Cited by 113Neuroscience and Neural EngineeringTactile and Sensory InteractionsPain Management and Treatment

Temporal properties of visual perception on electrical stimulation of the retina

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Pérez Fornos, Angélica, Sommerhalder, Jörg, da Cruz, Lyndon, Sahel, Jose Alain, Mohand-Said, Saddek, Hafezi, Farhad, Pelizzone, Marco·2012·Investigative Opthalmology & Visual Science

Abstract

PURPOSE: To investigate the elementary temporal properties of electrically evoked percepts in blind patients chronically implanted with an epiretinal prosthesis. METHODS: Nine subjects were presented with isolated stimuli of variable duration and pulse rate. Stimulation amplitude was set to the upper comfortable level and a group of 2 × 2 adjacent electrodes was simultaneously activated. First, subjects were asked to verbally describe their visual perception paying particular attention to the time-course of brightness. Then, in subsequent trials, they described the brightness time dependence using a joystick while auditory feedback of joystick position was provided. RESULTS: All subjects described a bright, well-localized percept at stimulus onset. Only one subject reported such a bright, well-localized visual sensation during an entire 10-second stimulation trial. For the remaining eight subjects, it faded more or less rapidly (in four cases <0.5 second) and was often followed by a percept described as less bright, poorly localized, and having different color. Only initial percepts at stimulation onset seemed bright and localized enough to reconstruct a patterned image. Changing stimulation pulse rate influenced the time course of perception only in some cases but the effect was not systematic. CONCLUSIONS: Percepts differed considerably across subjects, probably because of the considerable variations in the progression and remodeling processes associated with the disease. Appropriate coding of a patterned image under such conditions appears challenging. Further research of the underlying mechanisms of visual perception upon electrical stimulation of the retina is required to optimize stimulation paradigms and to better establish patient selection criteria.

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Research works printed but not linked: 4

  1. Simple (Pearson's) Correlations of Relevant Patients' and Performance Data versus the Duration of the FWLHB Phase for 10 s Duration Stimuli at 20 pps Age at implant R ¼ -0.34; P ¼ 0.36 Time blind before implant R ¼ 0.58; P ¼ 0.10 QUAD eccentricity R ¼ 0.09; P ¼ 0.80
  2. Tombran-Tink J, Barnstable CJ, Rizzo JF, eds. Visual Prosthesis and Ophthalmic Devices: New Hope in Sight. Totowa, NJ: Humana Press; 2007.
  3. Humayun MS, Dorn JD, Ahuja AK, et al. Preliminary 6 month results from the Argus II epiretinal prosthesis feasibility study. Conf Proc IEEE Eng Med Biol Soc. 2009;2009:4566-4568.
  4. Rayner K. Eye movements and attention in reading, scene perception, and visual search. Q J Exp Psychol (Colchester). 2009;62:1457-1506.

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Authors
Pérez Fornos, A., Sommerhalder, J., da Cruz, L., Sahel, J. A., Mohand-Said, S., Hafezi, F., & Pelizzone, M.
Affiliations
  • Ophthalmology Clinic, Geneva University Hospitals, Geneva, Switzerland;
  • University Hospital of Geneva (CH)
  • Vitreoretinal Surgery, Moorfields Eye Hospital, London, UK;
  • and Ophthalmology Department, Quinze-Vingts National Eye Hospital, Paris, France.
Venue
Investigative Opthalmology & Visual Science
Published
2012-05-04
Volume
53
Issue
6
Pages
2720
ISSN
  • 0146-0404 (ISSN-L)
  • 1552-5783
OpenAlex
W2025741205
Cited by
113
References
54
Citations by year
2026: 2 · 2025: 8 · 2024: 6 · 2023: 4 · 2022: 12 · 2021: 8 · 2020: 8 · 2019: 5 · 2018: 9 · 2017: 6 · 2016: 12 · 2015: 7 · 2014: 14 · 2013: 7 · 2012: 2
FWCI
3.95
Type
journal article
Language
en
Open access
Locations
  • Investigative Ophthalmology & Visual Science (publishedVersion)
  • PubMed (publishedVersion)
  • Archive ouverte UNIGE (University of Geneva) (publishedVersion, other-oa)
  • UCL Discovery (University College London) (submittedVersion)
  • Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Tactile and Sensory Interactions
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords
epiretinal prosthesis, visual perception, visual localization, pulse rate, blind patients, patient selection
MeSH terms
Adult, Aged, Blindness, Electric Stimulation, Electrodes, Implanted, Evoked Potentials, Visual, Female, Humans, Light, Male, Microelectrodes, Middle Aged, Phosphenes, Retina, Visual Perception, Prosthesis Implantation, Visual Prosthesis

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