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在眼形区域上计算泪膜和渗透压动力学。

Computed tear film and osmolarity dynamics on an eye-shaped domain.

作者信息

Li Longfei, Braun Richard J, Driscoll Tobin A, Henshaw William D, Banks Jeffrey W, King-Smith P Ewen

机构信息

Department of Mathematical Sciences, University of Delaware, Newark, DE 19711, USA.

Department of Mathematical Sciences, University of Delaware, Newark, DE 19711, USA

出版信息

Math Med Biol. 2016 Jun;33(2):123-57. doi: 10.1093/imammb/dqv013. Epub 2015 Apr 15.

DOI:10.1093/imammb/dqv013
PMID:25883248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5394582/
Abstract

The concentration of ions, or osmolarity, in the tear film is a key variable in understanding dry eye symptoms and disease. In this manuscript, we derive a mathematical model that couples osmolarity (treated as a single solute) and fluid dynamics within the tear film on a 2D eye-shaped domain. The model includes the physical effects of evaporation, surface tension, viscosity, ocular surface wettability, osmolarity, osmosis and tear fluid supply and drainage. The governing system of coupled non-linear partial differential equations is solved using the Overture computational framework, together with a hybrid time-stepping scheme, using a variable step backward differentiation formula and a Runge-Kutta-Chebyshev method that were added to the framework. The results of our numerical simulations provide new insight into the osmolarity distribution over the ocular surface during the interblink.

摘要

泪膜中的离子浓度或渗透压是理解干眼症状和疾病的关键变量。在本手稿中,我们推导了一个数学模型,该模型在二维眼形区域上耦合了泪膜内的渗透压(视为单一溶质)和流体动力学。该模型包括蒸发、表面张力、粘度、眼表润湿性、渗透压、渗透以及泪液供应和引流的物理效应。使用Overture计算框架以及混合时间步长方案来求解耦合的非线性偏微分方程组,该方案采用了添加到框架中的可变步长向后微分公式和龙格-库塔-切比雪夫方法。我们数值模拟的结果为眨眼间隔期间眼表渗透压分布提供了新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/2fe1d1236ce9/dqv01306.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/9cde4eee3925/dqv01301.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/bc8db93444d4/dqv01302.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/6fa6500f0cfa/dqv01303.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/7cfd633bf886/dqv01304.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/1383494984a2/dqv01305.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/2fe1d1236ce9/dqv01306.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/9cde4eee3925/dqv01301.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/bc8db93444d4/dqv01302.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/6fa6500f0cfa/dqv01303.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/7cfd633bf886/dqv01304.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/1383494984a2/dqv01305.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2a1/5394582/2fe1d1236ce9/dqv01306.jpg

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本文引用的文献

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A MODEL FOR THE TEAR FILM AND OCULAR SURFACE TEMPERATURE FOR PARTIAL BLINKS.部分眨眼的泪膜和眼表温度模型。
Interfacial Phenom Heat Transf. 2013;1(4):357-381. doi: 10.1615/InterfacPhenomHeatTransfer.v1.i4.40.
2
Tear film dynamics with evaporation, wetting, and time-dependent flux boundary condition on an eye-shaped domain.在眼形区域上具有蒸发、湿润和时间相关通量边界条件的泪膜动力学。
Phys Fluids (1994). 2014 May;26(5):052101. doi: 10.1063/1.4871714. Epub 2014 May 6.
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The value of tear osmolarity as a metric in evaluating the response to dry eye therapy in the clinic and in clinical trials.
Math Med Biol. 2019 Mar 14;36(1):55-91. doi: 10.1093/imammb/dqx021.
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Mechanisms, imaging and structure of tear film breakup.泪膜破裂的机制、成像和结构。
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TFOS DEWS II Tear Film Report.TFOS DEWS II 泪膜报告。
Ocul Surf. 2017 Jul;15(3):366-403. doi: 10.1016/j.jtos.2017.03.006. Epub 2017 Jul 20.
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On tear film breakup (TBU): dynamics and imaging.关于泪膜破裂(TBU):动力学与成像
Math Med Biol. 2018 Jun 13;35(2):145-180. doi: 10.1093/imammb/dqw023.
7
Dynamics and function of the tear film in relation to the blink cycle.泪膜与眨眼周期相关的动力学及功能
Prog Retin Eye Res. 2015 Mar;45:132-64. doi: 10.1016/j.preteyeres.2014.11.001. Epub 2014 Dec 3.
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A model for tear film thinning with osmolarity and fluorescein.泪膜变薄的渗透压和荧光模型。
Invest Ophthalmol Vis Sci. 2014 Feb 26;55(2):1133-42. doi: 10.1167/iovs.13-12773.
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Challenges in using signs and symptoms to evaluate new biomarkers of dry eye disease.使用体征和症状评估干眼疾病新生物标志物所面临的挑战。
Ocul Surf. 2014 Jan;12(1):2-9. doi: 10.1016/j.jtos.2013.10.002. Epub 2013 Oct 23.
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The value of tear osmolarity as a metric in evaluating the response to dry eye therapy in the clinic and in clinical trials.
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Role of hyperosmolarity in the pathogenesis and management of dry eye disease: proceedings of the OCEAN group meeting.高渗性在干眼发病机制和治疗中的作用:OCEAN 会议纪要。
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What is the value of incorporating tear osmolarity measurement in assessing patient response to therapy in dry eye disease?在评估干眼疾病患者对治疗的反应时,纳入泪液渗透压测量的价值是什么?
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