Retinal Bioengineering, part I - George Mason...
Transcript of Retinal Bioengineering, part I - George Mason...
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Retinal Bioengineering, part IApril 24th, 2008
http://www.eye-chip.com/http://www.bostonretinalimplant.org/http://www.eyesight.org/http://www.amdcanada.com/http://www.seeingwithsound.com/newpubs/retinal_implant/cached.html#http://www.seeingwithsound.com/http://ophthalmology.stanford.edu/research/basic_retinal_prosthesis.htmlhttp://hubel.med.harvard.edu/bcontex.htm - Eye, Brain, and Vision (Hubel)
A lot of the material in the first part of this lecture is available online:http://webvision.med.utah.edu/index.html
outline• Intro: retina, eye, visual
system.• Retinal structure and
function.• Retinal diseases (rp, md,
glaucoma, detachment)
• Engineering contributions to retinal physiology and implants: Saugandhika’spresentation.
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http://thalamus.wustl.edu/course/bvis2.gifOptics of the Human EyeBy David A. Atchison, George Smith
How do light stimuli “travel in”, and get translated into
electrical potentials?
http://webvision.med.utah.edu/sretina.html
Anatomy of the eye
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Signal transduction and processing
Light transduction
Signal processing,
convergence and divergence
Output, ganglion cells
fire spikes
LIGH
T
http://thalamus.wustl.edu/course/eyeret.html
Retinal layers: nomenclature refers to cell types and synaptic connections
Retina in mammals has around 55 types of cells.
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• RPE: life support for photoreceptors.
• RPE: single layer of retinal cells.
• Densely packed with pigment granules
• Each RPE cell contacts approx. 25 rods and/or cones.
• Rod and cone cells each shed approximately 100 discs (waste products)/day.
• Waste is cleared by the RPE.
• Total of 70 million discs are cleared or "digested" by each RPE cell
Retinal pigment epithelium
http://www.amdcanada.com/template.php?section=4&subSec=2d&content=4_2
Muller glial cells: special glia cells, only in the retina.
• Span from inner limiting membrane (ILM) all the way to ganglion cell layer (GCL).
• Vertically positioned, like the bipolar cells.
http://webvision.med.utah.edu/imageswv/FisherFig1.jpg
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Muller glial cells
• Form gap junctions in several species.
• Control of homeostasis in extracellular environment through uptake and redistribution of extracellularpotassium.
Phototransduction
http://webvision.med.utah.edu/imageswv/rodcoEM.jpeg
Pathways from rods and cones to ganglion cells are not the same, even though each single ganglion cell receives input from both rods and cones. Amacrine cells intermediate connections from rods to ganglion cells (through bipolar cells)
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Light transduction
cones from monkey
http://webvision.med.utah.edu/imageswv/spectra.jpeg
Humans have two types of light transducers: rods and cones. There are three basic kinds of cones, with different spectral sensitivities. When it’s dark, we “see” with rods. When it’s bright, we “see” with cones.
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Differential sensitivity of rods and cones
Visual angle of common objects (degrees, deg)The sun or moon = 0.5 degThumbnail (at arm's length) = 1.5 degFist (at arm's length) = 8-10 deg
Rod = 0.7pA
Cone = 0.033pA
light
Current: Result of the photoisomerization in the outer segments of rods and cones.
30 rods/bipolar
4 cones/bipolar
Bottom line: Rods are 21 times more sensitive than cones!
Photons absorbed and time response
rod
cone
Light stimulus
Time (s)
Number of photons absorbed
Neural Engineering, Bin He. chap 13
(for l
ow li
ght)
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Fovea
http://upload.wikimedia.org/wikipedia/en/2/2d/Retina-OCT800.png
• Fovea: cones packed together, form hexagonal pattern
http://webvision.med.utah.edu/sretina.html#muller
• Central area of retina. • Highest visual acuity.• Directed at what is in
front of you.• Highest density of cones.
How small can you see?
R = 300μm/degree x [1 cycle / (2 x element spacing)],
Where R is the resolution in cycles of the grating per degree.
Stimulus: black & white bars
Distance between two lines: one cycle
Our best sensors: cones in the fovea.
Cone: one element.Packed densely: 2.5μm center to center (this is the element spacing).
What is the resolution of your eye?
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Temporal resolution of your system
http://webvision.med.utah.edu/imageswv/KallTemp7.jpg
Luminance levels, definition of Troland• Typical ambient luminance levels (in cd/m2):• Starlight: 0.001• Moonlight: 0.1• Indoor lighting: 100• Sunlight: 10,000• Maximum intensity of CRT monitors: 100
• One Troland (Td) of retinal illumination: produced when an eye with a pupilsize of 1 mm2 looks at a surface whose luminance is 1 cd/m2.
