Evidence map›Paper›PMID 32249038›Full record

Trial reportOphthalmology2020

Photovoltaic Restoration of Central Vision in Atrophic Age-Related Macular Degeneration.

Daniel Palanker, Yannick Le Mer, Saddek Mohand-Said, Mahiul Muqit, Jose A Sahel

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03333954 (Feasibility Study of Compensation for Blindness With the PRIMA System in Patients With Dry Age Related Macular Degeneration), which is not on this map. Cited by 120 papers.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed
15.9field-weighted citation impact, top 1% 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.

NCT03333954 nacompletednot on this map

Feasibility Study of Compensation for Blindness With the PRIMA System in Patients With Dry Age Related Macular Degeneration

TypeinterventionalSponsorScience CorporationRan2017 to 2024Enrolled5ConditionsDry Age-related Macular DegenerationArmsPRIMA Bionic Vision System
3 · Its place in the literature

Who cites it

120 citing papers in PubMed, 224 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Neural Vision Restoration in Ophthalmology.Annals of biomedical engineering · 2026
    Review
  6. Review
  7. Article
  8. Inhibitory Circuits Can Restore OFF Pathway Responses in Retinal Prostheses.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  9. Review
  10. Article
  11. Motion perception with visual prostheses.Progress in biomedical engineering (Bristol, England) · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Restoration of Sight with Electronic Retinal Prostheses.Annual review of vision science · 2025
    Review
  20. Article

60 more citing papers are in PubMed but not listed here.

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

5 authors at 5 institutions in 3 countries.

Daniel PalankerDepartment of Ophthalmology and Hansen Experimental Physics Laboratory, Stanford University, Stanford, California. Electronic address: palanker@stanford.edu.
Yannick Le MerDepartment of Ophthalmology, Fondation Ophtalmologique A. de Rothschild, Paris, France.
Saddek Mohand-SaidClinical Investigation Center, Quinze-Vingts National Eye Hospital, Paris, France; Sorbonne Université, INSERM, CNRS, Institut de la Vision, Paris, France.
Mahiul MuqitVitreoretinal Service, Moorfields Eye Hospital, London, United Kingdom; Institute of Ophthalmology, University College London, London, United Kingdom.
Jose A SahelDepartment of Ophthalmology, Fondation Ophtalmologique A. de Rothschild, Paris, France; Clinical Investigation Center, Quinze-Vingts National Eye Hospital, Paris, France; Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Centre National de la Recherche Scientifique · FRFondation Ophtalmologique Adolphe de Rothschild · FRMoorfields Eye Hospital NHS Foundation Trust · GBStanford Medicine · USUniversity of Pittsburgh · US

Funding

Photovoltaic Subretinal Prosthesis with High Pixel DensityR01EY027786 · NEI · STANFORD UNIVERSITY · PI PALANKER, DANIEL V · 2017 to 2021
$3.3M
NEI NIH HHS R01 EY027786
6 · The paper itself

Abstract

purposeLoss of photoreceptors in atrophic age-related macular degeneration results in severe visual impairment, although some peripheral vision is retained. To restore central vision without compromising the residual peripheral field, we developed a wireless photovoltaic retinal implant (PRIMA; Pixium Vision, Paris, France) in which pixels convert images projected from video glasses using near-infrared light into electric current to stimulate the nearby inner retinal neurons.

designWe carried out a first-in-human clinical trial to test the safety and efficacy of the prosthesis in patients with geographic atrophy (ClinicalTrials.gov identifier, NCT03333954).

participantsFive patients with geographic atrophy zone of at least 3 optic disc diameters, no foveal light perception, and best-corrected visual acuity of 20/400 to 20/1000 in the worse-seeing study eye.

methodsThe 2-mm wide, 30-μm thick chip, containing 378 pixels (each 100 μm in diameter), was implanted subretinally in the area of atrophy (absolute scotoma).

main outcome measuresAnatomic outcomes were assessed with fundus photography and OCT for up to 12 months of follow-up. Prosthetic vision was assessed by mapping light perception, bar orientation, letter recognition, and Landolt C acuity.

resultsIn all patients, the prosthesis was implanted successfully under the macula, although in 2 patients, it was implanted in unintended locations: within the choroid and off center by 2 mm. All 5 patients could perceive white-yellow prosthetic visual patterns with adjustable brightness in the previous scotomata. The 3 with optimal placement of the implant demonstrated prosthetic acuity of 20/460 to 20/550, and the patient with the off-center implant demonstrated 20/800 acuity. Residual natural acuity did not decrease after implantation in any patient.

conclusionsImplantation of the PRIMA did not decrease the residual natural acuity, and it restored visual sensitivity in the former scotoma in each of the 5 patients. In 3 patients with the proper placement of the chip, prosthetic visual acuity was only 10% to 30% less than the level expected from the pixel pitch (20/420). Therefore, the use of optical or electronic magnification in the glasses as well as smaller pixels in future implants may improve visual acuity even further.

Indexed as

Electrodes, ImplantedVisual ProsthesisFeasibility StudiesFemaleHumansMacula LuteaMacular DegenerationMaleMiddle AgedRecovery of FunctionTomography, Optical CoherenceVisual Perception

Identifiers

PMID32249038
PMCPMC7384969
OpenAlexW3006860701

What OpenQuestion holds

Textmetadata
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Registered trials

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.