Bionic Eyes - Hansma Lab
Transcription
Bionic Eyes - Hansma Lab
Bionic Eyes Sub-Retinal Implants Michael Hutchins Motivation • Retinal diseases cannot be fixed with normal corrective procedures. • Vision degradation is a result of age but is not inevitable. • There are multiple types of blindness, retinal implants cure those involving the retina. • Retinal implants can greatly improve vision and quality of life. Retinal Diseases Retinitis Pigmentosa • A genetic disorder • Starts with degradation of night vision followed by tunnel vision. • No cure, but can be staved off with Vitamin Retinal Diseases Macular Degeneration • Loss of vision in the center of the retina. • Major cause of blindness in the elderly. • Risks of development linked to certain genes but not the cause. Photoreceptors Rods Cones Slow Response Fast Response Scattered Light Direct Light One Pigment Three Pigments Greys Color Vision Photorecptors Photorecptors Retinal Encoding • Rods (off center cells) surround cones (on center cells). -1/8 -1/8 -1/8 -1/8 +1 -1/8 -1/8 -1/8 -1/8 Retinal Encoding Optic Nerve • The optic nerve has 10^6 nerve fibers, the eye has roughly 10^8 photoreceptors. • The optic nerve transfers at 8.75 x 10^6 bits/second. • The poor capacity of the optic nerve is still unexplained. Photodiode Photodiode Optobionics • Optobionics makes the Artificial Silicon Retina. • The device has been tested in 42 patients through clinical trials. • Filed a patent in 2002 for methods of usin electrical stimulation to treat and prevent visual loss. ASR Device • 2mm diameter • 25µm thick • ~5000 negative intrinsic layerpositive microphotodiode pixels • Pixels are electrically isolated ASR Device • Placed subretinally. • Photodiodes run solely off incident light. • Electric charge produces by photodiodes alter membrane potential of nearby neurons. ASR Device • Pixels are 20µm square. • 9 x 9µm iridium oxide electrode • Pixel current is 8-12nA at 800 foot-candles (8611 Lux) of illumination • 1,000 lux is an overcast day • 10,000 - 25,000 lux is Implanting • • • Placed 20˚ off axis from th macula. Retina is cut and ASR is implanted beneath it. The retina is re-flattened Absorption ASR in Rats Post Operative Results Humphrey Central Visual Field Tests Post Operative Results Humphrey Central Visual Field Tests Subjective Results • • • • • After implanting some could recognize faces, they could not do this for ten years. One patient could only see brightness, contrast and shape, afterwards could see the shadows of people. Post-operatively others could sometimes make out streetlight colors and navigate without a cane. Some reported unexpected improvements in areas distant from the implant. Two reported perception of sensation to infrared light. Long Term • No reports of rejection, discomfort or any side-effects. • Materials used in the ASR are known to be biocompatible silicon, silicon oxide, titanium and iridium oxide. • All ASR implants were fully functioning after 18 months (t is what was published in the clinical trial paper). Considerations • The ASR requires that there is some working parts of the retina. • It cannot work if there is severe retinal scarring. • It is still being clinically tested, only 47 human trials have been done so far. Summary • Artificial retinas can restore sight lost due to retinal diseases. • There is so far no downside to getting retinal implants • Retinal implants may confer vision outside our normal range. • • • • • • • • References Wikipedia Articles on: Retina, Retinitis Pigmentosa, Macular Degeneration, Photoreceptors, Optic Nerve, Photodiode http://optobionics.com/ “How Much the Eye Tells the Brain” Current Biology, Volume 16, Issue 14, 1428-1434, 25 July 2006. "The Artificial Silicon Retina Microchip for the Treatment of Vision Loss From Retinitis Pigmentosa" Arch Ophthalmol. 2004;122:460-469. “Jonas JB, Schneider U, Naumann GOH (1992) Count and density of human retinal photoreceptors. Graefe's Arch Clin Exp Ophthalmol 230:505-510.” "Stimulation via a Subretinally Placed Prosthetic Elicits Central Activity and Induces a Trophic Effect on Visual Response" — IOVS Feb 2007, Vol 48 no. 2 http://www.ghuth.com/2008/05/29/relationship-of-geometry-andwavelength-on-the-retina/ http://misclab.umeoce.maine.edu/boss/classes/SMS_491_2003/Week_10.htm Questions The Artificial Silicon Retina cannot:a. see into the infr