Spatial resolution and perception of patterns mediated by a subretinal 16-electrode array in patients blinded by hereditary retinal dystrophies
Abstract
PURPOSE: The perception of 11 persons blinded by hereditary retinal degeneration elicited by a subretinally implanted 16-electrode array used for light-independent direct stimulation of the retina is described. This device is part of the Tübingen retina implant, which also employs a light-sensitive, multiphotodiode array (MPDA). The ability to reliably recognize complex spatial percepts was investigated. METHODS: Eleven blind volunteers received implants and participated in standardized psychophysical tests investigating the size and shape of perceptions elicited by single-electrode activation, multiple-electrode activation, and activation of compound patterns such as simplified letters. RESULTS: Visual percepts were elicited reliably in 8 of 11 patients. On single-electrode activation, percepts were generally described as round spots of light of distinguishable localization in the visual field. On activation of a pattern of electrodes, percepts matched that pattern when electrodes were activated sequentially. Patterns such as horizontal or vertical bars were identified reliably; the most recent participant was able to recognize simplified letters presented on the 16-electrode array. The smallest distance between sites of concurrent retinal stimulation still yielding discernible spots of light was assessed to be 280 μm, corresponding to a logMAR of 1.78. CONCLUSIONS: Subretinal electric stimulation can yield reliable, predictable percepts. Patterned perception is feasible, enabling blind persons to recognize shapes and discriminate different letters. Stimulation paradigms must be optimized, to further increase spatial resolution, demanding a better understanding of physical and biological effects of single versus repetitive stimulation (ClinicalTrials.gov number, NCT00515814).
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Patients might still experience arcuate and linear phosphenes when high current amplitudes are used, most probably due to direct RGC activation.
“However, patients might still experience arcuate and linear phosphenes when high current amplitudes are used [140], most probably due to direct RGC activation.”
From Advances in visual prostheses: engineering and biological challenges (2022) · cites this paper as [140]
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- Authors
- Wilke, R., Gabel, V.-P., Sachs, H., Bartz Schmidt, K.-U., Gekeler, F., Besch, D., Szurman, P., Stett, A., Wilhelm, B., Peters, T., Harscher, A., Greppmaier, U., Kibbel, S., Benav, H., Bruckmann, A., Stingl, K., Kusnyerik, A., & Zrenner, E.
- Affiliations
- University of Tübingen (DE)
- University of Regensburg (DE)
- Krankenhaus Dresden-Friedrichstadt (DE)
- From the Centre for Ophthalmology, University of Tübingen, Tübingen, Germany;
- Natural and Medical Sciences Institute (DE)
- the Steinbeis Transfer Centre Eyetrial, Centre for Ophthalmology, Tübingen, Germany;
- Retina Implant AG, Reutlingen, Germany; and
- From the Centre for Ophthalmology, University of Tübingen, Tübingen, Germany; the 8Department of Ophthalmology, Semmelweis University, Budapest, Hungary.
- ORCID
- Venue
- Investigative Opthalmology & Visual Science
- Published
- 2011-07-30
- Volume
- 52
- Issue
- 8
- Pages
- 5995
- ISSN
- 0146-0404 (ISSN-L)
- 1552-5783
- OpenAlex
- W2051509380
- Cited by
- 155
- References
- 55
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 2 · 2023: 2 · 2022: 8 · 2021: 6 · 2020: 7 · 2019: 5 · 2018: 9 · 2017: 13 · 2016: 18 · 2015: 10 · 2014: 22 · 2013: 25 · 2012: 13
- FWCI
- 8.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Investigative Ophthalmology & Visual Science (publishedVersion)
- PubMed (publishedVersion)
- University of Regensburg Publication Server (University of Regensburg) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Tactile and Sensory Interactions
- Keywords
- retinal prosthesis, inherited retinal degeneration, visual perception, spatial resolution, pattern recognition, letter recognition, electrode spacing, blind patients
- MeSH terms
- Adult, Blindness, Electrodes, Implanted, Humans, Male, Middle Aged, Motion Perception, Orientation, Pattern Recognition, Visual, Prosthesis Design, Psychophysics, Space Perception, Prosthesis Implantation, Visual Prosthesis, Retinal Dystrophies
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