Evidence map›Paper›PMID 31341094›Full record

ArticleJournal of neural engineering2019

Characteristics of prosthetic vision in rats with subretinal flat and pillar electrode arrays.

Elton Ho, Xin Lei, Thomas Flores, Henri Lorach, Tiffany Huang, Ludwig Galambos, Theodore Kamins, James Harris, Keith Mathieson, Daniel Palanker

Open access · hybridAbstract read
In one paragraph

Article in Journal of neural engineering, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Restoration of Sight with Electronic Retinal Prostheses.Annual review of vision science · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Fabrication and Validation of Sub-Cellular Carbon Fiber Electrodes.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Elton HoDepartment of Physics, Stanford University, Stanford, CA 94305, United States of America. Hansen Experimental Physics Laboratory, Stanford University, Stanford, CA 94305, United States of America.
Xin Lei
Thomas Flores
Henri Lorach
Tiffany Huang
Ludwig Galambos
Theodore Kamins
James Harris
Keith Mathieson
Daniel Palanker
Stanford University · USUniversity of Strathclyde · GB

Funding

High Resolution Photovoltaic Retinal ProsthesisR01EY018608 · NEI · STANFORD UNIVERSITY · PI PALANKER, DANIEL V · 2009 to 2016
$9.2M
Stanford Vision Research CoreP30EY026877 · NEI · STANFORD UNIVERSITY · PI Jeffrey L Goldberg · 2017 to 2026
$8.0M
Photovoltaic Subretinal Prosthesis with High Pixel DensityR01EY027786 · NEI · STANFORD UNIVERSITY · PI PALANKER, DANIEL V · 2017 to 2021
$3.3M
NEI NIH HHS P30 EY026877NEI NIH HHS R01 EY018608NEI NIH HHS R01 EY027786
6 · The paper itself

Abstract

objectiveRetinal prostheses aim to restore sight by electrically stimulating the surviving retinal neurons. In clinical trials of the current retinal implants, prosthetic visual acuity does not exceed 20/550. However, to provide meaningful restoration of central vision in patients blinded by age-related macular degeneration (AMD), prosthetic acuity should be at least 20/200, necessitating a pixel pitch of about 50 µm or lower. With such small pixels, stimulation thresholds are high due to limited penetration of electric field into tissue. Here, we address this challenge with our latest photovoltaic arrays and evaluate their performance in vivo. APPROACH: We fabricated photovoltaic arrays with 55 and 40 µm pixels (a) in flat geometry, and (b) with active electrodes on 10 µm tall pillars. The arrays were implanted subretinally into rats with degenerate retina. Stimulation thresholds and grating acuity were evaluated using measurements of the visually evoked potentials (VEP). MAIN

resultsWith 55 µm pixels, we measured grating acuity of 48  ±  11 µm, which matches the linear pixel pitch of the hexagonal array. This geometrically corresponds to a visual acuity of 20/192 in a human eye, matching the threshold of legal blindness in the US (20/200). With pillar electrodes, the irradiance threshold was nearly halved, and duration threshold reduced by more than three-fold, compared to flat pixels. With 40 µm pixels, VEP was too low for reliable measurements of the grating acuity, even with pillar electrodes. SIGNIFICANCE: While being helpful for treating a complete loss of sight, current prosthetic technologies are insufficient for addressing the leading cause of untreatable visual impairment-AMD. Subretinal photovoltaic arrays may provide sufficient visual acuity for restoration of central vision in patients blinded by AMD.

Indexed as

Electrodes, ImplantedVisual ProsthesisAnimalsEvoked Potentials, VisualProsthesis ImplantationRatsRats, Long-EvansRetinaRetinal Degeneration

Identifiers

PMID31341094
PMCPMC7192047
OpenAlexW2964084936

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.