Abdallah Walid, Li Wen, Weiland James, Humayun Mark, Ameri Hossein
Department of Ophthalmology, USC Roski Eye Institute, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Department of Electrical and Computer Engineering, Michigan State University, East Lansing, MI, USA.
J Curr Ophthalmol. 2017 Dec 9;30(1):68-73. doi: 10.1016/j.joco.2017.11.007. eCollection 2018 Mar.
Epiretinal and subretinal prosthesis have been shown to be a valid way to provide some vision to patients with advanced outer retinal degeneration and profound vision loss. However, the field of vision for these patients is markedly limited by the area occupied by the electrode array. In this study, we aimed to evaluate the feasibility of implantation of multiple suprachoroidal electrode arrays in a single eye in order to increase the field of vision in patients implanted with retinal prosthesis.
The right eye of seventeen Dutch rabbits (age range, 5-6 months) was used for the study. Multiple inactive custom-made electrode arrays were inserted into the suprachoroidal space (SCS) and animals were followed up for up to 6 months using fundus photography, optical coherence tomography (OCT), and fluorescein angiography (FA).
It was possible to surgically implant up to 8 electrode arrays in a single eye. None of the rabbits showed any major complications. The electrodes were well tolerated and remained in position in all rabbits. There was no evidence of retinal damage on follow-up exams and FA throughout the study.
Multiple suprachoroidal electrode array implantation is feasible and may provide a novel approach to increase the field of vision in subjects implanted with retinal prosthesis.
视网膜前和视网膜下假体已被证明是为晚期视网膜外层变性和严重视力丧失患者提供一定视力的有效方法。然而,这些患者的视野明显受到电极阵列所占面积的限制。在本研究中,我们旨在评估在单眼中植入多个脉络膜上腔电极阵列以增加植入视网膜假体患者视野的可行性。
使用17只荷兰兔(年龄范围5 - 6个月)的右眼进行研究。将多个非活性定制电极阵列插入脉络膜上腔(SCS),并使用眼底摄影、光学相干断层扫描(OCT)和荧光素血管造影(FA)对动物进行长达6个月的随访。
单眼手术植入多达8个电极阵列是可行的。没有兔子出现任何重大并发症。电极耐受性良好,在所有兔子中均保持在位。在整个研究过程中,随访检查和FA均未发现视网膜损伤的证据。
多个脉络膜上腔电极阵列植入是可行的,可能为增加植入视网膜假体患者的视野提供一种新方法。