Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, PR China; State Key Laboratory of Fluid Power & Mechatronic System, Key Laboratory of Soft Machines and Smart Devices of Zhejiang Province, and Department of Engineering Mechanics, Zhejiang University, Hangzhou, 310027, PR China.
Eye Center, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, PR China.
J Mech Behav Biomed Mater. 2024 May;153:106475. doi: 10.1016/j.jmbbm.2024.106475. Epub 2024 Feb 26.
Measuring intraocular pressure (IOP) is crucial and remains challenging in diagnosing glaucoma, as it is associated with cornea deformation during inflation. In this study, a three-dimensional analytical model based on hyperelastic constitutive relationship to predict correlation between cornea vertex displacement and the IOP is proposed. The analytical model is validated by rigorous experiments. Rabbit corneas were selected for this study and their mechanical properties were obtained using uniaxial tensile tests. To mimic the environment in which the cornea exists, an artificial anterior chamber equipped with water-injection pipelines was constructed to study the relationship between the corneal vertex displacement with IOP value in practical situation. The experimental results of rabbits corneas prove that the IOP can be deduced based on the measured corneal vertex displacement by the analytical model. Furthermore, subtle difference occurs when comparing the calculated human IOPs with those measured by medical equipment, demonstrating that the proposed method is suitable for monitoring the IOP of human. This novel IOP predicting method provides new inspiration for the design of eyepieces, as well as the preoperative preparation for laser surgery and evaluation of corneal damage.
测量眼内压(IOP)对于诊断青光眼至关重要,但仍然具有挑战性,因为它与眼压充气过程中的角膜变形有关。在这项研究中,提出了一种基于超弹性本构关系的三维解析模型,以预测角膜顶点位移与 IOP 之间的相关性。该解析模型通过严格的实验进行了验证。选择兔角膜进行本研究,并使用单轴拉伸试验获得其力学性能。为了模拟角膜所处的环境,构建了一个带有注水管道的人工前房,以研究实际情况下角膜顶点位移与 IOP 值之间的关系。兔角膜的实验结果证明,通过解析模型可以根据测量的角膜顶点位移来推断 IOP。此外,与通过医疗设备测量的计算出的人 IOP 相比,存在细微差异,这表明该方法适用于监测人的 IOP。这种新颖的 IOP 预测方法为眼部镜片的设计以及激光手术的术前准备和角膜损伤评估提供了新的思路。