Loss of photoreceptors in atrophic age-related macular degeneration (AMD) results in severe visual impairment. Since the low-resolution peripheral vision is retained in such conditions, restoration of central vision should not jeopardize the surrounding healthy retina and allow for simultaneous use of the natural and prosthetic sight. We report the first clinical results with a photovoltaic substitute of photoreceptors providing simultaneous use of the central prosthetic and peripheral natural vision in atrophic AMD. Four patients with geographic atrophy have been implanted subretinally with a wireless 2x2mm-wide 30 µm-thick device, having 378 pixels of 100 µm in size. They demonstrated Landolt acuity of 1.17 ± 0.13 pixels, corresponding to the Snellen range of 20/460–20/565. With electronic magnification of up to a factor of 8, patients demonstrated acuity in the range of 20/63 − 20/98. Under room lighting conditions, patients could simultaneously use prosthetic central vision and their remaining peripheral vision in the implanted eye and in the fellow eye.
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This is a list of supplementary files associated with this preprint. Click to download.
Video S1. Letter acuity test on ETDRS chart using PRIMA-2 glasses at x4 magnification and a contrast reversal.
Video S2. Reading test with PRIMA-2 glasses at x4 magnification and a contrast reversal.
Video S3. Control experiment for reading the same word as in S2, but without PRIMA-2 glasses.
Video S4. Simultaneous detection of the bars using prosthetic and natural vision in both eyes.
Video S5. Simultaneous detection of the bars using prosthetic and natural vision in the same eye.
PRIMA_clinical_protocol
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Posted 26 Mar, 2021
Posted 26 Mar, 2021
Loss of photoreceptors in atrophic age-related macular degeneration (AMD) results in severe visual impairment. Since the low-resolution peripheral vision is retained in such conditions, restoration of central vision should not jeopardize the surrounding healthy retina and allow for simultaneous use of the natural and prosthetic sight. We report the first clinical results with a photovoltaic substitute of photoreceptors providing simultaneous use of the central prosthetic and peripheral natural vision in atrophic AMD. Four patients with geographic atrophy have been implanted subretinally with a wireless 2x2mm-wide 30 µm-thick device, having 378 pixels of 100 µm in size. They demonstrated Landolt acuity of 1.17 ± 0.13 pixels, corresponding to the Snellen range of 20/460–20/565. With electronic magnification of up to a factor of 8, patients demonstrated acuity in the range of 20/63 − 20/98. Under room lighting conditions, patients could simultaneously use prosthetic central vision and their remaining peripheral vision in the implanted eye and in the fellow eye.
Figure 1
Figure 2
Figure 3
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