Evidence map›Paper›PMID 32858064›Full record

ArticleOphthalmology2021

Restoring Color Perception to the Blind: An Electrical Stimulation Strategy of Retina in Patients with End-stage Retinitis Pigmentosa.

Lan Yue, Johnny Castillo, Alejandra Calle Gonzalez, Jay Neitz, Mark S Humayun

Open access · greenAbstract read
In one paragraph

Article in Ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

11 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
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  4. Review
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  7. Review
  8. Selective Activation of Retinal Ganglion Cell Subtypes Through Targeted Electrical Stimulation Parameters.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2022
    Article
  9. Article
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  11. Review
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 2 institutions in 1 country.

Lan YueRoski Eye Institute, University of Southern California, Los Angeles, California; Ginsburg Institute for Biomedical Therapeutics, University of Southern California, Los Angeles, California. Electronic address: lyue@usc.edu.
Johnny CastilloGinsburg Institute for Biomedical Therapeutics, University of Southern California, Los Angeles, California.
Alejandra Calle GonzalezRoski Eye Institute, University of Southern California, Los Angeles, California; Ginsburg Institute for Biomedical Therapeutics, University of Southern California, Los Angeles, California.
Jay NeitzDepartment of Ophthalmology, University of Washington, Seattle, Washington.
Mark S HumayunRoski Eye Institute, University of Southern California, Los Angeles, California; Ginsburg Institute for Biomedical Therapeutics, University of Southern California, Los Angeles, California.
University of Southern California · USUniversity of Washington · US

Funding

Linking retinal circuits to perceptionR01EY027859 · NEI · UNIVERSITY OF WASHINGTON · PI Jay Neitz · 2018 to 2026
$4.4M
NEI NIH HHS R01 EY027859
6 · The paper itself

Abstract

purposeBioelectronic retinal prostheses that stimulate the remaining inner retinal neurons, bypassing degenerated photoreceptors, have been demonstrated to restore some vision in patients blinded by retinitis pigmentosa (RP). These implants encode luminance of the visual scene into electrical stimulation, however, leaving out chromatic information. Yet color plays an important role in visual processing when it comes to recognizing objects and orienting to the environment, especially at low spatial resolution as generated by current retinal prostheses. In this study, we tested the feasibility of partially restoring color perception in blind RP patients, with the aim to provide chromatic information as an extra visual cue.

designCase series.

participantsSeven subjects blinded by advanced RP and monocularly fitted with an epiretinal prosthesis.

methodsFrequency-modulated electrical stimulation of retina was tested. Phosphene brightness was controlled by amplitude tuning, and color perception was acquired using the Red, Yellow, Green, and Blue (RYGB) hue and saturation scaling model.

main outcome measuresBrightness and color of the electrically elicited visual perception reported by the subjects.

resultsWithin the tested parameter space, 5 of 7 subjects perceived chromatic colors along or nearby the blue-yellow axis in color space. Aggregate data obtained from 20 electrodes of the 5 subjects show that an increase of the stimulation frequency from 6 to 120 Hz shifted color perception toward blue/purple despite a significant inter-subject variation in the transition frequency. The correlation between frequency and blue-yellow perception exhibited a good level of consistency over time and spatially matched multi-color perception was possible with simultaneous stimulation of paired electrodes. No obvious correlation was found between blue sensations and array placement or status of visual impairment.

conclusionsThese findings present a strategy for the generation and control of color perception along the blue-yellow axis in blind patients with RP by electrically stimulating the retina. It could transform the current prosthetic vision landscape by leading in a new direction beyond the efforts to improve the visual acuity. This study also offers new insights into the response of our visual system to electrical stimuli in the photoreceptor-less retina that warrant further mechanistic investigation.

Indexed as

Electric Stimulation TherapyVisual ProsthesisAgedBlindnessColor PerceptionColor VisionElectrodes, ImplantedFemaleHumansMaleMiddle AgedPhosphenesPhotoreceptor Cells, VertebrateRetinaRetinitis PigmentosaSensory ThresholdsColor visionRetinal degenerationRetinal stimulationVision restorationVisual prosthesis

Identifiers

PMID32858064
PMCPMC7902312
OpenAlexW3080170236

What OpenQuestion holds

Textmetadata
LicenceTDM
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.