Minimizing iridium oxide electrodes for high visual acuity subretinal stimulation
Open accessAbstract
Vision loss from diseases of the outer retina, such as age-related macular degeneration, is among the leading causes of irreversible blindness in the world today. The goal of retinal prosthetics is to replace the photo-sensing function of photoreceptors lost in these diseases with optoelectronic hardware to electrically stimulate patterns of retinal activity corresponding to vision. To enable high-resolution retinal prosthetics, the scale of stimulating electrodes must be significantly decreased from current designs; however, this reduces the amount of stimulating current that can be delivered. The efficacy of subretinal stimulation at electrode sizes suitable for high visual acuity retinal prosthesis are not well understood, particularly within the safe charge injection limits of electrode materials. Here, we measure retinal ganglion cell (RGC) responses in a mouse model of blindness to evaluate the stimulation efficacy of 10, 20, and 30 μm diameter iridium oxide electrodes within the electrode charge injection limits, focusing on measures of charge threshold and dynamic range. Stimulation thresholds were lower for smaller electrodes, but larger electrodes could elicit a greater dynamic range of spikes and recruited more ganglion cells within charge injection limits. These findings suggest a practical lower limit for planar electrode size and indicate strategies for maximizing stimulation thresholds and dynamic range.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Smaller electrodes have higher charge density stimulation threshold and lower dynamic range, as shown in explanted retinas.
“Smaller electrodes have higher charge density stimulation threshold and lower dynamic range, as shown in explanted ratinas [160,161].”
From Advances in visual prostheses: engineering and biological challenges (2022) · cites this paper as [160]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Wong, W. L., Su, X., Li, X., Cheung, C. M. G., Klein, R., Cheng, C., & Wong, T. Y. (2014) · The Lancet Global Health · doi:10.1016/s2214-109x(13)70145-1 · Cited by 5,403 · see citing works
Hartong, D. T., Berson, E. L., & Dryja, T. P. (2006) · The Lancet · doi:10.1016/s0140-6736(06)69740-7 · Cited by 2,924 · see citing works
Neural Stimulation and Recording Electrodes
Cogan, S. F. (2008) · Annual Review of Biomedical Engineering · doi:10.1146/annurev.bioeng.10.061807.160518 · Cited by 2,243 · see citing works
Bourne, R. R. A., Flaxman, S. R., Braithwaite, T., Cicinelli, M. V., Das, A., Jonas, J. B., Keeffe, J., Kempen, J. H., Leasher, J., Limburg, H., et al. (2017) · The Lancet Global Health · doi:10.1016/s2214-109x(17)30293-0 · Cited by 2,213 · see citing works
Interim results from the international trial of Second Sight's visual prosthesis
Humayun, M. S., Dorn, J. D., da Cruz, L., Dagnelie, G., Sahel, J.-A., Stanga, P. E., Cideciyan, A. V., Duncan, J. L., Eliott, D., Filley, E., et al. (2012) · Ophthalmology · doi:10.1016/j.ophtha.2011.09.028 · Cited by 700 · see citing works
Pennington, K. L., & DeAngelis, M. M. (2016) · Eye and Vision · doi:10.1186/s40662-016-0063-5 · Cited by 484 · see citing works
Subretinal visual implant alpha IMS - clinical trial interim report
Stingl, K., Bartz-Schmidt, K. U., Besch, D., Chee, C. K., Cottriall, C. L., Gekeler, F., Groppe, M., Jackson, T. L., MacLaren, R. E., Koitschev, A., et al. (2015) · Vision Research · doi:10.1016/j.visres.2015.03.001 · Cited by 387 · see citing works
Photovoltaic restoration of sight with high visual acuity
Lorach, H., Goetz, G., Smith, R., Lei, X., Mandel, Y., Kamins, T. I., Mathieson, K., Huie, P., Harris, J. S., Sher, A., et al. (2015) · Nature Medicine · doi:10.1038/nm.3851 · Cited by 341 · see citing works
Retinal remodeling in human retinitis pigmentosa
Jones, B. W., Pfeiffer, R. L., Ferrell, W. D., Watt, C. B., Marmor, M. F., & Marc, R. E. (2016) · Experimental Eye Research · doi:10.1016/j.exer.2016.03.018 · Cited by 341 · see citing works
Electrical Stimulation of Mammalian Retinal Ganglion Cells With Multielectrode Arrays
Sekirnjak, C., Hottowy, P., Sher, A., Dąbrowski, W., Litke, A. M., & Chichilnisky, E. J. (2006) · Journal of Neurophysiology · doi:10.1152/jn.01168.2005 · Cited by 336 · see citing works
Design of a high-resolution optoelectronic retinal prosthesis
Palanker, D., Vankov, A., Huie, P., & Baccus, S. A. (2005) · Journal of Neural Engineering · doi:10.1088/1741-2560/2/1/012 · Cited by 330 · see citing works
Retinal stimulation strategies to restore vision: fundamentals and systems
Yue, L., Weiland, J. D., Roska, B., & Humayun, M. S. (2016) · Progress in Retinal and Eye Research · doi:10.1016/j.preteyeres.2016.05.002 · Cited by 272 · see citing works
Electrical multisite stimulation of the isolated chicken retina
Stett, A., Barth, W., Weiss, S., Haemmerle, H., & Zrenner, E. (2000) · Vision Research · doi:10.1016/s0042-6989(00)00005-5 · Cited by 259 · see citing works
Photovoltaic Restoration of Central Vision in Atrophic Age-Related Macular Degeneration
Palanker, D., Le Mer, Y., Mohand-Said, S., Muqit, M., & Sahel, J. A. (2020) · Ophthalmology · doi:10.1016/j.ophtha.2020.02.024 · Cited by 227 · cited 1× · see citing works
“Early retinal prostheses have demonstrated promising prosthetic visual acuity results between 20/500 and 20/ 1520 in clinical trials (Humayun et al., 2012; Stingl et al., 2015; Palanker et al., 2020).”
