Surgeons have carried out the first operations in Britain using a pioneering
“bionic eye” that could in future help to restore blind people’s sight.

Two successful operations to implant the device into the eyes of two blind
patients have been conducted at Moorfields Eye Hospital in London.
The device — the first of its kind — incorporates a video camera and
transmitter mounted on a pair of glasses. This is linked to an artificial
retina, which transmits moving images along the optic nerve to the brain and
enables the patient to discriminate rudimentary images of motion, light and
dark.
The operations were conducted as part of an international clinical trial of
the technology, known as the Argus II retinal implant, which has already
proved successful in restoring rudimentary vision to patients who have
become blind because of common conditions such as age-related macular
degeneration or retinitis pigmentosa.
American researchers are hoping to develop a camera the size of a pea that
could be implanted within the eyeball, replacing natural tissue with
artificial technology.
Surgeons hope that the implant could be available to NHS patients within three
to five years.
The Argus II uses a video camera to capture images. These are converted into
electrical signals, which are transmitted wirelessly to the implant behind
the retina. The electrodes in the implant unscramble the signal to create a
crude black-and-white picture that is relayed along the optic nerve to the
brain. The brain can then perceive patterns of light and dark spots
corresponding to the electrodes stimulated.
Mark Humayun, Professor of Ophthalmology and Biomedical Engineering at the
Doheny Eye Institute in Los Angeles, California, which developed the
technology, said: “The camera is very, very small, and very low power,
so it can go inside your eye and couple your eye movement to where the
camera is. With the kind of missing information the brain can fill in, this
field is really blossoming. In the next four to five years I hope, and we
all hope, that we see technology that’s much more advanced.”
Linda Moorfoot is one of a few American patients to be fitted with the current
version of the implant. She had been totally blind for more than a decade
with the inherited condition retinitis pigmentosa. With the aid of the
camera mounted on a pair of sunglasses, she can now see a rough image of the
world made up of light and dark blocks. She told Sky News: “When I go to the
grandkids’ hockey game or soccer game I can see which direction the game is
moving in. I can shoot baskets with my grandson, and I can see my
granddaughter dancing across the stage. It’s wonderful.”
Ms Moorfoot’s implant has just 16 electrodes but the US surgeons have helped
to fit a more advanced device, with 60 electrodes, to the two British
patients to give clearer images. In California, scientists are developing an
implant with 1,000 electrodes, which should allow facial recognition.
The identities of the British patients have been concealed while doctors
monitor their progress.
Lyndon da Cruz, the consultant retinal surgeon who carried out the operations
with his team, said: “Moorfields is proud to have been one of only three
sites in Europe chosen to be part of evolving this exciting technology. The
devices were implanted successfully in both patients and they are recovering
well from the operations.
“It is very special to be part of a programme developing a totally new type of
treatment for patients who would otherwise have no chance of visual
improvement.”
John Marshall, of St Thomas’ Hospital in London, and the British Retinitis
Pigmentosa Society, gave warning that it was still “very early days” for the
technology.
He said: “It is very, very good news that devices have been developed. It is
very good news that in experimental trials some individuals have had these
inserted. However, the general public should not run away with the idea that
this is going to be routine surgery for blind people in the immediate future
because there is an enormous amount to learn.”