Bionic eye review - An update. 2020

Kamil Nowik, and Ewa Langwińska-Wośko, and Piotr Skopiński, and Katarzyna E Nowik, and Jacek P Szaflik
Department of Management and Financial Science, School of Economics, Warszawa, Poland; Department of Ophthalmology, SPKSO (Samodzielny Publiczny Kliniczny Szpital Okulistyczny) Ophthalmic Hospital, Medical University of Warsaw, 03-709 Warsaw, Poland. Electronic address: kamil.nowik@intelmedi.pl.

OBJECTIVE To date, reviews of bionic eye have concentrated on implants which were used in human trials in the developed countries. This is the main restriction of this systematic review examines, however this review discusses worldwide advances in retinal prosthetic research, assesses engineering features and clinical progress of recent implant trials, and identifies potential future research areas in the field of bionic implants. METHODS A literature review searching PubMed, Google Scholar, and IEEExplore was performed using the PRISMA Guidelines for Systematic Review. We included peer-reviewed papers in the review which demonstrated progress in human or animal trials and papers with described innovative bionic eye engineering design. For each trial, a characteristic of the device, engineering solution, and latest clinical outcomes were presented. RESULTS Eleven prosthetic projects fulfilled met our inclusion criteria and were ordered by stimulation location. Four have recently finished human trials, three are having conducted multi- or singlecenter human trials, and three are in preclinical animal testing stage. FDA has approved Argus II (FDA 2013, CE 2011); the Alpha-IMS (CE 2013) has been approved and obtained BCVA with Landolt-C test has taken into a multicenter clinical research. New approaches will be presented using alternating magnetic fields, low-intensity focused ultrasounds, optogenetics, implementing ionic gradients across neural cell membranes or influencing neurotransmitter levels will be presented in the review. CONCLUSIONS Several bionic eye have successfully achieved visual perception in animals and/or humans. However, many things need to be improved and engineering difficulties are to be resolved before bionic eye will be capable of fully and safely bring back vision functions. New approaches could improve medical outcome of future bionic eye.

UI MeSH Term Description Entries
D012160 Retina The ten-layered nervous tissue membrane of the eye. It is continuous with the OPTIC NERVE and receives images of external objects and transmits visual impulses to the brain. Its outer surface is in contact with the CHOROID and the inner surface with the VITREOUS BODY. The outer-most layer is pigmented, whereas the inner nine layers are transparent. Ora Serrata
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D014785 Vision, Ocular The process in which light signals are transformed by the PHOTORECEPTOR CELLS into electrical signals which can then be transmitted to the brain. Vision,Light Signal Transduction, Visual,Ocular Vision,Visual Light Signal Transduction,Visual Phototransduction,Visual Transduction,Phototransduction, Visual,Transduction, Visual
D014796 Visual Perception The selecting and organizing of visual stimuli based on the individual's past experience. Visual Processing,Perception, Visual,Processing, Visual
D057488 Visual Prosthesis Artificial device such as an externally-worn camera attached to a stimulator on the RETINA, OPTIC NERVE, or VISUAL CORTEX, intended to restore or amplify vision. Bionic Eye,Retinal Prosthesis,Bionic Eyes,Eye, Bionic,Eyes, Bionic,Prostheses, Retinal,Prostheses, Visual,Prosthesis, Retinal,Prosthesis, Visual,Retinal Prostheses,Visual Prostheses

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