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UPMC is First to Implant Wireless Retinal Device in the U.S.

January 24, 2020 12:46 pm


Clinical trial will test use of retinal prosthesis to treat advanced
age-related macular degeneration.

UPMC has implanted the first patient in the United States with a new
wireless retinal device as part of a clinical trial aimed at restoring
partial sight to patients with advanced age-related macular
degeneration (AMD), a disease that leads to permanent blindness.

“Vision research has advanced dramatically in the recent past and UPMC
is at the forefront of this revolution. This is the first of many such
breakthroughs led by UPMC and Pitt that will benefit patients with
vision loss in our community and around the world,” said José-Alain
Sahel, M.D., director of the UPMC Eye Center, Eye and Ear Foundation
chair of ophthalmology and distinguished professor at the University
of Pittsburgh School of Medicine who initiated the trial at UPMC. “We
are proud to be the first center in the United States to test this
next generation retinal implant that could help treat an incurable
disease like AMD.”

The system, called PRIMA, is designed to restore sight in patients
blinded by retinal degeneration. It consists of a 2×2 millimeter,
30-micron thick miniaturized wireless photovoltaic chip, placed under
the damaged retina and works in tandem with augmented reality glasses
that have a built-in miniaturized camera and infrared projector.

The chip acts like a tiny artificial retina, made up of 378 tiny
electrodes that convert infrared light from the glasses to electrical
signals that are carried by the optic nerve to the brain. After
receiving the implant, patients undergo an intensive rehabilitation
program that trains their brains to understand and interpret the
signals from the implant in combination with their remaining natural
vision. Compared to earlier-generation implants, PRIMA is wireless and
has significantly more electrodes, which allows for the transmission
of more visual information.



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“This is an incredibly exciting first for us at UPMC and I’m honored
to be a part of it,” said Joseph Martel, M.D., the implanting surgeon
at the UPMC Eye Center and the Pitt School of Medicine, and the
principal investigator of the trial at UPMC. “I’m grateful to our
patients who have volunteered to participate in this trial, without
whom this would not be possible.”

AMD is the leading cause of vision loss in people older than 50.
Today, it affects approximately 14 million people in the United
States, and the prevalence is expected to rise as the baby boomers
age. As AMD progresses, the center of vision becomes increasingly
blurry. “Atrophic” AMD, which accounts for a large proportion of
advanced cases, has no curative treatment available.

The UPMC feasibility trial is running in parallel with the
first-in-human trial in France, which involves five patients with
advanced AMD, who now have been followed for more than a year. The
12-month results from the French study demonstrated the ability of
most patients to identify sequences of letters and there were no
device-related serious adverse effects.

“We are working with a great sense of urgency because the aging
population of the United States, especially the western Pennsylvania
region we live in, will see a significant rise in the number of
patients at risk for vision loss through diseases like age-related
macular degeneration, glaucoma and vascular eye disease, as well as
earlier onset genetic conditions such as retinitis pigmentosa,” said
Sahel. “This is why our physicians and researchers at UPMC and Pitt,
in collaboration with our U.S. and international colleagues —
especially at the Paris Vision Institute at Sorbonne University — are
taking a multi-pronged effort to treat and rehabilitate patients with
vision impairments.”



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In March 2019, UPMC broke ground on the UPMC Vision and Rehabilitation
Tower at UPMC Mercy, which when completed, will provide advanced
specialty clinical care and innovative programs for visually impaired
patients. It also will be the home for the vision research program at
Pitt and UPMC.

The PRIMA implant was invented by Daniel Palanker, Ph.D., professor of
ophthalmology at Stanford University, and licensed and developed by
Pixium Vision, a spin-off from the Paris Vision Institute. Sahel is a
co-founder of Pixium and holds shares in the company.




-- 
Ronald Jason Escrader.




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