Sassetti F, Guarnieri F A, Garelli L, Storti M A
Facultad de Bioingeniería, UNER, Ruta Prov. N 11 Km. 10, 3100 Oro Verde, Entre Ríos, Argentina.
Comput Methods Biomech Biomed Engin. 2012;15(12):1273-80. doi: 10.1080/10255842.2011.585978. Epub 2011 Aug 2.
Glaucoma drainage device (GDD) has the potential to eliminate hypotony but still suffers from poor flow control and fibrosis. The ideal shunt should change its hydraulic resistance to achieve the desired intraocular pressure (IOP). In this study, the characterisation of a preliminary design of a new GDD is presented. This is activated by means of a diaphragm, which is actuated by conducting polymers. The valve can be manufactured employing microelectromechanical system technology by soft lithography. The characterisation process is performed by numerical simulation using the finite element method, considering the coupling between the fluid and the structure (diaphragm) obtaining the hydraulic resistance for several positions of the diaphragm. To analyse the hydraulic system of the microvalve implanted in a human eye, an equivalent circuit model was used. The parameters of the equivalent circuit model were obtained from numerical simulation. The hydraulic resistance of the designed GDD varies in the range of 13.08-0.36 mmHg min/μl compared with 3.38-0.43 mmHg min/μl for the Ahmed valve. The maximum displacement of the diaphragm in the vertical direction is 18.9 μm, and the strain in the plane is 2%. The proposed preliminary design allows to control the IOP by varying the hydraulic resistance in a greater range than the existing passive valves, and the numerical simulation facilitates the characterisation and the improvement of the design before its construction, reducing time and costs.
青光眼引流装置(GDD)有消除低眼压的潜力,但仍存在流量控制不佳和纤维化的问题。理想的分流器应改变其水力阻力以达到所需的眼压(IOP)。在本研究中,展示了一种新型GDD初步设计的特性。它通过一个由导电聚合物驱动的隔膜来激活。该瓣膜可采用微机电系统技术通过软光刻制造。特性化过程通过使用有限元方法的数值模拟来进行,考虑流体与结构(隔膜)之间的耦合,获得隔膜几个位置的水力阻力。为了分析植入人眼中的微型瓣膜的液压系统,使用了一个等效电路模型。等效电路模型的参数从数值模拟中获得。与艾哈迈德瓣膜的3.38 - 0.43 mmHg·min/μl相比,所设计GDD的水力阻力在13.08 - 0.36 mmHg·min/μl范围内变化。隔膜在垂直方向的最大位移为18.9μm,平面应变是2%。所提出的初步设计能够通过比现有的被动瓣膜更大范围地改变水力阻力来控制眼压,并且数值模拟有助于在设计制造之前对其进行特性化和改进,从而减少时间和成本。