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Effects of high-level pulse train stimulation on retinal function.

Ethan D Cohen1

  • 1Division of Physics, Office of Science and Engineering Labs, Center for Devices and Radiological Health, Food and Drug Administration, Silver Spring, MD 20993-0002, USA. ethan.cohen@fda.hhs.gov

Journal of Neural Engineering
|May 22, 2009
PubMed
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High-level electrical stimulation of retinal ganglion cells can depress their light-evoked responses. Overstimulation may cause temporary vision impairment by inducing a refractory period in the stimulated retinal area.

Area of Science:

  • Neuroscience
  • Ophthalmology
  • Biomedical Engineering

Background:

  • Retinal ganglion cells (RGCs) are crucial for visual processing.
  • Understanding the effects of electrical stimulation on RGCs is vital for visual prosthetics.
  • Previous research has not fully elucidated the impact of high-level current pulse trains on RGC function.

Purpose of the Study:

  • To investigate the impact of epiretinal electrical stimulation on the light-evoked responses of RGCs.
  • To determine the charge density thresholds for inducing RGC response depression.
  • To characterize the recovery kinetics of RGC function after overstimulation.

Main Methods:

  • Extracellular recording of RGC axon spikes in an ex vivo rabbit eyecup preparation.
  • Epiretinal electrical stimulation using a saline-filled tube delivering biphasic current pulses.

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  • Presentation of spot stimuli to the receptive field center during and after stimulation.
  • Main Results:

    • High-level current pulse trains (>or=300 microA) significantly depressed RGC light-evoked responses.
    • RGCs exhibited fatigue in spiking ability during continuous stimulation.
    • Recovery of light-evoked responses took a significant amount of time, up to 30 minutes in some cases.
    • Train-evoked depression was more pronounced with direct retinal contact.

    Conclusions:

    • High-level epiretinal electrical stimulation can cause transient functional impairment of RGCs.
    • Overstimulation may lead to a temporary refractory period, affecting electrically stimulated perception.
    • These findings have implications for optimizing stimulation parameters in retinal prostheses to avoid adverse effects.