论文标题
角膜弹性的几乎不可压缩的横向各向同性(NITI):模型和实验,具有声学微敲击OCE
Nearly-incompressible transverse isotropy (NITI) of cornea elasticity: model and experiments with acoustic micro-tapping OCE
论文作者
论文摘要
角膜为人类视觉系统提供了最大的折射力。它的刚度以及眼内压(IOP)与包括圆锥角膜和青光眼在内的几种病理有关。尽管机械测试可以定量离体角膜弹性,但不能在临床上使用它们。发射并跟踪剪切波以估计刚度的光学相干弹性弹力图(OCE)提供了一种有吸引力的角膜弹性探针。然而,迄今为止,OCE研究报告了角膜模量在数十kPa附近,比级阶数小于通过拉伸/通货膨胀测试获得的(少数MPA)。这种巨大的差异阻碍了OCE的临床采用。基于角膜微观结构,我们介绍并充分表征了描述角膜生物力学的几乎不可压缩的横向各向同性(NITI)模型。我们表明,角膜必须用两个剪切模量来描述,与当前的单模型模型相反,将拉伸和剪切反应解耦。我们在离体猪角膜中测量了IOP的函数,获得了与拉伸和剪切测试一致的值。在高于30 mmHg的压力下,该模型开始失败,这与高IOP处角膜的非线性变化一致。
The cornea provides the largest refractive power for the human visual system. Its stiffness, along with intraocular pressure (IOP), are linked to several pathologies, including keratoconus and glaucoma. Although mechanical tests can quantify corneal elasticity ex vivo, they cannot be used clinically. Optical coherence elastography (OCE), which launches and tracks shear waves to estimate stiffness, provides an attractive non-contact probe of corneal elasticity. To date, however, OCE studies report corneal moduli around tens of kPa, orders-of-magnitude less than those (few MPa) obtained by tensile/inflation testing. This large discrepancy impedes OCE's clinical adoption. Based on corneal microstructure, we introduce and fully characterize a nearly-incompressible transversally isotropic (NITI) model depicting corneal biomechanics. We show that the cornea must be described by two shear moduli, contrary to current single-modulus models, decoupling tensile and shear responses. We measure both as a function of IOP in ex vivo porcine cornea, obtaining values consistent with both tensile and shear tests. At pressures above 30 mmHg, the model begins to fail, consistent with non-linear changes in cornea at high IOP.