Fernandez Eduardo
Institute of Bioengineering, University Miguel Hernández and CIBER-BBN, Avda de la Universidad, s/n, 03202 Alicante, Elche Spain.
2John A. Moran Eye Center, University of Utah, Salt Lake City, USA.
Bioelectron Med. 2018 Aug 13;4:12. doi: 10.1186/s42234-018-0013-8. eCollection 2018.
Visual prostheses are implantable medical devices that are able to provide some degree of vision to individuals who are blind. This research field is a challenging subject in both ophthalmology and basic science that has progressed to a point where there are already several commercially available devices. However, at present, these devices are only able to restore a very limited vision, with relatively low spatial resolution. Furthermore, there are still many other open scientific and technical challenges that need to be solved to achieve the therapeutic benefits envisioned by these new technologies. This paper provides a brief overview of significant developments in this field and introduces some of the technical and biological challenges that still need to be overcome to optimize their therapeutic success, including long-term viability and biocompatibility of stimulating electrodes, the selection of appropriate patients for each artificial vision approach, a better understanding of brain plasticity and the development of rehabilitative strategies specifically tailored for each patient.
视觉假体是可植入的医疗设备,能够为盲人个体提供一定程度的视力。这个研究领域在眼科学和基础科学中都是一个具有挑战性的课题,目前已经发展到有几种商业可用设备的阶段。然而,目前这些设备只能恢复非常有限的视力,空间分辨率相对较低。此外,要实现这些新技术所设想的治疗效果,仍有许多其他开放的科学和技术挑战需要解决。本文简要概述了该领域的重大进展,并介绍了一些为优化治疗效果仍需克服的技术和生物学挑战,包括刺激电极的长期生存能力和生物相容性、为每种人工视觉方法选择合适的患者、更好地理解脑可塑性以及为每个患者专门制定康复策略。