• Lens focal length: f(meters); lens power= 1/f (diopters).
• Obs: Lux are units of illumination. Light intensity of 1 candela produces an illumination of 1 lux at 1 meter.
• X/Y vision: the numerator person can see at X feet what a normal person can see at Y feet.
Usual numbers are 20/20 (normal vision); 80/100 (means the patient has to be at 80 feet to see what a normal subject would see at 100 feet).
Modified from http://webvision.med.utah.edu/
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Signal path through the retina
http://webvision.med.utah.edu/imageswv/rod-GC.jpeg
Spikes recorded from ganglion cells (output of retina)
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ON/OFF bipolar cells
http://webvision.med.utah.edu/imageswv/bcfig1.jpg
Neural Engineering, Bin He. chap 13
On/off center bipolar cells
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http://webvision.med.utah.edu/imageswv/SK-SPOTS.JPG
Receptive fields: space mapping of light stimuli to ganglion cells
Retinal vasculature
http://webvision.med.utah.edu/imageswv/FlorretBV.jpg
Two sources of blood supply to the mammalian retina: (1) the central retinal artery (15-35% of the blood flow, supply to the inner retinal layers;(2) the choroidal blood vessels. (65-85% of the blood flow, supply to photoreceptors
through the pigment epithelium).
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Retinal diseases: 15 million people visually impaired in the U.S.A.
• Retinitis pigmentosa• Macular degeneration• Glaucoma• Diabetic retinopathy• Vascular occlusive disease• Retinal detachment
Most prevalent diseases.(4th: age-related cataract)
http://www.mdsupport.org/library/numbers.html
Retinitis pigmentosa
• Affects one in 4k to 3k;• Characteristics: photoreceptor loss (rods
first, cones second);• Cause: more than 50 genetic defects in
photoreceptor or pigment epithelium proteins.
Less rods and cones
Less oxygen consumed Inner retinal layers “receive” too much O2
vasoconstriction Permanent damage
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Age-related macular degeneration• Prevalence: 1 in 100 (adults over 40y.o.)• Incidence: higher over 65 y.o.• Photoreceptor degeneration (similar to RP):
incomplete digestion of outer segment disks (lipids and proteins)
• Drusen → traffic jam between the choroid and the retina → prevents metabolites from being delivered → neovascularization (choroidal vessels proliferate and enter the retina).
http://www.amdcanada.com/images/content/3_3_2_2_fig3.jpg
Macular degeneration diagnosis
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Vascular occlusive disease
• Atherosclerosis in arteries or veins (like a stroke in the retina)
• No redundancy in circulation (remember theory of cell assemblies), so occlusion leads to scotoma.
• if t>2h, then (damage = permanent)• Venous occlusion → hemorrhages → less
damaging than arteries.
IOP control(outflow)
Glaucoma• Prevalence: 0.8 in 100 (to 3 in 100 Caucasians)• Damaged ganglion cells due to elevated intraocular
pressure (IOP).• Normal: 15mm Hg. Glaucoma: 22mm Hg.• High pressure compresses optic nerve, axonal transport
is blocked, retrograde degeneration of ganglion cells.
http://www.amdcanada.com/images/content/4_2_fig1.jpg
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Retinal detachment
Fundus photo of retinal detachment
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OCT of macular detachment
http://webvision.med.utah.edu/imageswv/ERGFig3.jpg
Electroretinogram
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Electroretinograms are multiphasic
Waves within the ERG
http://webvision.med.utah.edu/imageswv/
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Amplitude and time in a and b waves.
Wave origin
• Each wave can be traced back to certain cells in the retina.
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Photoreceptor models: based on the ERG
Neural Engineering, Bin He. chap 13
ERG electrodes
http://webvision.med.utah.edu/imageswv/DONFig4.jpg
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Corneal ERG electrodes
ERG amplitudes are electrode dependent
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ERG uses
• Diagnosis of several eye diseases.
•E.g. diagnosis of RP.
• Development of retina, ageing.
• Isolation of which block in signal pathway is not functional.
Engineering insights
What can you do to help?
Considerations on designing an implant:- do users (patients) want to be helped?- what do you think they’d answer as to what the most
important specification of your implant/system would be?
