simulation of Artificial Vision
Meital-Kfir, N., & Pezaris, J. S. (2023) · Investigative Ophthalmology & Visual Science · doi:10.1167/iovs.64.15.5 · Cited by 3 · see citing works
Tsai, Y.-C., Wu, J. J.-S., Lin, P.-K., Lin, B.-J., Wang, P.-S., Liu, C.-H., Wu, C.-Y., & Chiao, C. (2020) · PLoS ONE · doi:10.1371/journal.pone.0228861 · Cited by 3 · see citing works
Human-in-the-loop optimization of visual prosthetic stimulation
Fauvel, T., & Chalk, M. (2021) · doi:10.1101/2021.11.24.469867 · Cited by 15 · see citing works
Fuzzing the brain: automated stress testing for the safety of ML-driven neurostimulation
Downing, M., Peng, M., Granley, J., Beyeler, M., & Bultan, T. (2026) · Journal of Neural Engineering · doi:10.1088/1741-2552/ae4927 · Cited by 1 · see citing works
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Retinal Prostheses: Patient Selection and Screening
Gregori, N. Z., & de Koo, L. C. O. (2017) · Essentials in ophthalmology/Essentials ophthalmology · doi:10.1007/978-3-319-67260-1_3 · Cited by 1 · see citing works
Prosthetic Vision, Perceptual Effects
Dagnelie, G., & Stronks, H. C. (2014) · Springer eBooks · doi:10.1007/978-1-4614-7320-6_657-1
Prosthetic Vision, Perceptual Effects
Dagnelie, G., & Stronks, H. C. (2015) · Springer eBooks · doi:10.1007/978-1-4614-6675-8_657
Prosthetic Vision, Perceptual Effects
Dagnelie, G., & Stronks, H. C. (2022) · Springer eBooks · doi:10.1007/978-1-0716-1006-0_657
A Dynamic Virtual Channel Approach to Enhance Retinal Prosthetic Precision
Liu, Z., Guo, T., He, Y., Zheng, S., Song, X., Dai, C., Li, J., Chai, X., Chen, Y., & Li, L. (2026) · Biomimetics · doi:10.3390/biomimetics11050307
- Authors
- Horsager, A., Boynton, G. M., Greenberg, R. J., & Fine, I.
- Affiliations
- University of Southern California (US)
- University of Washington (US)
- Second Sight Medical Products (US)
- Venue
- Investigative Opthalmology & Visual Science
- Published
- 2011-01-31
- Volume
- 52
- Issue
- 1
- Pages
- 549
- ISSN
- 0146-0404 (ISSN-L)
- 1552-5783
- PMC
- PMC3053297
- OpenAlex
- W2068635883
- Cited by
- 48
- References
- 53
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 6 · 2014: 5 · 2013: 4 · 2012: 2
- FWCI
- 1.81
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Investigative Ophthalmology & Visual Science (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Research to Prevent Blindness
- Fletcher Jones Foundation
- National Institutes of Health
- National Eye Institute (R01EY014645, EY012893, EY014645, P30EY001730)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
- Life Sciences › Neuroscience › Cognitive Neuroscience › Tactile and Sensory Interactions
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Keywords
- retinal prosthesis, temporal interactions, pulse timing, phase shift, brightness perception, electrode spacing, retinitis pigmentosa, spatio-temporal modeling, visual perception
- MeSH terms
- Electrodes, Implanted, Humans, Light, Microelectrodes, Middle Aged, Photic Stimulation, Retina, Retinitis Pigmentosa, Sensory Thresholds, Visual Perception, Prosthesis Implantation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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