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Developing an Outcome Measure With High Luminance for Optogenetics Treatment of Severe Retinal Degenerations and for Gene Therapy of Cone Diseases

DOI:10.1167/iovs.16-19586 期刊:Investigative Opthalmology & Visual Science 出版年份:2016 更新时间:2025-09-04 15:30:14
摘要: PURPOSE. To present stimuli with varied sizes, colors, and patterns over a large range of luminance. METHODS. The ?lter bar used in scotopic MP1 was replaced with a custom slide-in tray that introduces light from an external projector driven by an additional computer. MP1 software was modi?ed to provide retinal tracking information to the computer driving the projector. Retinal tracking performance was evaluated by imaging the system input and the output simultaneously with a high-speed video system. Spatial resolution was measured with achromatic and chromatic grating/background combinations over scotopic and photopic ranges. RESULTS. The range of retinal illuminance achievable by the modi?cation was up to 6.8 log photopic Trolands (phot-Td); however, in the current work, only a lower range over (cid:2)4 to t3 log phot-Td was tested in human subjects. Optical magni?cation was optimized for low-vision testing with gratings from 4.5 to 0.2 cyc/deg. In normal subjects, spatial resolution driven by rods, short wavelength-sensitive (S-) cones, and long/middle wavelength-sensitive (L/M-) cones was obtained by the choice of adapting conditions and wavelengths of grating and background. Data from a patient with blue cone monochromacy was used to con?rm mediation. CONCLUSIONS. The modi?ed MP1 can be developed into an outcome measure for treatments in patients with severe retinal degeneration, very low vision, and abnormal eye movements such as those for whom treatment with optogenetics is planned, as well as for patients with cone disorders such as blue cone monochromacy for whom treatment with gene therapy is planned to improve L/M-cone function above a normal complement of rod and S-cone function.
作者: Artur V. Cideciyan,Alejandro J. Roman,Samuel G. Jacobson,Boyuan Yan,Michele Pascolini,Jason Charng,Simone Pajaro,Sheila Nirenberg
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To present stimuli with varied sizes, colors, and patterns over a large range of luminance for optogenetics treatment of severe retinal degenerations and for gene therapy of cone diseases.

The modified MP1 can be developed into an outcome measure for treatments in patients with severe retinal degeneration, very low vision, and abnormal eye movements, as well as for patients with cone disorders undergoing gene therapy to improve L/M-cone function.

The study was limited by the current system's delay in retinal tracking and stimulation, which could result in errors between intended and actual retinal locations to be stimulated, especially in unstable eyes. The range of retinal illuminance tested was also limited to a lower range in human subjects.

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