BackgroundSputtered iridium oxide films for neural stimulation electrodes
Cogan, S. F., Ehrlich, J., Plante, T. D., Smirnov, A., Shire, D. B., Gingerich, M. D., & Rizzo, J. F. (2008) · Journal of Biomedical Materials Research Part B Applied Biomaterials · doi:10.1002/jbm.b.31223 · Cited by 188 · see citing works
Development and Implantation of a Minimally Invasive Wireless Subretinal Neurostimulator
Shire, D. B., Kelly, S. K., Chen, J., Doyle, P., Gingerich, M. D., Cogan, S. F., Drohan, W. A., Mendoza, O., Theogarajan, L. S., Wyatt, J. L., et al. (2009) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2009.2021401 · Cited by 153 · see citing works
Boinagrov, D., Pangratz-Fuehrer, S., Goetz, G., & Palanker, D. (2014) · Journal of Neural Engineering · doi:10.1088/1741-2560/11/2/026008 · Cited by 146 · see citing works
Ganji, M., Tanaka, A., Gilja, V., Halgren, E., & Dayeh, S. A. (2017) · Advanced Functional Materials · doi:10.1002/adfm.201703019 · Cited by 127 · see citing works
Responses of rabbit retinal ganglion cells to electrical stimulation with an epiretinal electrode
Jensen, R. J., Ziv, O. R., & Rizzo, J. F. (2005) · Journal of Neural Engineering · doi:10.1088/1741-2560/2/1/003 · Cited by 110 · see citing works
Electric crosstalk impairs spatial resolution of multi-electrode arrays in retinal implants
Wilke, R. G. H., Moghadam, G. K., Lovell, N. H., Suaning, G. J., & Dokos, S. (2011) · Journal of Neural Engineering · doi:10.1088/1741-2560/8/4/046016 · Cited by 110 · see citing works
Tsai, D., Morley, J. W., Suaning, G. J., & Lovell, N. H. (2009) · Journal of Neurophysiology · doi:10.1152/jn.00545.2009 · Cited by 108 · see citing works
Electronic approaches to restoration of sight
Goetz, G. A., & Palanker, D. (2016) · Reports on Progress in Physics · doi:10.1088/0034-4885/79/9/096701 · Cited by 99 · see citing works
Im, M., & Fried, S. I. (2015) · The Journal of Physiology · doi:10.1113/jp270606 · Cited by 86 · see citing works
Ganji, M., Paulk, A. C., Yang, J. C., Vahidi, N. W., Lee, S. H., Liu, R., Hossain, L., Arneodo, E. M., Thunemann, M., Shigyo, M., et al. (2019) · Nano Letters · doi:10.1021/acs.nanolett.9b02296 · Cited by 85 · see citing works
Im, M., & Fried, S. I. (2016) · Journal of Neural Engineering · doi:10.1088/1741-2560/13/2/025002 · Cited by 65 · see citing works
Characteristics of prosthetic vision in rats with subretinal flat and pillar electrode arrays
Ho, E., Lei, X., Flores, T., Lorach, H., Huang, T., Galambos, L., Kamins, T., Harris, J., Mathieson, K., & Palanker, D. (2019) · Journal of Neural Engineering · doi:10.1088/1741-2552/ab34b3 · Cited by 65 · see citing works
Photovoltaic Pixels for Neural Stimulation: Circuit Models and Performance
Boinagrov, D., Lei, X., Goetz, G., Kamins, T. I., Mathieson, K., Galambos, L., Harris, J. S., & Palanker, D. (2015) · IEEE Transactions on Biomedical Circuits and Systems · doi:10.1109/tbcas.2014.2376528 · Cited by 60 · see citing works
Stett, A., Mai, A., & Herrmann, T. (2007) · Journal of Neural Engineering · doi:10.1088/1741-2560/4/1/s02 · Cited by 59 · see citing works
Optimization of pillar electrodes in subretinal prosthesis for enhanced proximity to target neurons
Flores, T., Lei, X., Huang, T., Lorach, H., Dalal, R., Galambos, L., Kamins, T., Mathieson, K., & Palanker, D. (2018) · Journal of Neural Engineering · doi:10.1088/1741-2552/aaac39 · Cited by 57 · see citing works
Towards high-resolution retinal prostheses with direct optical addressing and inductive telemetry
Ha, S., Khraiche, M. L., Akinin, A., Jing, Y., Damle, S., Kuang, Y. J., Bauchner, S., Lo, Y., Freeman, W. R., Silva, G. A., et al. (2016) · Journal of Neural Engineering · doi:10.1088/1741-2560/13/5/056008 · Cited by 52 · see citing works
