Matsuo Toshihiko, Uchida Tetsuya, Yamashita Koichiro, Takei Shigiko, Ido Daisuke, Tanaka Mamoru, Oguchi Masao, Furukawa Toshinori
Ophthalmology, Okayama University Medical School and Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama-shi, Okayama 700-8558, Japan.
Polymer Materials Science, Okayama University Faculty of Engineering and Graduate School of Natural Science and Technology, Okayama-shi, Okayama 700-8530, Japan.
J Vet Med Sci. 2018 Feb 9;80(2):247-259. doi: 10.1292/jvms.17-0422. Epub 2018 Jan 1.
Okayama University-type retinal prosthesis (OUReP) is a photoelectric dye-coupled polyethylene film which generates electric potential in response to light and stimulates nearby neurons. This study aims to test surgical feasibility for subretinal film implantation and to examine functional durability of films in subretinal space. Dye-coupled films were implanted subretinally by vitrectomy in the right eye of normal white rabbits: 8 rabbits for 1 month and 8 rabbits for 6 months. The implanted films were removed by vitrectomy in 4 of these 8 rabbits in 1-month or 6-month implantation group. The films were also implanted in 4 rhodopsin-transgenic retinal dystrophic rabbits. Visual evoked potential was measured before film implantation as well as 1 or 6 months after film implantation, or 1 month after film removal. The films were successfully implanted in subretinal space of retinal detachment induced by subretinal fluid injection with a 38G polyimide tip. The retina was reattached by fluid-air exchange in vitreous cavity, retinal laser coagulation, and silicone oil injection. The ratios of P amplitudes of visual evoked potential in the implanted right eye over control left eye did not show significant changes between pre-implantation and post-implantation or post-removal (paired t-test). In Kelvin probe measurements, 4 pieces each of removed films which were implanted for 1 or 6 months showed proportional increase of surface electric potential in response to increasing light intensity. The film implantation was safe and implanted films were capable of responding to light.
冈山大学型视网膜假体(OUReP)是一种光电染料耦合聚乙烯薄膜,可响应光线产生电势并刺激附近的神经元。本研究旨在测试视网膜下薄膜植入的手术可行性,并检查薄膜在视网膜下空间的功能耐久性。通过玻璃体切除术将染料耦合薄膜植入正常白兔的右眼视网膜下:8只兔子植入1个月,8只兔子植入6个月。在1个月或6个月植入组的这8只兔子中的4只中,通过玻璃体切除术取出植入的薄膜。还将薄膜植入4只视紫红质转基因视网膜营养不良兔子中。在薄膜植入前以及植入后1或6个月,或取出后1个月测量视觉诱发电位。使用38G聚酰亚胺尖端通过视网膜下液注射诱导视网膜脱离,将薄膜成功植入视网膜下空间。通过玻璃体腔液气交换、视网膜激光光凝和硅油注射使视网膜复位。植入右眼的视觉诱发电位P波振幅与对照左眼的比值在植入前与植入后或取出后之间未显示出显著变化(配对t检验)。在开尔文探针测量中,植入1或6个月后取出的薄膜各4片显示,随着光强度增加,表面电势成比例增加。薄膜植入是安全的,植入的薄膜能够对光作出反应。