Worldwide Argus II implantation: Recommendations to optimize patient outcomes

Devon H. Ghodasra, Adrienne Chen, J. Fernando Arevalo, David G. Birch, Kari Branham, Brian Coley, Gislin Dagnelie, Eugene De Juan, Robert G. Devenyi, Jessy D. Dorn, Andy Fisher, Duane R. Geruschat, Ninel Z. Gregori, Robert J. Greenberg, Paul Hahn, Allen C. Ho, Ashley Howson, Suber S. Huang, Raymond Iezzi, Naheed KhanByron L. Lam, Jennifer I. Lim, Kirsten G. Locke, Michelle Markowitz, Anne Marie Ripley, Mark Rankin, Hannah Schimitzek, Fay Tripp, James D. Weiland, Jiong Yan, David N. Zacks, K. Thiran Jayasundera

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Abstract

Background: A 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. Methods: Retinal 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. Results: Factors 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. Conclusions: Bringing 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.

Original languageEnglish (US)
Article number225
JournalBMC Ophthalmology
Volume16
Issue number1
DOIs
StatePublished - May 6 2016

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ASJC Scopus subject areas

  • Ophthalmology

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Ghodasra, D. H., Chen, A., Arevalo, J. F., Birch, D. G., Branham, K., Coley, B., Dagnelie, G., De Juan, E., Devenyi, R. G., Dorn, J. D., Fisher, A., Geruschat, D. R., Gregori, N. Z., Greenberg, R. J., Hahn, P., Ho, A. C., Howson, A., Huang, S. S., Iezzi, R., ... Jayasundera, K. T. (2016). Worldwide Argus II implantation: Recommendations to optimize patient outcomes. BMC Ophthalmology, 16(1), [225]. https://doi.org/10.1186/s12886-016-0225-1