Effect of biomechanical properties on myopia: a study of new corneal biomechanical parameters

Abstract Background To assess the corneal stress-strain index (SSI), which is a marker for material stiffness and corneal biomechanical parameters, in myopic eyes. Methods A total of 1054 myopic patients were included in this study. Corneal visualisation Scheimpflug technology was used to measure th...

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Main Authors: Fang Han, Mengdi Li, Pinghui Wei, Jiaonan Ma, Vishal Jhanji, Yan Wang
Format: Article
Language:English
Published: BMC 2020-11-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-020-01729-x
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author Fang Han
Mengdi Li
Pinghui Wei
Jiaonan Ma
Vishal Jhanji
Yan Wang
author_facet Fang Han
Mengdi Li
Pinghui Wei
Jiaonan Ma
Vishal Jhanji
Yan Wang
author_sort Fang Han
collection DOAJ
description Abstract Background To assess the corneal stress-strain index (SSI), which is a marker for material stiffness and corneal biomechanical parameters, in myopic eyes. Methods A total of 1054 myopic patients were included in this study. Corneal visualisation Scheimpflug technology was used to measure the SSI. Corneal biomechanics were assessed using the first and second applanation times (A1-and A2-times); maximum deflection amplitude (DefAmax); deflection area (HCDefArea); the highest concavity peak distance (HC-PD), time (HC-time), and deflection amplitude (HC-DefA); integrated radius (IR); whole eye movement (WEM); stiffness parameter (SP-A1;, biomechanically corrected intraocular pressure (BIOP); and Corvis biomechanical index (CBI). Scheimpflug tomography was used to obtain the mean keratometery (Km) and central corneal thickness (CCT). According to the spherical equivalent (SE) (low myopia: SE ≥ − 3.00D and high myopia: SE ≤ − 6.00D.), the suitable patients were divided into two groups. Results The mean SSI value was 0.854 ± 0.004. The SSI had a positive correlation with A1-time ((r = 0.272), HC-time (r = 0.218), WEM (r = 0.288), SP-A1 (r = 0.316), CBI (r = 0.199), CCT (r = 0.125), bIOP (r = 0.230), and SE (r = 0.313) (all p-values<0.01). The SSI had a negative correlation with HCDefA (r = − 0.721), HCDefArea (r = − 0.665), HC-PD(r = − 0.597), IR (r = − 0.555), DefAmax (r = − 0.564), and Km (r = − 0.103) (all p-values<0.01). There were significant differences in SSI (t = 8.960, p<0.01) and IR (t = − 3.509, p<0.01) between the low and high myopia groups. Conclusions In different grades of myopia, the SSI values were lower in eyes with higher SEs. It indicates that the mechanical strength of the cornea may be compromised in high myopia. The SSI was positively correlated with the spherical equivalent, and it may provide a new way to study the mechanism of myopia.
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spelling doaj.art-f0f1d963b80c46f6a9c00074a72737d92022-12-22T01:21:02ZengBMCBMC Ophthalmology1471-24152020-11-012011810.1186/s12886-020-01729-xEffect of biomechanical properties on myopia: a study of new corneal biomechanical parametersFang Han0Mengdi Li1Pinghui Wei2Jiaonan Ma3Vishal Jhanji4Yan Wang5Clinical College of Ophthalmology, Tianjin Medical UniversityClinical College of Ophthalmology, Tianjin Medical UniversityClinical College of Ophthalmology, Tianjin Medical UniversityClinical College of Ophthalmology, Tianjin Medical UniversityUPMC Eye Center, University of Pittsburgh School of MedicineClinical College of Ophthalmology, Tianjin Medical UniversityAbstract Background To assess the corneal stress-strain index (SSI), which is a marker for material stiffness and corneal biomechanical parameters, in myopic eyes. Methods A total of 1054 myopic patients were included in this study. Corneal visualisation Scheimpflug technology was used to measure the SSI. Corneal biomechanics were assessed using the first and second applanation times (A1-and A2-times); maximum deflection amplitude (DefAmax); deflection area (HCDefArea); the highest concavity peak distance (HC-PD), time (HC-time), and deflection amplitude (HC-DefA); integrated radius (IR); whole eye movement (WEM); stiffness parameter (SP-A1;, biomechanically corrected intraocular pressure (BIOP); and Corvis biomechanical index (CBI). Scheimpflug tomography was used to obtain the mean keratometery (Km) and central corneal thickness (CCT). According to the spherical equivalent (SE) (low myopia: SE ≥ − 3.00D and high myopia: SE ≤ − 6.00D.), the suitable patients were divided into two groups. Results The mean SSI value was 0.854 ± 0.004. The SSI had a positive correlation with A1-time ((r = 0.272), HC-time (r = 0.218), WEM (r = 0.288), SP-A1 (r = 0.316), CBI (r = 0.199), CCT (r = 0.125), bIOP (r = 0.230), and SE (r = 0.313) (all p-values<0.01). The SSI had a negative correlation with HCDefA (r = − 0.721), HCDefArea (r = − 0.665), HC-PD(r = − 0.597), IR (r = − 0.555), DefAmax (r = − 0.564), and Km (r = − 0.103) (all p-values<0.01). There were significant differences in SSI (t = 8.960, p<0.01) and IR (t = − 3.509, p<0.01) between the low and high myopia groups. Conclusions In different grades of myopia, the SSI values were lower in eyes with higher SEs. It indicates that the mechanical strength of the cornea may be compromised in high myopia. The SSI was positively correlated with the spherical equivalent, and it may provide a new way to study the mechanism of myopia.http://link.springer.com/article/10.1186/s12886-020-01729-xCorneal stress-strain indexMyopiaCorneal biomechanics
spellingShingle Fang Han
Mengdi Li
Pinghui Wei
Jiaonan Ma
Vishal Jhanji
Yan Wang
Effect of biomechanical properties on myopia: a study of new corneal biomechanical parameters
BMC Ophthalmology
Corneal stress-strain index
Myopia
Corneal biomechanics
title Effect of biomechanical properties on myopia: a study of new corneal biomechanical parameters
title_full Effect of biomechanical properties on myopia: a study of new corneal biomechanical parameters
title_fullStr Effect of biomechanical properties on myopia: a study of new corneal biomechanical parameters
title_full_unstemmed Effect of biomechanical properties on myopia: a study of new corneal biomechanical parameters
title_short Effect of biomechanical properties on myopia: a study of new corneal biomechanical parameters
title_sort effect of biomechanical properties on myopia a study of new corneal biomechanical parameters
topic Corneal stress-strain index
Myopia
Corneal biomechanics
url http://link.springer.com/article/10.1186/s12886-020-01729-x
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AT mengdili effectofbiomechanicalpropertiesonmyopiaastudyofnewcornealbiomechanicalparameters
AT pinghuiwei effectofbiomechanicalpropertiesonmyopiaastudyofnewcornealbiomechanicalparameters
AT jiaonanma effectofbiomechanicalpropertiesonmyopiaastudyofnewcornealbiomechanicalparameters
AT vishaljhanji effectofbiomechanicalpropertiesonmyopiaastudyofnewcornealbiomechanicalparameters
AT yanwang effectofbiomechanicalpropertiesonmyopiaastudyofnewcornealbiomechanicalparameters