Evaluation of corneal elastic modulus based on Corneal Visualization Scheimpflug Technology

Abstract Background Corneal biomechanical properties are important for the diagnosis of corneal diseases, individualized design and prognosis of corneal surgery. Clinical available devices such as Ocular Response Analyzer (ORA) and Corneal Visualization Scheimpflug Technology (Corvis ST) can provide...

Full description

Bibliographic Details
Main Authors: Xiao Qin, Lei Tian, Haixia Zhang, Xinyan Chen, Lin Li
Format: Article
Language:English
Published: BMC 2019-04-01
Series:BioMedical Engineering OnLine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12938-019-0662-1
_version_ 1818962126920744960
author Xiao Qin
Lei Tian
Haixia Zhang
Xinyan Chen
Lin Li
author_facet Xiao Qin
Lei Tian
Haixia Zhang
Xinyan Chen
Lin Li
author_sort Xiao Qin
collection DOAJ
description Abstract Background Corneal biomechanical properties are important for the diagnosis of corneal diseases, individualized design and prognosis of corneal surgery. Clinical available devices such as Ocular Response Analyzer (ORA) and Corneal Visualization Scheimpflug Technology (Corvis ST) can provide corneal biomechanics related parameters, while corneal elastic modulus cannot be extracted directly from them at present. The aim of this study is to suggest a method to determine corneal elastic modulus based on the results of Corvis ST test according to Reissner’s theory on the relation between stress and small displacement in shallow spherical shell. Results Five rabbits (10 eyes) and 10 healthy humans (20 eyes) were measured with Corvis ST to obtain the normal range of corneal elastic modulus. Results showed Corneal elastic modulus of rabbit was 0.16 MPa to 0.35 MPa, human corneal elastic modulus was 0.16–0.30 MPa. Rabbit corneas were also measured at different intraocular pressures (IOP), and results showed corneal elastic modulus, first applanation time (A1T) and stiffness parameter (SP-A1) were positively correlated with IOP. Deformation amplitude (DA), the second applanations time (A2T), and peak distance (PD) were negatively correlated with IOP. Finite element method was used to simulate the Corvis measurements according to the calculated elastic modulus and the simulated corneal apical displacements were agreement with experimental results in general. Conclusions The method to determine corneal elastic modulus based on Corvis test according to the relationship between force and displacements of shallow spherical shell is convenient and effective.
first_indexed 2024-12-20T12:24:22Z
format Article
id doaj.art-bb70fa22400b423b8683b66ec64b5372
institution Directory Open Access Journal
issn 1475-925X
language English
last_indexed 2024-12-20T12:24:22Z
publishDate 2019-04-01
publisher BMC
record_format Article
series BioMedical Engineering OnLine
spelling doaj.art-bb70fa22400b423b8683b66ec64b53722022-12-21T19:40:54ZengBMCBioMedical Engineering OnLine1475-925X2019-04-0118111610.1186/s12938-019-0662-1Evaluation of corneal elastic modulus based on Corneal Visualization Scheimpflug TechnologyXiao Qin0Lei Tian1Haixia Zhang2Xinyan Chen3Lin Li4Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical UniversityBeijing Ophthalmology & Visual Sciences Key Laboratory, Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical UniversityBeijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical UniversityBeijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical UniversityBeijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical UniversityAbstract Background Corneal biomechanical properties are important for the diagnosis of corneal diseases, individualized design and prognosis of corneal surgery. Clinical available devices such as Ocular Response Analyzer (ORA) and Corneal Visualization Scheimpflug Technology (Corvis ST) can provide corneal biomechanics related parameters, while corneal elastic modulus cannot be extracted directly from them at present. The aim of this study is to suggest a method to determine corneal elastic modulus based on the results of Corvis ST test according to Reissner’s theory on the relation between stress and small displacement in shallow spherical shell. Results Five rabbits (10 eyes) and 10 healthy humans (20 eyes) were measured with Corvis ST to obtain the normal range of corneal elastic modulus. Results showed Corneal elastic modulus of rabbit was 0.16 MPa to 0.35 MPa, human corneal elastic modulus was 0.16–0.30 MPa. Rabbit corneas were also measured at different intraocular pressures (IOP), and results showed corneal elastic modulus, first applanation time (A1T) and stiffness parameter (SP-A1) were positively correlated with IOP. Deformation amplitude (DA), the second applanations time (A2T), and peak distance (PD) were negatively correlated with IOP. Finite element method was used to simulate the Corvis measurements according to the calculated elastic modulus and the simulated corneal apical displacements were agreement with experimental results in general. Conclusions The method to determine corneal elastic modulus based on Corvis test according to the relationship between force and displacements of shallow spherical shell is convenient and effective.http://link.springer.com/article/10.1186/s12938-019-0662-1Corneal Visualization Scheimpflug Technology (Corvis ST)Reisner’s theoryCorneaElastic modulusIntraocular pressure (IOP)
spellingShingle Xiao Qin
Lei Tian
Haixia Zhang
Xinyan Chen
Lin Li
Evaluation of corneal elastic modulus based on Corneal Visualization Scheimpflug Technology
BioMedical Engineering OnLine
Corneal Visualization Scheimpflug Technology (Corvis ST)
Reisner’s theory
Cornea
Elastic modulus
Intraocular pressure (IOP)
title Evaluation of corneal elastic modulus based on Corneal Visualization Scheimpflug Technology
title_full Evaluation of corneal elastic modulus based on Corneal Visualization Scheimpflug Technology
title_fullStr Evaluation of corneal elastic modulus based on Corneal Visualization Scheimpflug Technology
title_full_unstemmed Evaluation of corneal elastic modulus based on Corneal Visualization Scheimpflug Technology
title_short Evaluation of corneal elastic modulus based on Corneal Visualization Scheimpflug Technology
title_sort evaluation of corneal elastic modulus based on corneal visualization scheimpflug technology
topic Corneal Visualization Scheimpflug Technology (Corvis ST)
Reisner’s theory
Cornea
Elastic modulus
Intraocular pressure (IOP)
url http://link.springer.com/article/10.1186/s12938-019-0662-1
work_keys_str_mv AT xiaoqin evaluationofcornealelasticmodulusbasedoncornealvisualizationscheimpflugtechnology
AT leitian evaluationofcornealelasticmodulusbasedoncornealvisualizationscheimpflugtechnology
AT haixiazhang evaluationofcornealelasticmodulusbasedoncornealvisualizationscheimpflugtechnology
AT xinyanchen evaluationofcornealelasticmodulusbasedoncornealvisualizationscheimpflugtechnology
AT linli evaluationofcornealelasticmodulusbasedoncornealvisualizationscheimpflugtechnology