Abstract
Blindness due to outer retinal degeneration still remains largely untreatable. Photoreceptor loss removes light sensitivity, but the remaining inner retinal layers, the optic nerve, and indeed the physical structure of the eye itself may be unaffected by the degenerative processes. This provides the opportunity to restore some degree of vision with an electronic device in the subretinal space. In this lecture I will provide an overview of our experiences with the first-generation retinal implant Alpha IMS, developed by Retina Implant AG and based on the technology developed by Eberhart Zrenner as part of a multicentre clinical trial (NCT01024803). We are currently in the process of running a second NIHR-funded clinical trial to assess the next-generation device. The positive results from both studies to date indicate that the retinal implant should be included as a potential treatment for patients who are completely blind from retinitis pigmentosa. Evolution of the technology in future may provide further opportunities for earlier intervention or for other diseases.
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Liew G, Michaelides M, Bunce C . A comparison of the causes of blindness certifications in England and Wales in working age adults (16-64 years), 1999-2000 with 2009-2010. BMJ Open 2014; 4: e004015.
Al Rashaed S, Khan AO, Nowilaty SR, Edward DP, Kozak I . Spectral-domain optical coherence tomography reveals prelaminar membranes in optic nerve head pallor in eyes with retinitis pigmentosa. Graefes Arch Clin Exp Ophthalmol 2016; 254: 77–81.
Yu DY, Cringle SJ . Retinal degeneration and local oxygen metabolism. Exp Eye Res 2005; 80: 745–751.
Jones BW, Pfeiffer RL, Ferrell WD, Watt CB, Marmor M, Marc RE . Retinal remodeling in human retinitis pigmentosa. Exp Eye Res 2016; 150: 149–165.
Cramer AO, MacLaren RE . Translating induced pluripotent stem cells from bench to bedside: application to retinal diseases. Curr Gene Ther 2013; 13: 139–151.
Zrenner E, Stett A, Weiss S, Aramant RB, Guenther E, Kohler K et al. Can subretinal microphotodiodes successfully replace degenerated photoreceptors? Vision Res 1999; 39: 2555–2567.
Humayun MSD, da Cruz JD, Dagnelie L, Sahel G, Stanga JA, Cideciyan PE et alStudy group interim results from the international trial of Second Sight’s visual prosthesis. Ophthalmology 2012; 119: 779–788.
Stingl K, Bartz-Schmidt KU, Gekeler F, Kusnyerik A, Sachs H, Zrenner E . Functional outcome in subretinal electronic implants depends on foveal eccentricity. Invest Ophthalmol Vis Sci 2013; 54: 7658–7665.
Zrenner E, Bartz-Schmidt KU, Benav H, Besch D, Bruckmann A, Gabel VP et al. Subretinal electronic chips allow blind patients to read letters and combine them to words. Proc Biol Sci 2011; 278: 1489–1497.
Stingl K, Bartz-Schmidt KU, Besch D, Chee CK, Cottriall CL, Gekeler F et al. Subretinal Visual Implant Alpha IMS—Clinical trial interim report. Vision Res 2015; 111: 149–160.
Acknowledgements
NIHR i4i Award, NIHR Oxford Biomedical Research Centre.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The OUH NHS Foundation Trust received clinical trial research funding from Retina Implant AG (RIAG) in order to conduct the first clinical trial as an NIHR Portfolio-adopted study. The author declares no conflict of interest.
Additional information
Lecture presented at the Cambridge Ophthalmological Symposium on Thursday, 8 September 2016.
Rights and permissions
About this article
Cite this article
MacLaren, R. Electronic retinal implant surgery. Eye 31, 191–195 (2017). https://doi.org/10.1038/eye.2016.280
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/eye.2016.280
This article is cited by
-
Bioengineering strategies for restoring vision
Nature Biomedical Engineering (2022)
-
Zelltherapie am Augenhintergrund – gestern, heute, morgen
Medizinische Genetik (2017)