The Adult Brain Can Recover Lost Vision

Summary: Administering a chemical compound called synthetic retinoids to the retina helped restore brain networks associated with vision and prompted the growth of two times more neurons, effectively restoring vision in adult mouse models of the genetic visual disorder LCA.

Source: UC Irvine

A discovery about how some visually impaired adults could start to see offers a new vision of the brain’s possibilities.

The finding that the adult brain has the potential to partially recover from inherited blindness comes from a collaboration between researchers in the University of California, Irvine School of Biological Sciences and the School of Medicine.

Their paper appears in Current Biology.

The team was examining treatment for Leber congenital amaurosis, known as LCA. The term refers to a group of inherited retinal diseases distinguished by severe visual impairment at birth. The condition, which stems from mutations in any of over two dozen genes, causes degeneration or dysfunction in the retina’s photoreceptors.

Administering chemical compounds that target the retina, called synthetic retinoids, can restore a notable amount of vision in children with LCA. The UCI team wanted to find out if the treatment could make a difference for adults who have the condition.

“Frankly, we were blown away by how much the treatment rescued brain circuits involved in vision,” said Sunil Gandhi, professor of neurobiology and behavior and the corresponding author. Gandhi is a fellow of UCI’s Center for the Neurobiology of Learning and Memory and a member of the Center for Translational Vision Research.

“Seeing involves more than intact and functioning retinae. It starts in the eye, which sends signals throughout the brain. It’s in the central circuits of the brain where visual perception actually arises.”

Until now, scientists believed that the brain must receive those signals in childhood so that central circuits could wire themselves correctly.

Working with rodent models of LCA, the collaborators were surprised by what they found.

“The central visual pathway signaling was significantly restored in adults, especially the circuits that deal with information coming from both eyes,” Gandhi said.

“Immediately after the treatment, the signals coming from the opposite-side eye, which is the dominant pathway in the mouse, activated two times more neurons in the brain. What was even more mind-blowing was that the signals coming from the same-side eye pathway activated five-fold more neurons in the brain after the treatment and this impressive effect was long-lasting. The restoration of visual function at the level of the brain was much greater than expected from the improvements we saw at the level of the retinae.

This shows eye glasses
The team was examining treatment for Leber congenital amaurosis, known as LCA. The term refers to a group of inherited retinal diseases distinguished by severe visual impairment at birth. Image is in the public domain

“The fact that this treatment works so well in the central visual pathway in adulthood supports a new concept, which is that there is latent potential for vision that is just waiting to be triggered.”

The finding opens exciting research possibilities. “Whenever you have a discovery that breaks with your expectations about the possibility for the brain to adapt and rewire, it teaches you a broader concept,” Gandhi said.

“This new paradigm could aid in the development of retinoid therapies to more completely rescue the central visual pathway of adults with this condition.”

Gandhi and first author Carey Huh, PhD, who initiated the project, teamed with Krzysztof Palczewski, Distinguished Professor of ophthalmology. Palczewski, director of the Center for Translational Vision Research, is renowned for his work on retinoids and the visual cycle. Philip Kiser, associate professor of physiology and biophysics, an expert on visual cycle biochemistry, helped lead the group. Kiser, who holds a joint appointment in ophthalmology, is a member, Center for Translational Vision Research.

Funding: The research was funded by the National Institutes of Health, the Department of Veterans Affairs and the Research to Prevent Blindness foundation.

About this genetics and visual neuroscience research news

Author: Ethan Perez
Source: UC Irvine
Contact: Ethan Perez – UC Irvine
Image: The image is in the public domain

Original Research: Open access.
Retinoid therapy restores eye-specific cortical responses in adult mice with retinal degeneration” by Sunil Gandhi et al. Current Biology


Retinoid therapy restores eye-specific cortical responses in adult mice with retinal degeneration

Despite the recent emergence of multiple cellular and molecular strategies to restore vision in retinal disorders, it remains unclear to what extent central visual circuits can recover when retinal defects are corrected in adulthood.

We addressed this question in an Lrat−/− mouse model of Leber congenital amaurosis (LCA) in which retinal light sensitivity and optomotor responses are partially restored by 9-cis-retinyl acetate administration in adulthood.

Following treatment, two-photon calcium imaging revealed increases in the number and response amplitude of visually responsive neurons in the primary visual cortex (V1). In particular, retinoid treatment enhanced responses from the ipsilateral eye, restoring the normal balance of eye-specific responses in V1. Additionally, the treatment rescued the modulation of cortical responses by arousal.

These findings illustrate the significant plasticity of the adult central visual system and underscore the therapeutic potential of retinoid administration for adults with retinal diseases.

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  1. My son has an oil bubble in his left eye to get the retina to stay attached. He tried the gas bubble and the band but neither worked for him. Do you have any technology that would help with this particular problem.

  2. I am a patient of Retinitis pigmentosa. The new research will help to those who have Retinitis pigmentosa. I am now at 55. A reply will be getting soon?
    With regards


  3. Amazing! I’m very interested in the possibility of latent potential in vision that might be unlocked when used on someone with perfect vision.

  4. My daughter was born with Occular Albinism. She is an adult in her mid 40’s.
    Is this something that would work for her?

  5. This sounds like potentially way to restore some of the vision in the many people who suffer from kerataconus? However, that is largely due to the curvature of the cornea. I can always hope!

  6. The article mentioned treatment but is it being provided now for the public or is it just experimental? I have had retinal photo receptors in both eyes that were considered dead starting from my mid to late forties. I am now 73.

  7. Would this Vision increase help me with lost vision from melanoma cancer? After radiation seeds where used in a cap above my eye, lost vision accured after treatment due to seeds to close to retina and nerves.

  8. On 12-4-2020, my nephew, 26 yrs old. had opohthalmic exam. Drs assessment is the following:
    Anomalous optic disc both eyes-congential optic nerve hyperplasia. Significantly de creased vision both eyes with right eye more impaired than the left.
    Would you be able to help him?

    1. Oh my gosh I have optical hypoplasia. I have less than 10° in my left eye and less than 20° in my right eye. I’m going for cataract surgery in my left eye on Wednesday. I always wondered why I was tripping over my kids. Although I did twirl baton in parades for 15 years all through School.
      When you really don’t know you learn how to compensate.
      I had to retire early 27+ years with San Joaquin county, public health services, California children’s services, medical therapy program. I’m now on SSDI in California.

  9. I enjoyed reading about how the adult brain can recover lost vision. All my life I have been having good vision to near a ightness ( severe) and back to perfect vision via Lasik to poor vision due to age. If ever you need someone for research ease reach out to me. I would be delighted to help especially when this is a problem for most people.

  10. Does this work for someone like me who was born with Coloboma of the retina? If so, then how can I go about testing this treatment on my bad eye?
    Please provide information so that I can take the necessary steps into gaining more than just the very limited peripheral vision only from my right eye.
    Thank you

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