The use of Argus® II retinal prosthesis by blind subjects to achieve localisation and prehension of objects in 3-dimensional space

Background The Argus® II retinal prosthesis system has entered mainstream treatment for patients blind from Retinitis Pigmentosa (RP). We set out to evaluate the use of this system by blind subjects to achieve object localisation and prehension in 3-dimensional space. Methods This is a single-centre...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2015-11, Vol.253 (11), p.1907-1914
Hauptverfasser: Luo, Yvonne Hsu-Lin, Zhong, Joe Jianjiang, da Cruz, Lyndon
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container_end_page 1914
container_issue 11
container_start_page 1907
container_title Graefe's archive for clinical and experimental ophthalmology
container_volume 253
creator Luo, Yvonne Hsu-Lin
Zhong, Joe Jianjiang
da Cruz, Lyndon
description Background The Argus® II retinal prosthesis system has entered mainstream treatment for patients blind from Retinitis Pigmentosa (RP). We set out to evaluate the use of this system by blind subjects to achieve object localisation and prehension in 3-dimensional space. Methods This is a single-centre, prospective, internally-controlled case series involving 5 blind RP subjects who received the Argus® II implant. The subjects were instructed to visually locate, reach and grasp (i.e. prehension) a small white cuboid object placed at random locations on a black worktop. A flashing LED beacon was attached to the reaching index finger (as a finger marker) to assess the effect of enhanced finger visualisation on performance. Tasks were performed with the prosthesis switched “on” or “off” and with the finger marker switched “on” or “off”. Forty-eight trials were performed per subject. Trajectory of each subject’s hand movement during the task was recorded by a 3D motion-capture unit (Qualysis®, see supplementary video ) and analysed using a MATLAB script. Result Percentage of successful prehension±standard deviation was: 71.3 ± 27.1 % with prosthesis on and finger marker on; 77.5 ± 24.5 % with prosthesis on and finger marker off; 0.0 ± 0.0 % with prosthesis off and finger marker on, and 0.00 ± 0.00 % with prosthesis off and finger marker off. The finger marker did not have a significant effect on performance ( P =  0.546 and 1, Wilcoxon Signed Rank test, with prosthesis on and off respectively). With prosthesis off, none of the subjects were able to visually locate the target object and no initiation of prehension was attempted. With prosthesis on, prehension was initiated on 82.5 % (range 59–100 %) of the trials with 89.0 % (range 66.7–100 %) achieving successful prehension. Conclusion Argus® II subjects were able to achieve object localisation and prehension better with their prosthesis switched on than off.
doi_str_mv 10.1007/s00417-014-2912-z
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We set out to evaluate the use of this system by blind subjects to achieve object localisation and prehension in 3-dimensional space. Methods This is a single-centre, prospective, internally-controlled case series involving 5 blind RP subjects who received the Argus® II implant. The subjects were instructed to visually locate, reach and grasp (i.e. prehension) a small white cuboid object placed at random locations on a black worktop. A flashing LED beacon was attached to the reaching index finger (as a finger marker) to assess the effect of enhanced finger visualisation on performance. Tasks were performed with the prosthesis switched “on” or “off” and with the finger marker switched “on” or “off”. Forty-eight trials were performed per subject. Trajectory of each subject’s hand movement during the task was recorded by a 3D motion-capture unit (Qualysis®, see supplementary video ) and analysed using a MATLAB script. Result Percentage of successful prehension±standard deviation was: 71.3 ± 27.1 % with prosthesis on and finger marker on; 77.5 ± 24.5 % with prosthesis on and finger marker off; 0.0 ± 0.0 % with prosthesis off and finger marker on, and 0.00 ± 0.00 % with prosthesis off and finger marker off. The finger marker did not have a significant effect on performance ( P =  0.546 and 1, Wilcoxon Signed Rank test, with prosthesis on and off respectively). With prosthesis off, none of the subjects were able to visually locate the target object and no initiation of prehension was attempted. With prosthesis on, prehension was initiated on 82.5 % (range 59–100 %) of the trials with 89.0 % (range 66.7–100 %) achieving successful prehension. Conclusion Argus® II subjects were able to achieve object localisation and prehension better with their prosthesis switched on than off.