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A Patient-Specific Computational Framework for the Argus II Implant.

Kathleen E Finn1, Hans J Zander1, Robert D Graham1

  • 1Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA and are associated with the Biointerfaces Institute.

IEEE Open Journal of Engineering in Medicine and Biology
|March 22, 2021
PubMed
Summary

This study developed a patient-specific model to predict retinal ganglion cell activation and phosphene variations in retinal prostheses. The model accurately replicated clinical data, improving understanding of visual perception variability.

Keywords:
Argus IIcomputational modelingpatient-specificretinal ganglion cellretinal prosthesis

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Area of Science:

  • Biomedical Engineering
  • Computational Neuroscience
  • Ophthalmology

Background:

  • Retinal prosthesis performance is hindered by inconsistent phosphene perception.
  • Electrode placement relative to retinal ganglion cells (RGCs) significantly impacts visual thresholds and phosphene characteristics.

Purpose of the Study:

  • To create a patient-specific modeling framework to investigate RGC activation.
  • To predict variations in phosphene perception for Argus II retinal prosthesis users.

Main Methods:

  • Developed a 3D finite element model using ocular imaging for patient-specific retinal anatomy and electrode placement.
  • Coupled electric field models with multi-compartment RGC cable models to predict neural responses.
  • Validated model predictions against patient-reported perceptual thresholds and clinical impedance data.

Main Results:

  • The model successfully replicated clinical impedance and threshold values.
  • In silico predictions of inter-electrode threshold differences correlated with in vivo findings.
  • Demonstrated the model's ability to capture known neurophysiological trends.

Conclusions:

  • A patient-specific retinal stimulation framework was successfully developed.
  • The framework quantitatively predicts RGC activation and explains phosphene variations.
  • This approach offers a pathway to better understand and potentially improve retinal prosthesis functionality.