Acceptance and willingness of patients with chronic facial nerve palsy for an implantable device that assists with eye closure.

Background: Patients with facial nerve palsy often experience lagophthalmos (incomplete eye closure), which can lead to exposure keratitis. The Bionic Lid Implant for Natural Eye Closure (BLINC) is a medical device designed to mimic the more natural blink kinetics than traditional lid loading techniques.

Aims: This study aimed to evaluate potential factors that might influence the design of the BLINC device and willingness of participant to undergo the implant placement surgery.

Transformer-based light-evoked retinal spiking activity prediction.

Retinal visual prosthetic devices aim to restore vision via electrical stimulation delivered on the retina. While a number of devices have been commercially available, the stimulation strategies applied have not met the expectations of end-users. These stimulation strategies involve the neurons being activated based on their spatial properties, regardless of their functions, which may lead to lower visual acuity.

Implications of Neural Plasticity in Retinal Prosthesis.

Retinal degenerative diseases such as retinitis pigmentosa cause a progressive loss of photoreceptors that eventually prevents the affected person from perceiving visual sensations. The absence of a visual input produces a neural rewiring cascade that propagates along the visual system. This remodeling occurs first within the retina.

Selective neuromodulation of retinal ganglion cells via a hybrid optic-nerve and retinal neuroprosthesis for visual restoration.

A visual neuroprosthesis delivers electrical stimulation to the surviving neural cells of the visual pathway to produce prosthetic vision. While the retina is often chosen as the stimulation site, current retinal prostheses are hindered by the lack of functional selectivity that impairs the resolution. A possible strategy to improve the resolution is to combine the retinal stimulation and the stimulation of the optic nerve bundle, which contains myelinated fibres of retinal ganglion cells (RGCs) axons that vary in diameter.

Cross-modal activation of the primary visual cortex by auditory stimulation in RCS rats: considerations in visual prosthesis.

An important brain re-wiring, the so-called cross-modal plasticity, occurs during progression of retinal degenerative diseases to compensate for lack of visual input. The visual cortex does not go 'unused', instead it is devoted to processing other sensory modalities. In this study we recorded, in the visual cortex, visual- and auditory-evoked potentials in an anesthetized murine model of retinal degeneration.

Overcoming Facial Paralysis with an Implantable Actuator for Restoration of Blink.

The loss of the ability to blink the eyelid is considered the most severe effect of facial nerve paralysis. The delicate homeostasis of the eye is disrupted, and without frequent intervention, the cornea can become damaged, ultimately resulting in blindness. The psychosocial impact is also significant, with individuals withdrawing from society to hide what they perceive to be a disfigurement.

Computational Modeling of Retinal Neurons for Visual Prosthesis Research - Fundamental Approaches.

Computational modeling has become an increasingly important method in neural engineering due to its capacity to predict behaviors of in vivo and in vitro systems. This has the key advantage of minimizing the number of animals required in a given study by providing an often very precise prediction of physiological outcomes. In the field of visual prosthesis, computational modeling has an array of practical applications, including informing the design of an implantable electrode array and prediction of visual percepts that may be elicited through the delivery of electrical impulses from the said array.

Implantation and long-term assessment of the stability and biocompatibility of a novel 98 channel suprachoroidal visual prosthesis in sheep.

Severe visual impairment can result from retinal degenerative diseases such as retinitis pigmentosa, which lead to photoreceptor cell death. These pathologies result in extensive neural and glial remodelling, with survival of excitable retinal neurons that can be electrically stimulated to elicit visual percepts and restore a form of useful vision. The Phoenix Bionic Eye is a fully implantable visual prosthesis, designed to stimulate the retina from the suprachoroidal space.

Facial nerve paralysis: A review on the evolution of implantable prosthesis in restoring dynamic eye closure.

Facial nerve paralysis (FNP) is a debilitating condition that leaves those affected with disfigurement and loss of function. The most important function of the facial nerve is protecting the eye through eye closure and blinking. A series of reanimation techniques have been reported to restore dynamic function in FNP, but the lack of a universally accepted method that is reliable and reproducible with immediate effect has led to the introduction of several implantable devices.

Reliability of Neural Implants-Effective Method for Cleaning and Surface Preparation of Ceramics.

Neural implants provide effective treatment and diagnosis options for diseases where pharmaceutical therapies are missing or ineffective. These active implantable medical devices (AIMDs) are designed to remain implanted and functional over decades. A key factor for achieving reliability and longevity are cleaning procedures used during manufacturing to prevent failures associated with contaminations.

Recreation of eyelid mechanics using the sling concept.

