gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Verification of threshold parameters and tissue compatibility of epiretinal electrical stimulation of retina in minipigs using IrOx-film electrodes

Meeting Abstract

  • corresponding author T. Laube - Department of Ophthalmology, University of Essen
  • H. Akguel - Department of Ophthalmology, University of Essen
  • C. Brockmann - Department of Ophthalmology, University of Essen
  • I. Bolle - Department of Ophthalmology, University of Essen
  • N. Bornfeld - Department of Ophthalmology, University of Essen
  • H. Schilling - Department of Ophthalmology, University of Essen
  • H.-C. Luedtke-Handjery - IIP-Technologies, Bonn

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogSO.05.08

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog458.shtml

Veröffentlicht: 22. September 2004

© 2004 Laube et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

IrOx-film-electrodes are a possible choice for stimulation microelectrodes of a projected retina implant. The aim of this study was to examine parameters of epiretinal electrical stimulation and their tissue compatibility.

Methods

In 12 minipigs vitrectomy of the right eye was performed under general anaesthesia. A polyimide based microcontact film (MCF) with eleven IrOx electrodes was inserted through a scleral port, placed epiretinal, fixed by perfluordecaline (PFCL) and connected by a cable to an external electrical stimulator. The retinae were stimulated with standardized programs for 4 hours with different charges: group (gr) 1-4 with 0, 0.5, 1 and 4 mC/cm2 (n = 3). After removal of the MCF and PFCL animals were observed for a period of 14 days. Postoperative examination to observe retinal changes due to insertion and/or stimulation was followed by comparison to each untreated left eye and to gr 1. After sacrificing the eyes were enucleated and worked off histologically.

Results

We noticed sporadic reversible punctiform bleeding of the retina during implantation. Post-stimulation examination showed in 2 eyes of gr 4 strong edema in the stimulated area. After 2 weeks we found in each gr 1-3 sporadic pigment coating in the stimulated area. Two eyes of gr 4 showed local pale retina. Histological evaluation of the stimulated area revealed no structural changes in any treatment of gr 1-3. In one eye of gr 4 there was an arcuated structure of the retina which is correlated to the observed edema.

Conclusions

Charges of up to 1 mC/cm2 are applicable to retinal tissue in a time range of 4 hours without expecting a significant damage of the retina, if administered by IrOx-electrodes. Our stimulation parameters and MCF with IrOx-electrodes are suitable for electrical stimulation of the human retina so that this study represents an important preparatory work for a further development of the retina implant.