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. 2023 Sep 25;123(19):11488–11558. doi: 10.1021/acs.chemrev.3c00290

Table 9. Characteristics of Retinal Prosthesis According to Position of Microelectrode Array.

Type of retinal prosthesis Epiretinal Subretinal Suprachoroidal
Implant position On the surface of the retinal nerve fiber layer Between the photoreceptor layer and the retinal pigment epithelium/choroid Between the choroid and sclera
Major target cells RGCs Bipolar cells Bipolar cells
Stimulation efficacy Directly stimulation of the RGCs Directly interfaces the bipolar cells Low proximity to the target cells
  Low stimulation threshold Low stimulation threshold High stimulation threshold
      Spread of current, thereby reducing the spatial resolution
Surgical method Transvitreal through a pars plana sclerotomy Vitrectomy, retinotomy Intravitreal surgery
Surgical limitations Possibility of retinal detachment or hemorrhage Risk of damaging healthy photoreceptor cells during insertion Less invasive compared to other two and does not involve direct contact with the retina
  Requires tacks to fix the prosthesis on the retinal surface Postsurgical complications such as inflammation or proliferation of tissue over the implant  
  Prosthesis may move or become dislodged, requiring further surgical intervention