基于电刺激的视网膜外假体研究进展

Wang Xing, Peng Cheng-lin, Yang Yong
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引用次数: 0

摘要

目前有许多实验努力开发一种治疗方法,通过电刺激网膜来恢复盲人的有用视力,这是基于视网膜内层可以被电刺激并引起电诱发反应的实验。一般来说,根据研究重点不同,各种视觉假体的研究主要集中在两种解决方案上。一类是围绕硬件电路的不同设计,另一类是人工视网膜的功能评估和生理测试。一方面,可能有三个方面,即基本结构,结构的重要因素和生物相容性考虑。其中,主体结构在理论上一般由三部分组成。此外,还应考虑电极-视网膜界面和脉冲形状等其他因素。最后是材料、电极形状和制作工艺。另一方面,为了证明视网膜前刺激确实有助于视觉假体的构建,需要对人工视觉进行功能评估和生理测试。目前,研究人员主要采用几种动物进行体外生物相容性试验和体内生物相容性试验。除此之外,研究人员还试图寻找新的替代方案。本文将从与所有或大部分视网膜假体相关的一般考虑开始,然后集中讨论视网膜外电设计。最后,对视网膜前电刺激技术的发展趋势进行了展望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Research progress of epiretinal prosthesis based on electrical stimulation
There are currently many experimental efforts to develop a treatment to restore useful vision for blind patients by electrical stimulation at epiretina, which is based on experiments that inner retinal layers can be electrically stimulated and elicit an electrical-evoked response. Generally, various researches on visual prosthesis are mainly focused on two solutions according to the research emphasis. One type is different designs surrounding the hardware circuitry, the other type is function evaluation and physiological test of artificial retina. On the one hand, there are probably three aspects, which are elementary structure, important factors of structure and biocompatible consideration. Among them, main structure generally consists of about three parts in theory. Moreover, it is claimed that other factors such as electrode-retina interface and pulse shape, should be taken into account. And the last is material, electrode shape and production technique. On the other hand, in order to demonstrate that epiretinal stimulation actually helps construct a visual prosthesis, functional evaluation and physiological test of the artificial vision is required. At present, researchers mainly used several kinds of animals for vitro biocompatibility tests and vivo biocompatibility tests. Besides that, there are novel alternative which researchers attempted to find. This paper will begin with general considerations related to all or most of retinal prosthesis, and then concentrate on the epiretinal electrical design. At the end of the paper an outlook of the possible trend of epiretinal electrical stimulation in future is presented.
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