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Visual Pathway
Horizo
R i
Horizo
Retina
Via the O
Binocular representation visual space
VISUExtracted s
(faces,
Source: (Odom et al-2004),
RPE
Photons
ontal Bipolar Amarcine
Graded membrane potentials
l G li C ll
ontal, Bipolar, Amarcine
Biological filtering(sensitivity & high contrast)
al Ganglion Cells
conversion to digital Action Potentials
Optic Nerve to LGN
of
UAL CORTEXspecific features of visual fieldmovement, language)
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Visual prosthesisp
PhospheneA l h dA sensation on light produ
mechanical stimulation RetinotopicA notion that receptor cellsp
points on the surface of v
d b l luced by electrical or of the visual pathway
s in the retina are mapped to ppvisual cortex
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Questions to be askeQ
Can the Visual pathway oactivated? Can we stimulate few setstable visual perception?
ed
of a blind person be
ts of neurons and have
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Types of Visual Prosthhesis
I. RetinalII O ti NII. Optic NerveIII. Lateral Geniculate BodyIV CorticalIV. Cortical
Source: (Merabet, 2005)
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Retinal Prosthesis
Epiretinal: “Stimulating the retinSubretinal:“Stimulating the reting
na from front”na from back”
Source: (Scholtz,2007)
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Subretinal Approachpp
Source: (Chow, 2004)
Replacing the RPE by • Microphotodiode (MPD) Arrayp ( ) y• Silicon Microphotodiode Array (SMA) Placed b/w the sclera and bipolar cells
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SubretinalSubretinal
AdvantagesUses natural signal processingN d f ti l t kNo need of retinal tacksLower stimulation thresholdsthresholds
DisadvantagesLow quantum efficiencyOccludes the vasculatureRigid structuresPossible retinal detachment
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Source: (Zrenner,2002)
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Epiretinal
Placed b/w the vitreous and the Stimulates the RGC bodies and
Source:
approach
Retinal Ganglion Cells (RGC)axons
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EpiretinalEpiretinal
Advantagesdva tagesDoesn't occlude the choroidal vasculatureBypasses the damaged or missing photoreceptors and remnant circuitryVitreous activity as heat i ksink
Opthalmoscopically it dmonitored
Disadvantagessadva tagesActive ElementsUnstable positioningUnstable positioningStimulates the RGC cell bodies and passing axons of p gperipheryEye movements
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Optic Nerve approac
Optic nerve is a neural cable ab
~ one million fibres clustered inmembranes
Source:
ch
out 3mm thick and 50mm
nto bundles surrounded by encased
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Optic NerveOptic Nerve
AdvantagesE i lEasy surgical accessStimulating passing fibersLess interference of artificial signals with complex synaptic processing of the retinaprocessing of the retina
DisadvantagesFibers not organizedFibers not organized according to their orientation in the visual field Difficulty stimulating only a desired fibers.
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LGN approach
Source: Technology Review,April 24, 2007 Brain Implants to Restore Visio
Relay station of signals from retina toVisual Cortex
on
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LGN ApproachLGN Approach
AdvantagesEncoded neural signals not yet extensively processed and spread throughout theand spread throughout the brain.Straightforward mapping ofStraightforward mapping of the visual scenePatients with extensive retina/optic nerve damage can be treated
DisadvantagesSurgical difficultySpaced too closely together t b ti l t d i di id llto be stimulated individually
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Cortical a
Source: (Normann,1999)
approach
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Cortical ApproaCortical Approa
AdvantagesSkull will protect both electronics and electrode arrayarray Bypass the diseased neurons distal to visual cortexdistal to visual cortexPotential to restore the vision to largest number of gblind patients.
achach
DisadvantagesSpatial organization is too complex C l t d ti l fConvoluted cortical surfaceSurgical complications
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Source: (Normann,1999)
Patterned electrical stimulation may notstimulation may not produce patterned perceptionperception.
