Worldwide Argus II implantation: recommendations to optimize patient outcomes

BMC Ophthalmology

Research Article

Ninel Z. Gregori¹  Byron L. Lam¹  Mark Rankin²  Raymond Iezzi³  Hannah Schimitzek⁴  James D. Weiland⁵  Paul Hahn⁶  Fay Tripp⁶  Jiong Yan⁷  Andy Fisher⁸  Devon H. Ghodasra⁹  David N. Zacks⁹  Adrienne Chen⁹  Ashley Howson⁹  K. Thiran Jayasundera⁹  Naheed Khan⁹  Kari Branham⁹  Michelle Markowitz^1,10  Suber S. Huang^1,11  David G. Birch^1,12  Kirsten G. Locke^1,12  Brian Coley^1,13  Robert J. Greenberg^1,13  Jessy D. Dorn^1,13  Anne-Marie Ripley^1,13  Robert G. Devenyi^1,14  Eugene de Juan^1,15  Jennifer I. Lim^1,16  Allen C. Ho^1,17  Duane R. Geruschat^1,18  J. Fernando Arevalo^1,18  Gislin Dagnelie^1,18 

[1] Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA;Canadian National Institute for the Blind, Toronto, Canada;Department of Ophthalmology, Mayo Clinic, Rochester, MN, USA;Department of Ophthalmology, RWTH Aachen University, Aachen, Germany;Department of Ophthalmology, University of Southern California, Los Angeles, CA, USA;Duke University Eye Center, Durham, NC, USA;Emory Eye Center, Atlanta, GA, USA;Focal Point, Bristol, UK;Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA;Private Practice, Toronto, Canada;Retina Center of Ohio, South Euclid, OH, USA;Retina Foundation of the Southwest, Dallas, TX, USA;Second Sight Medical Products, Inc., Sylmar, CA, USA;The University of Toronto, Toronto, Canada;University of California, San Francisco, San Francisco, CA, USA;University of Illinois at Chicago Eye and Ear Infirmary, Chicago, IL, USA;Wills Eye Hospital, Philadelphia, PA, USA;Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA;

关键词: Optical Coherence Tomography;    Endophthalmitis;    Retinitis Pigmentosa;    Cystoid Macular Edema;    Epiretinal Membrane;   

DOI  :  10.1186/s12886-016-0225-1

 received in 2016-01-08, accepted in 2016-04-21,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundA position paper based on the collective experiences of Argus II Retinal Prosthesis System investigators to review strategies to optimize outcomes in patients with retinitis pigmentosa undergoing retinal prosthesis implantation.MethodsRetinal surgeons, device programmers, and rehabilitation specialists from Europe, Canada, Middle East, and the United States were convened to the first international Argus II Investigator Meeting held in Ann Arbor, MI in March 2015. The recommendations from the collective experiences were collected. Factors associated with successful outcomes were determined.ResultsFactors leading to successful outcomes begin with appropriate patient selection, expectation counseling, and preoperative retinal assessment. Challenges to surgical implantation include presence of staphyloma and inadequate Tenon’s capsule or conjunctiva. Modified surgical technique may reduce risks of complications such as hypotony and conjunctival erosion. Rehabilitation efforts and correlation with validated outcome measures following implantation are critical.ConclusionsBringing together Argus II investigators allowed the identification of strategies to optimize patient outcomes. Establishing an on-line collaborative network will foster coordinated research efforts to advance outcome assessment and rehabilitation strategies.

【 授权许可】

CC BY   
© Ghodasra et al. 2016