Responses to pulsatile subretinal electric stimulation: effects of amplitude and duration
Lee, S. W., Eddington, D. K., & Fried, S. I. (2013) · Journal of Neurophysiology · doi:10.1152/jn.00293.2012 · Cited by 47 · see citing works
Epiretinal stimulation with local returns enhances selectivity at cellular resolution
Fan, V. H., Grosberg, L. E., Madugula, S. S., Hottowy, P., Dąbrowski, W., Sher, A., Litke, A. M., & Chichilnisky, E. J. (2018) · Journal of Neural Engineering · doi:10.1088/1741-2552/aaeef1 · Cited by 43 · see citing works
Electrode-size dependent thresholds in subretinal neuroprosthetic stimulation
Corna, A., Herrmann, T., & Zeck, G. (2018) · Journal of Neural Engineering · doi:10.1088/1741-2552/aac1c8 · Cited by 42 · see citing works
The response of retinal neurons to high-frequency stimulation
Cai, C., Twyford, P., & Fried, S. (2013) · Journal of Neural Engineering · doi:10.1088/1741-2560/10/3/036009 · Cited by 38 · see citing works
Inner and outer retinal mechanisms engaged by epiretinal stimulation in normal and rd mice
Margalit, E., Babai, N. Z., Luo, J.-M., & Thoreson, W. B. (2011) · Visual Neuroscience · doi:10.1017/s0952523810000489 · Cited by 36 · see citing works
Subretinal electrical stimulation reveals intact network activity in the blind mouse retina
Stutzki, H., Helmhold, F., Eickenscheidt, M., & Zeck, G. M. (2016) · Journal of Neurophysiology · doi:10.1152/jn.01095.2015 · Cited by 34 · see citing works
Negi, S., Bhandari, R., & Solzbacher, F. (2012) · Journal of Sensor Technology · doi:10.4236/jst.2012.23020 · Cited by 25 · see citing works
Yang, C. Y., Tsai, D., Guo, T., Dokos, S., Suaning, G. J., Morley, J. W., & Lovell, N. H. (2018) · Journal of Neural Engineering · doi:10.1088/1741-2552/aac315 · Cited by 25 · see citing works
Diamond penetrating electrode array for Epi-Retinal Prosthesis
Ganesan, K., Stacey, A. D., Hamish Meffin, A., Lichter, S. G., Greferath, U., Fletcher, E. L., & Prawer, S. (2010) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/iembs.2010.5626003 · Cited by 20 · see citing works
Yang, Y.-T., Lin, P.-K., Wan, C., Yang, W.-C., Lin, L.-J., Wu, C., & Chiao, C. (2011) · Investigative Ophthalmology & Visual Science · doi:10.1167/iovs.11-7808 · Cited by 18 · see citing works
Khalili Moghadam, G., Wilke, R., Suaning, G. J., Lovell, N. H., & Dokos, S. (2013) · PLoS ONE · doi:10.1371/journal.pone.0073130 · Cited by 18 · see citing works
Simultaneous recording of mouse retinal ganglion cells during epiretinal or subretinal stimulation
Sim, S., Szalewski, R. J., Johnson, L. J., Akah, L., Shoemaker, L. E., Thoreson, W. B., & Margalit, E. (2014) · Vision Research · doi:10.1016/j.visres.2014.05.005 · Cited by 16 · see citing works
Resistivity profiles of wild-type, rd1, and rd10 mouse retina
Wang, B., & Weiland, J. D. (2015) · doi:10.1109/embc.2015.7318692 · Cited by 15 · see citing works
Yang, F. F., Chang, M.-Y., Yang, C.-H., Teng, C.-C., & Fan, L.-S. (2016) · Journal of Micro/Nanopatterning Materials and Metrology · doi:10.1117/1.jmm.15.1.015002 · Cited by 11 · see citing works
Sputtered Iridium Oxide as Electrode Material for Subretinal Stimulation
Haas, J., Rudorf, R., Becker, M. T., Daschner, R., Drzyzga, A., Burkhardt, C. J., & Stett, A. (2020) · Sensors and Materials · doi:10.18494/sam.2020.2903 · Cited by 8 · see citing works
Vertically integrated photo junction-field-effect transistor pixels for retinal prosthesis
Damle, S., Liu, Y.-H., Arya, S., Oesch, N. W., & Lo, Y. (2019) · Biomedical Optics Express · doi:10.1364/boe.11.000055 · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Advances in visual prostheses: engineering and biological challenges
