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Techniques for Processing Eyes Implanted With a Retinal Prosthesis for Localized Histopathological Analysis
Authors:David A X Nayagam  Ceara McGowan  Joel Villalobos  Richard A Williams  Cesar Salinas-LaRosa  Penny McKelvie  Irene Lo  Meri Basa  Justin Tan  Chris E Williams
Institution:1.Bionics Institute;2.Department of Anatomical Pathology, St Vincent''s Hospital Melbourne;3.Department of Pathology, University of Melbourne;4.Medical Bionics Department, University of Melbourne
Abstract:With the recent development of retinal prostheses, it is important to develop reliable techniques for assessing the safety of these devices in preclinical studies. However, the standard fixation, preparation, and automated histology procedures are not ideal. Here we describe new procedures for evaluating the health of the retina directly adjacent to an implant. Retinal prostheses feature electrode arrays in contact with eye tissue. Previous methods have not been able to spatially localize the ocular tissue adjacent to individual electrodes within the array. In addition, standard histological processing often results in gross artifactual detachment of the retinal layers when assessing implanted eyes. Consequently, it has been difficult to assess localized damage, if present, caused by implantation and stimulation of an implanted electrode array. Therefore, we developed a method for identifying and localizing the ocular tissue adjacent to implanted electrodes using a (color-coded) dye marking scheme, and we modified an eye fixation technique to minimize artifactual retinal detachment. This method also rendered the sclera translucent, enabling localization of individual electrodes and specific parts of an implant. Finally, we used a matched control to increase the power of the histopathological assessments. In summary, this method enables reliable and efficient discrimination and assessment of the retinal cytoarchitecture in an implanted eye.
Keywords:Medicine  Issue 78  Anatomy  Physiology  Biomedical Engineering  Bioengineering  Surgery  Ophthalmology  Pathology  Tissue Engineering  Prosthesis Implantation  Implantable Neurostimulators  Implants  Experimental  Histology  bionics  Retina  Prosthesis  Bionic Eye  Retinal  Implant  Suprachoroidal  Fixation  Localization  Safety  Preclinical  dissection  embedding  staining  tissue  surgical techniques  clinical techniques
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