Artificial Organs · 2003 · 260 citations · 21 references
MedicineNeuroscienceOphthalmologyProstheticsVisual NeuroscienceVisual PerceptionNeuro-visual RehabilitationPerceptual LearningRehabilitation For Retinitis PigmentosaVisual DiscriminationVisual NeurophysiologyVisual SystemOptic Nerve PhysiologyOrientation DiscriminationRetinal ProsthesesTrainingVisual Perceptual RehabilitationVisual ProstheticsVisual Signal ProcessingVolunteer Performance Assessment
A volunteer with retinitis pigmentosa was chronically implanted with an optic‑nerve electrode and neurostimulator, and an external telemetry‑controlled system delivered electrical stimulation that produced phosphene perception and enabled the evocation of simple geometric patterns, with open‑loop data collection and a closed‑loop head‑mounted camera system used during a training program of 45 patterns. Low perception thresholds allowed a wide safe current range, and after training the volunteer achieved a 63 % recognition score in 60 s, with perfect orientation discrimination in 8 s.
Abstract: A volunteer with retinitis pigmentosa and no residual vision was chronically implanted with an optic nerve electrode connected to an implanted neurostimulator and antenna. An external controller with telemetry was used for electrical activation of the nerve which resulted in phosphene perception. Open‐loop stimulation allowed the collection of phosphene attributes and the ability to elicit perception of simple geometrical patterns. Low perception thresholds allowed for large current intensity range within safety limits. In a closed‐loop paradigm, the volunteer was using a head‐worn video camera to explore a projection screen. The volunteer underwent performance evaluation during the course of a training program with 45 simple patterns. After learning, the volunteer reached a recognition score of 63% with a processing time of 60 s. Mean performance in orientation discrimination reached 100% with a processing time of 8 s.
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