Background: Paralytic lagophthalmos causes major functional, aesthetic and psychological problems in patients with facial paralysis. The Bionic Lid Implant for Natural Closure (BLINC) project aims to restore eyelid function using an implanted electromagnetic actuator combined with an eyelid sling. The authors performed a preliminary study using cadaveric heads to investigate the optimal application of an eyelid sling in various configurations around the orbit.

Prediction of Individual Cochlear Implant Recipient Speech Perception With the Output Signal to Noise Ratio Metric.

Objectives: A cochlear implant (CI) implements a variety of sound processing algorithms that seek to improve speech intelligibility. Typically, only a small number of parameter combinations are evaluated with recipients but the optimal configuration may differ for individuals. The present study evaluates a novel methodology which uses the output signal to noise ratio (OSNR) to predict complete psychometric functions that relate speech recognition to signal to noise ratio for individual CI recipients.

An Investigation of Audibility Effects on Cochlear Implant Speech Perception Prediction.

Output Signal to Noise Ratio (OSNR) is the Signal to Noise Ratio (SNR) at the output of a cochlear implant (CI) sound processor. Whereas other prediction metrics typically predict mean speech-in-noise test scores for a group of subjects, an OSNR-based model has been shown to accurately predict scores for individual CI recipients. The OSNR model was unable to predict scores for aggressive Ideal Binary Mask (IdBM) sound processing.

Mediating Retinal Ganglion Cell Spike Rates Using High-Frequency Electrical Stimulation.

Recent retinal studies have directed more attention to sophisticated stimulation strategies based on high-frequency (>1.0 kHz) electrical stimulation (HFS). In these studies, each retinal ganglion cell (RGC) type demonstrated a characteristic stimulus-strength-dependent response to HFS, offering the intriguing possibility of focally targeting retinal neurons to provide useful visual information by retinal prosthetics.

Computational Models And Tools For Developing Sophisticated Stimulation Strategies For Retinal Neuroprostheses.

Improvements to the efficacy of retinal neuroprostheses can be achieved by developing more sophisticated neural stimulation strategies to enable selective or preferential activation of specific retinal ganglion cells (RGCs). Computational models are particularly well suited for these investigations. The electric field can be accurately described by mathematical formalisms, and the population-based neural responses to the electrical stimulation can be investigated at resolutions well beyond those achievable by current state-of-the-art biological techniques.

Optic nerve and retinal electrostimulation in rats: direct activation of the retinal ganglion cells.

Visual prosthesis is competing with biological approaches to restore vision to the blind. Understanding and developing the ability to replicate the neural code of the retina are key factors that can bring bionic vision significant advantage. Here, electrically evoked potentials were recorded in anesthetized rats from the dorsal surface of the superior colliculus.

An Investigation of the Effect of AGC Gain on the Output Signal to Noise Ratio in Cochlear Implant Sound Processing.

Measurement of speech intelligibility of cochlear implant (CI) recipients is typically carried out with a speech-innoise test procedure. Metrics which predict speech intelligibility can pre-screen new sound processing strategies prior to comprehensive testing with human subjects.The Output Signal to Noise Ratio (OSNR) metric calculates the Signal to Noise Ratio (SNR) which is present at the CI sound processor output.

Differential electrical responses in retinal ganglion cell subtypes: effects of synaptic blockade and stimulating electrode location.

Objective: Visual prostheses have shown promising results in restoring visual perception to blind patients. The ability to differentially activate retinal ganglion cell (RGC) subtypes could further improve the efficacy of these medical devices.

Approach: Using whole-cell patch clamp, we investigated membrane potential differences between ON and OFF RGCs in the mouse retina when their synaptic inputs were blocked by synaptic blockers, and examined the differences in stimulation thresholds under such conditions.

Closed-Loop Efficient Searching of Optimal Electrical Stimulation Parameters for Preferential Excitation of Retinal Ganglion Cells.

The ability for visual prostheses to preferentially activate functionally-distinct retinal ganglion cells (RGCs) is important for improving visual perception. This study investigates the use of high frequency stimulation (HFS) to elicit RGC activation, using a closed-loop algorithm to search for optimal stimulation parameters for preferential ON and OFF RGC activation, resembling natural physiological neural encoding in response to visual stimuli. We evaluated the performance of a wide range of electrical stimulation amplitudes and frequencies on RGC responses using murine retinal preparations.

An Evaluation of Output Signal to Noise Ratio as a Predictor of Cochlear Implant Speech Intelligibility.

Objectives: Cochlear implant (CI) sound processing strategies are usually evaluated in clinical studies involving experienced implant recipients. Metrics which estimate the capacity to perceive speech for a given set of audio and processing conditions provide an alternative means to assess the effectiveness of processing strategies. The aim of this research was to assess the ability of the output signal to noise ratio (OSNR) to accurately predict speech perception.