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Types of Cortical StTypes of Cortical St
Surface Higher threshold currents (mA) Larger spacing b/w electrodes. Multiple closely spaced phosphenes unachievablePhosphene interaction Not in demand
imulationimulation
IntracorticalLower threshold current (µA) Cl l d l dClosely spaced electrodesPredictable forms of generated phosphenesgenerated phosphenes Reduction of phosphene interactioninteraction Greater two point resolution
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Materials Used (Epire
Parylene with Ti and Pt electrsuperior barrier propertiessuperior barrier properties
Polyimide flexi-circuits with ATacks (Co Ni Cr Mo W) alloyTacks (Co-Ni-Cr-Mo-W) alloyAdhesive glues (Cel-Tak, PEG
etinal)
rodes
Au/Ir/Pt electrodesyyG based hydrogels)
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Materials Used(Subre(
Amorphous Aluminium oxide high blood compatibility
ll b i iexcellent barrier properties
Diamond like carbon (DLC) PEGAtomically ordered oxide films
etinal))
s (NASA)
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Epiretinal Electrode AMaterials Concerns
The subcutaneous cableTacks for stapling the arraysGlues turn solid and brittle, change the pHPlatinum degrades under stimulation condG ld l di l t d d iGold also dissolves over an extended periTiN stable in subretinal space but adverse
“Currently IrOx the only suitab
Arrays
H, cause severe inflammation and damageditions in presence of proteinsi diode on retinal tissue
ble high charge electrode”
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Subretinal ElectrodeMaterials concerns
PI (mixed reports) suitable material (need additional
i bl ( i di i iNot suitable ( retina disorganizatioAAO good from extraocular unit onlyMPD diverse reports on toxicityMPD diverse reports on toxicity
o Silicon chemically unstable in retinaPassivation layers
o Silicon oxide dissolves in the physioo SiC mixed reports
Benzocyclobutene (best results) doeso Benzocyclobutene (best results) does
e Arrays y
coating for active components) )on)
a
ological medium
sn't adhere well to TiN or IrOxsn t adhere well to TiN or IrOx
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Ex: Epiretinal Intr
Source: (Scribner, 2007)
aocular Prosthesis
Joint effort of U.S. NRL and JohnJoint effort of U.S. NRL and John Hopkins Univ. HospitalTest device for short term human experimentse pe e sNo Clinical trialsDesign combines
l d f b i d felectrode arrays fabricated from nanochannel glassinfrared focal plane array mux
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Ex: Subretinal Artif
Clinical trials ( 6 RP patients) A 2-mm-diameter semiconductor MPDA chip, 25 µm in thickness
5000 independently~ 5000 independently functioning electrode-tipped MPD
d l l b i id t li htpowered solely by incident light.Into Clinical Trials
Source: (Chow 2004)
ficial Silicon Retina
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Source: (Chow 2004)
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Ex: Subretinal electrode arr
Source:(Zrenner,2004)
ray (Zrenner group)
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Source:(Zrenner,2004)
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Ex:Biohybrid R
Source (Yagi,2005)
Retinal Implant
Both biological and electronic components
i li i lNot into Clinical TrialsOnly In vivo exp.
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Ex: Optic Ner
Cuff Spiral electrodespInto Clinical Trials
Source (Veraart,2003)
rve Prosthesis
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Ex: Intracortical V
Source (Troyk,2003)
Visual Prosthesis
Developed at HMRIIn vivo studies in Monkeys
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Bionic Visionlens
Source http://www.sciencentral.com/articles/view.php3type=article&article_id=21839
: Electronic
93067
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F t re orkFuture work
Better understanding of bielectrodes Behavioural experiments ip( determine the stability of the stimulatperceptions)
Short term experiments in( evaluate stimulation parameters for o( p f
iocompatibility of
in primates ption thresholds and evoked visual
n human volunteers optimal phosphenes generation)p p p g )
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Will plasticity in the visuap yfactor?Does patterned electrical s
h l ipathway result in a patternHow do closely spaced eleretina/cortex interact to prretina/cortex interact to prfrom multiple phosphenes
al system be a major/minor y j
stimulation of the visual d i l i ?ned visual perception?
ectrodes in either the roduce lines/complex shapesroduce lines/complex shapes s?
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• Scholz, Perspectives on:Materials Aspects for Retinal Pr
• Cohen, Prosthetic interfaces with the visual system: biol
• Maynard, Visual Prostheses, Annu. Rev. Biomed. Eng., 2
• Margalit et al, Retinal Prosthesis for the Blind, Review, S
• Zrenner et al Will Retinal Implants Restore Vision? (Sc• Zrenner, et al, Will Retinal Implants Restore Vision? (Sc
• Merabet et al , What Blindness can tell us about seeing Neuroscience, Vol 6,2005
• Chow et al, The Artificial Silicon Retina Microchip for tOPHTHALMOL/VOL 122, 2004
• Norman et al, Cortical Implants for Blind, IEEE SPECT
• Scribner et al , A Retinal Prosthesis Technology Based oTRANSACTIONS ON BIOMEDICAL CIRCUITS AND
• Yagi et al, Biohybrid Retinal Implant: Research and DevConference on Neural , 2005
• Veraart et al, Pattern Recognition with the Optic Nerve V
• Troyk et al, A Model for Intracortical Visual Prosthesis R
rostheses (Journal of Bioactive and Compatible Polymers, 22(5), 2007
ogical issues, Topical Review, Journal of Neural Engg., 4, R14-R31, 2007
2001.3:145-68
Survey of Ophthalmology, 47(4), 2002
cience 295(1022) 2002cience, 295(1022), 2002
again: merging neuroplasticity and neuroprostheses, Nature Reviews,
the Treatment of Vision Loss From Retinitis Pigmentosa, ARCH
RUM MAY 1996
on CMOS Microelectronics and Microwire Glass Electrodes, IEEE D SYSTEMS, 1(1), 2007
velopment Update in 2005 Proceedings of the 2 International IEEE EMBS
Visual Prosthesis ,Artificial Organs, 27(11):996–1004
Research, Artificial Organs, 27(11):1005–1015,