Methods for epi-retinal implantation

• US 5,597,381 A
• Filed: 06/03/1993
• Issued: 01/28/1997
• Est. Priority Date: 06/03/1993
• Status: Expired due to Term

• Current Assignee: Massachusetts Eye And Ear Infirmary (Foundation of The Massachusetts Eye and EAR Infirmary Incorporated)
• Original Assignee: Massachusetts Eye And Ear Infirmary (Foundation of The Massachusetts Eye and EAR Infirmary Incorporated)
• Inventors: Rizzo, Joseph III
• Primary Examiner(s): Jones, Mary Beth O.
• Application Number:
  US08/072,321
• Time in Patent Office: 1,335 Days
• Field of Search: 623/4, 607/2, 607/53, 607/115, 607/116, 607/118, 128/745, 128/898
• US Class Current: 623/6.63
• CPC Class Codes: A61F 2/14 Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002
• CPC Class Codes: A61N 1/0543 Retinal electrodes
• CPC Class Codes: A61N 1/36046 of the eye

Abstract

A method for epi-retinal implantation of an object into a subject is disclosed. The method includes rendering the normally transparent cortical vitreous visible and separating at least a portion of a cortical vitreous of the subject away from an adherent retinal surface to form an epi-retinal space between the retina and the separated cortical vitreous material. An object to be implanted may be introduced into the epi-retinal space and the object engaged with a surface of the retina. In preferred embodiments, the object may then be adhered to the surface of the retina. A method for implantation of a neural contact structure for contact with neural tissue, for example, neural tissue of the retina within which are ganglion cells to be electrically stimulated is also described. The contact structure comprises a first portion for attachment to a first bodily location, such as the inner surface of the retina, and a second portion interconnected with the first portion via an interconnection and being held in contact with the neural tissue. The interconnection exhibits a weak restoring force which in conjunction with the geometry of said second portion provides a preselected desired pressure of contact against the neural tissue. As adapted for the retina, the interconnection exhibits a weak restoring force developed in response to curvature of the interconnection along the inner radius of the retina.

Claims

1. A method for removing a cortical vitreous of an eye, comprising:

transforming a cortical vitreous from a transparent to a visible condition by mechanically stimulating the transparent cortical vitreous to induce formation of collagen fibrils and contraction thereof; and

separating at least a portion of the cortical vitreous from an adherent retinal surface to form an epi-retinal space.

2. The method of claim 1, further comprising introducing an object to be implanted into the epi-retinal space;

and

engaging said object with a surface of said retina that is free of said cortical vitreous.

3. The method of claim 2, further comprising adhering said object to said surface of said retina after engagement therewith.

4. The method of claim 2, which further comprises anchoring a first portion of said object to said retinal surface, and contacting said retinal tissue with a second portion of said object which is interconnected with said first portion via an interconnection, wherein said interconnection exhibits a weak restoring force which, in conjunction with the geometry of said second portion, provides a preselected desired pressure of contact against said retinal surface.

5. The method of claim 4, wherein said second portion comprises a mechanical support for a stimulating an electrode structure positioned on said second portion for stimulating neurons within said retina.

6. The method of claim 4, wherein said first portion and said second portion together comprise an integral structure.

7. The method of claim 6, wherein said integral structure comprises a cantilever.

8. A method for implanting an object on a retina of a subject, comprising:

inducing contraction of at least a portion of a transparent cortical vitreous of the subject so that at least a portion is rendered visible by mechanically stimulating the transparent cortical vitreous to induce formation of collagen fibrils and contraction thereof;

separating said visible cortical vitreous from an underlying retina;

forming an epi-retinal space defined between said retina and said separated cortical vitreous;

enlarging said epi-retinal space;

introducing an object into said epi-retinal space; and

engaging said object within the retina that is free of said cortical vitreous.

9. The method of claim 8, further comprising adhering said object to said retinal tissue that is free of said cortical vitreous.

10. The method of claims 8 or 9, wherein the step of inducing contraction comprises introducing an inducing element onto said at least a portion of the cortical vitreous of the subject to render the cortical vitreous visible over an area of at least 10 millimeters.

11. The method of claim 8, wherein the step of enlarging the epi-retinal space comprises engaging and elevating said collagen fibrils of said cortical vitreous.

12. The method of claim 9, wherein the step of adhering comprises providing to said retinal tissue free of cortical vitreous a hydrophilic object that will adhere by virtue of its hydrophilic properties.

13. The method of claim 9, wherein the step of adhering comprises gluing said object to said retina free of said cortical vitreous.

14. The method of claims 9 or 12, wherein the step of adhering comprises providing a photocoagulating means to said object while engaged with said retina free of said cortical vitreous.

15. A method for removing a cortical vitreous from an inner surface of a retina of an eye, comprising:

removing vitreous material of the eye to expose the retina and associated cortical vitreous;

inducing contraction of at least a portion of the cortical vitreous of the eye so that said at least a portion of the cortical vitreous is rendered visible by mechanically stimulating the cortical vitreous to induce formation of collagen fibrils and contraction thereof;

separating said visible cortical vitreous from the retina; and

removing said cortical vitreous.

16. The method of claim 15, further comprising forming an epi-retinal space defined between said retina and said separated cortical vitreous;

enlarging said epi-retinal space;

introducing a structure into said epi-retinal space; and

engaging said retina that is free of said cortical vitreous with said structure.

17. The method of claim 16, wherein said structure that includes a first portion for attachment to a first location on a surface of the retina, and a second portion interconnected with said first portion via an interconnection and being held in contact with a second location on the retina adjacent to cells to be stimulated, said interconnection exhibiting a weak restoring force developed in response to curvature of said interconnection along an inner radius of the retina, whereby said weak restoring force in conjunction with a geometry of said second portion provides a preselected desired pressure of contact against said retina.