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-014-2912-z</identifier><identifier>PMID: 25547618</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Blindness - physiopathology ; Blindness - rehabilitation ; Female ; Humans ; Imaging, Three-Dimensional ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Ophthalmology ; Pattern Recognition, Visual - physiology ; Proprioception - physiology ; Prospective Studies ; Prosthesis Implantation ; Psychomotor Performance - physiology ; Psychophysiology ; Retina - physiopathology ; Retinal Disorders ; Retinitis Pigmentosa - physiopathology ; Retinitis Pigmentosa - rehabilitation ; Visual Prosthesis</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2015-11, Vol.253 (11), p.1907-1914</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357z-57da859a51f66c40ac4a229528eac3f7adf446e824e0dfc4b2db38e7054b74683</citedby><cites>FETCH-LOGICAL-c357z-57da859a51f66c40ac4a229528eac3f7adf446e824e0dfc4b2db38e7054b74683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-014-2912-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-014-2912-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25547618$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luo, Yvonne Hsu-Lin</creatorcontrib><creatorcontrib>Zhong, Joe Jianjiang</creatorcontrib><creatorcontrib>da Cruz, Lyndon</creatorcontrib><title>The use of Argus® II retinal prosthesis by blind subjects to achieve localisation and prehension of objects in 3-dimensional space</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Background The Argus® II retinal prosthesis system has entered mainstream treatment for patients blind from Retinitis Pigmentosa (RP). We set out to evaluate the use of this system by blind subjects to achieve object localisation and prehension in 3-dimensional space. Methods This is a single-centre, prospective, internally-controlled case series involving 5 blind RP subjects who received the Argus® II implant. The subjects were instructed to visually locate, reach and grasp (i.e. prehension) a small white cuboid object placed at random locations on a black worktop. A flashing LED beacon was attached to the reaching index finger (as a finger marker) to assess the effect of enhanced finger visualisation on performance. Tasks were performed with the prosthesis switched “on” or “off” and with the finger marker switched “on” or “off”. Forty-eight trials were performed per subject. Trajectory of each subject’s hand movement during the task was recorded by a 3D motion-capture unit (Qualysis®, see supplementary video ) and analysed using a MATLAB script. Result Percentage of successful prehension±standard deviation was: 71.3 ± 27.1 % with prosthesis on and finger marker on; 77.5 ± 24.5 % with prosthesis on and finger marker off; 0.0 ± 0.0 % with prosthesis off and finger marker on, and 0.00 ± 0.00 % with prosthesis off and finger marker off. The finger marker did not have a significant effect on performance ( P =  0.546 and 1, Wilcoxon Signed Rank test, with prosthesis on and off respectively). With prosthesis off, none of the subjects were able to visually locate the target object and no initiation of prehension was attempted. With prosthesis on, prehension was initiated on 82.5 % (range 59–100 %) of the trials with 89.0 % (range 66.7–100 %) achieving successful prehension. 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We set out to evaluate the use of this system by blind subjects to achieve object localisation and prehension in 3-dimensional space. Methods This is a single-centre, prospective, internally-controlled case series involving 5 blind RP subjects who received the Argus® II implant. The subjects were instructed to visually locate, reach and grasp (i.e. prehension) a small white cuboid object placed at random locations on a black worktop. A flashing LED beacon was attached to the reaching index finger (as a finger marker) to assess the effect of enhanced finger visualisation on performance. Tasks were performed with the prosthesis switched “on” or “off” and with the finger marker switched “on” or “off”. Forty-eight trials were performed per subject. Trajectory of each subject’s hand movement during the task was recorded by a 3D motion-capture unit (Qualysis®, see supplementary video ) and analysed using a MATLAB script. Result Percentage of successful prehension±standard deviation was: 71.3 ± 27.1 % with prosthesis on and finger marker on; 77.5 ± 24.5 % with prosthesis on and finger marker off; 0.0 ± 0.0 % with prosthesis off and finger marker on, and 0.00 ± 0.00 % with prosthesis off and finger marker off. The finger marker did not have a significant effect on performance ( P =  0.546 and 1, Wilcoxon Signed Rank test, with prosthesis on and off respectively). With prosthesis off, none of the subjects were able to visually locate the target object and no initiation of prehension was attempted. With prosthesis on, prehension was initiated on 82.5 % (range 59–100 %) of the trials with 89.0 % (range 66.7–100 %) achieving successful prehension. Conclusion Argus® II subjects were able to achieve object localisation and prehension better with their prosthesis switched on than off.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25547618</pmid><doi>10.1007/s00417-014-2912-z</doi><tpages>8</tpages></addata></record>
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language eng
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source MEDLINE; SpringerLink Journals
subjects Aged
Blindness - physiopathology
Blindness - rehabilitation
Female
Humans
Imaging, Three-Dimensional
Male
Medicine
Medicine & Public Health
Middle Aged
Ophthalmology
Pattern Recognition, Visual - physiology
Proprioception - physiology
Prospective Studies
Prosthesis Implantation
Psychomotor Performance - physiology
Psychophysiology
Retina - physiopathology
Retinal Disorders
Retinitis Pigmentosa - physiopathology
Retinitis Pigmentosa - rehabilitation
Visual Prosthesis
title The use of Argus® II retinal prosthesis by blind subjects to achieve localisation and prehension of objects in 3-dimensional space
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