Abstract

Objective. Patients with photovoltaic subretinal implant PRIMA demonstrated letter acuity ∼0.1 logMAR worse than sampling limit for 100 μm pixels (1.3 logMAR) and performed slower than healthy subjects tested with equivalently pixelated images. To explore the underlying differences between natural and prosthetic vision, we compare the fidelity of retinal response to visual and subretinal electrical stimulation through single-cell modeling and ensemble decoding. Approach. Responses of retinal ganglion cells (RGCs) to optical or electrical white noise stimulation in healthy and degenerate rat retinas were recorded via multi-electrode array. Each RGC was fit with linear–nonlinear and convolutional neural network models. To characterize RGC noise, we compared statistics of spike-triggered averages (STAs) in RGCs responding to electrical or visual stimulation of healthy and degenerate retinas. At the population level, we constructed a linear decoder to determine the accuracy of the ensemble of RGCs on N-way discrimination tasks. Main results. Although computational models can match natural visual responses well (correlation ∼0.6), they fit significantly worse to spike timings elicited by electrical stimulation of the healthy retina (correlation ∼0.15). In the degenerate retina, response to electrical stimulation is equally bad. The signal-to-noise ratio of electrical STAs in degenerate retinas matched that of the natural responses when 78 ± 6.5% of the spikes were replaced with random timing. However, the noise in RGC responses contributed minimally to errors in ensemble decoding. The determining factor in accuracy of decoding was the number of responding cells. To compensate for fewer responding cells under electrical stimulation than in natural vision, more presentations of the same stimulus are required to deliver sufficient information for image decoding. Significance. Slower-than-natural pattern identification by patients with the PRIMA implant may be explained by the lower number of electrically activated cells than in natural vision, which is compensated by a larger number of the stimulus presentations.

Highlights

  • Age-related macular degeneration (AMD) is a leading cause of untreatable blindness

  • retinal ganglion cells (RGC) digitize these signals into bursts of the action potentials (“spikes”), which propagate via optic nerve to the brain

  • We investigate the potential retinal underpinnings of this phenomenon by comparing RGC responses to visual and electrical stimulation in healthy and degenerate rat retina recorded on a multi-electrode array (MEA)

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Summary

Introduction

Age-related macular degeneration (AMD) is a leading cause of untreatable blindness. Geographic atrophy (GA), the atrophic form of advanced AMD, affects around 3% of people above the age of 75, and around 25% above 90 [1, 2]. Optical information (local light intensity) is converted via phototransduction into decrease of the cell potential (hyperpolarization) in photoreceptors. Rods are responsible for monochromatic vision at low light intensities, while cones, operating in brighter light, provide color vision at high resolution. Decrease in cell potential reduces the rate of release of neurotransmitter glutamate in synapses with the secondary neurons – bipolar and horizontal cells. OFF bipolar cells receive their input from photoreceptors via signpreserving ionotropic synapses and respond to light stimuli by hyperpolarization. ON bipolar cells receive their input via sign-inverting metabotropic synapses, resulting in depolarization in response to light. Bipolar cells electrically integrate inputs from multiple photoreceptors and relay these signals to tertiary retinal neurons – amacrine and ganglion cells (RGCs). Amacrine cells regulate the inputs into the RGCs mostly through inhibition. Signals from the overlapping mosaics of the various types of RGCs are further processed in the brain before merging into a single visual percept

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