Three-dimensional electro-neural interfaces electroplated on subretinal prostheses.

High-resolution retinal prosthetics offer partial sight restoration to patients blinded by retinal degenerative diseases through electrical stimulation of remaining neurons. Decreasing pixel size enables increasing prosthetic visual acuity, as demonstrated in animal models of retinal degeneration. However, scaling down the size of planar pixels is limited by the reduced penetration depth of the electric field in tissue. We investigated 3-dimensional structures on top of photovoltaic arrays for enhanced penetration of the electric field, permitting higher resolution implants.
Approach. 3D COMSOL models of subretinal photovoltaic arrays were developed to accurately quantify the electrodynamics during stimulation and verified through comparison to flat photovoltaic arrays. Models were applied to optimize the design of 3D electrode structures (pillars and honeycombs). Return electrodes on honeycomb walls vertically align the electric field with bipolar cells for optimal stimulation. Pillars elevate the active electrode improving proximity to target neurons. The optimized 3D structures were electroplated onto existing flat subretinal prostheses based on modelling results.
Main results. Simulations demonstrate that despite exposed conductive sidewalls, charge mostly flows via high-capacitance sputtered Iridium Oxide films topping the 3D structures. The 24 µm height of honeycomb structures was optimized for integration with the inner nuclear layers cells in the rat retina, whilst 35 µm tall pillars were optimized for penetrating the debris layer in human patients. Implantation of released 3D arrays demonstrates mechanical robustness with histology demonstrating successful integration of 3D structures with the rat retina in-vivo.
Significance. Electroplated 3D honeycomb structures produce vertically oriented electric fields, providing low stimulation thresholds, high spatial resolution, and contrast for pixel sizes down to 20 µm. Pillar electrodes offer alternatives for extending past debris layers. Electroplating of 3D structures is compatible with the fabrication process of flat photovoltaic arrays, enabling much more efficient stimulation.&#xD.