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眼反应分析仪参数的力学解读。

The Mechanical Interpretation of Ocular Response Analyzer Parameters.

机构信息

Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical University, Beijing 100069, China.

School of Biomedical Engineering, Capital Medical University, Beijing 100069, China.

出版信息

Biomed Res Int. 2019 Jul 16;2019:5701236. doi: 10.1155/2019/5701236. eCollection 2019.

Abstract

PURPOSE

Ocular Response Analyzer (ORA) is one of the most widely used devices in clinic, while the mechanical interpretations of parameters obtained from ORA have not been understood completely. The aim of this research is to explore the mechanical interpretation of ORA parameters.

METHODS

Rabbits aged 3-24 months were measured with ORA in vivo and corneal strips uniaxial tensile tests to get ORA parameters and corneal biomechanical parameters (corneal elastic modulus, relaxation time, and relaxation limit). The mechanical interpretation of ORA parameters was cognized preliminarily by analyzing the correlation between ORA parameters and corneal biomechanical parameters. On the other hand, finite element method was applied to simulate ORA measurements with different corneal biomechanical parameters to obtain quantitative relationship between ORA parameters and corneal biomechanical parameters further.

RESULTS

Biomechanical experimental results showed that Corneal Resistance Factor (CRF) was correlated with corneal elastic modulus and relaxation limit significantly, while the significant correlations between Corneal Hysteresis (CH) and corneal biomechanical parameters were not observed. Results of finite element analysis showed that both CH and CRF were correlated with corneal elastic modulus, relaxation limit, and relaxation time significantly. Besides, corneal elastic modulus was positively correlated with and and negatively correlated with .

CONCLUSIONS

For all ORA parameters, CH, CRF, the upslope, and the width of the peaks are parameters which may reflect corneal elastic properties. It is viable to cognize mechanical interpretation of ORA parameters by the comparisons of the data from ORA and biomechanical tests of rabbits with different ages and the simulations of ORA based on finite element methods. Further studies are needed to confirm the mechanical interpretation.

摘要

目的

眼反应分析仪(ORA)是临床上应用最广泛的仪器之一,但人们对该仪器所获得的参数的力学意义还不完全理解。本研究旨在探讨 ORA 参数的力学意义。

方法

活体兔眼测量和角膜条单轴拉伸试验分别获得 ORA 参数和角膜生物力学参数(角膜弹性模量、松弛时间和松弛极限)。通过分析 ORA 参数与角膜生物力学参数之间的相关性,初步认识 ORA 参数的力学意义。另一方面,应用有限元法模拟不同角膜生物力学参数下的 ORA 测量,进一步获得 ORA 参数与角膜生物力学参数之间的定量关系。

结果

生物力学实验结果表明,角膜阻力因子(CRF)与角膜弹性模量和松弛极限显著相关,而角膜滞后(CH)与角膜生物力学参数之间没有显著相关性。有限元分析结果表明,CH 和 CRF 均与角膜弹性模量、松弛极限和松弛时间显著相关。此外,角膜弹性模量与 和 呈正相关,与 呈负相关。

结论

对于所有 ORA 参数,CH、CRF、峰的斜率和峰宽均为反映角膜弹性特性的参数。通过比较不同年龄兔的 ORA 数据和生物力学试验以及基于有限元方法的 ORA 模拟,可以对 ORA 参数的力学意义进行认识。需要进一步的研究来证实这种力学解释。

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