Borda, E., & Ghezzi, D. (2022) · Progress in Biomedical Engineering · doi:10.1088/2516-1091/ac812c · Cited by 44 · see citing works
Magisetty, R., & Park, S. (2022) · Micromachines · doi:10.3390/mi13020161 · Cited by 34 · see citing works
Asymmetric Activation of ON and OFF Pathways in the Degenerated Retina
Carleton, M., & Oesch, N. W. (2024) · eNeuro · doi:10.1523/eneuro.0110-24.2024 · Cited by 13 · see citing works
Double‐Sided, Thin‐Film Microelectrode Array with Hemispheric Electrodes for Subretinal Stimulation
Kim, N., Hong, Y., Cha, S., Kang, Y. N., Seo, H. W., Moon, H., Ahn, J., Intisar, A., Kim, M. S., Kim, S., et al. (2024) · Advanced Materials Technologies · doi:10.1002/admt.202302155 · Cited by 7 · see citing works
Bioelectronic Therapeutics: A Revolutionary Medical Practice in Health Care
Garg, I., Verma, M., Kumar, H., Maurya, R., Negi, T., & Jain, P. (2025) · Bioelectricity · doi:10.1089/bioe.2024.0039 · Cited by 8 · see citing works
Developments in the design and microfabrication of photovoltaic retinal implants
Kusumanchi, P., Keller, S. S., & Davidsen, R. S. (2024) · Micro and Nano Engineering · doi:10.1016/j.mne.2024.100289 · Cited by 6 · see citing works
Differences in the spatial fidelity of evoked and spontaneous signals in the degenerating retina
Carleton, M., & Oesch, N. W. (2022) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2022.1040090 · Cited by 5 · see citing works
Ultrasound-transparent neural interfaces for multimodal interaction
Panskus, R., Velea, A. I., Holzapfel, L., Pavlou, C., Li, Q. P., Qin, C., Nelissen, F., Waasdorp, R., Maresca, D., Gazzola, V., et al. (2026) · npj Flexible Electronics · doi:10.1038/s41528-025-00517-1 · Cited by 3 · see citing works
Wang, A., Zhan, G., Zhang, Y., Gan, Z., Zhang, L., & Kang, X. (2025) · ACS Applied Electronic Materials · doi:10.1021/acsaelm.5c01778 · Cited by 3 · see citing works
Inhibitory Circuits Can Restore OFF Pathway Responses in Retinal Prostheses
Carleton, M., & Oesch, N. W. (2026) · Journal of Neuroscience · doi:10.1523/jneurosci.0083-26.2026
Hwang, S., Jeong, H. S., & Jun, S. B. (2026) · Biomedical Engineering Letters · doi:10.1007/s13534-026-00604-w
- Authors
- Damle, S., Carleton, M., Kapogianis, T., Arya, S., Cavichini-Corderio, M., Freeman, W. R., Lo, Y.-H., & Oesch, N. W.
- Affiliations
- University of California San Diego (US)
- Corresponding author
- Oesch, Nicholas W.
- ORCID
- Oesch, Nicholas W.
- Venue
- eNeuro
- Publisher
- Society for Neuroscience
- Published
- 2021-11
- Volume
- 8
- Issue
- 6
- Pages
- ENEURO.0506-20.2021
- ISSN
- 2373-2822 (ISSN-L)
- PMC
- PMC8704424
- OpenAlex
- W3212539261
- Cited by
- 11
- References
- 46
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2022: 3
- FWCI
- 0.69
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- eNeuro (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Funders
- NIH (EY029259)
- 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 › Cellular and Molecular Neuroscience › Photoreceptor and optogenetics research
- Keywords
- iridium oxide electrodes, subretinal stimulation, retinal prosthesis, retinal ganglion cells, stimulation threshold, dynamic range, electrode size, charge injection limit, age-related macular degeneration, visual acuity
- MeSH terms
- Animals, Electric Stimulation, Electrodes, Implanted, Iridium, Microelectrodes, Retina, Retinal Ganglion Cells, Visual Acuity, Mice, Visual Prosthesis
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.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review