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Perilimbal sclera mechanical properties: Impact on intraocular pressure in porcine eyes
There is extensive knowledge on the relationship of posterior scleral biomechanics and intraocular pressure (IOP) load on glaucomatous optic neuropathy; however, the role for biomechanical influence of the perilimbal scleral tissue on the aqueous humor drainage pathway, including the distal venous o...
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Published in: | PloS one 2018-05, Vol.13 (5), p.e0195882-e0195882 |
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description | There is extensive knowledge on the relationship of posterior scleral biomechanics and intraocular pressure (IOP) load on glaucomatous optic neuropathy; however, the role for biomechanical influence of the perilimbal scleral tissue on the aqueous humor drainage pathway, including the distal venous outflow system, and IOP regulation is not fully understood. The purpose of this work is to study the outflow characteristics of perfused porcine eyes relative to the biomechanical properties of the perilimbal sclera, the posterior sclera and the cornea. Enucleated porcine eyes from eleven different animals were perfused with surrogate aqueous at two fixed flow rates while monitoring their IOP. After perfusion, mechanical stress-strain and relaxation tests were conducted on specimens of perilimbal sclera, posterior sclera, and cornea from the same perfused eyes. Statistical analysis of the data demonstrated a strong correlation between increased tangent modulus of the perilimbal sclera tissues and increased perfusion IOP (R2 = 0.74, p = 0.0006 at lower flow rate and R2 = 0.71, p = 0.0011 at higher flow rate). In contrast, there were no significant correlations between IOP and the tangent modulus of the other tissues (Posterior sclera: R2 = 0.17 at lower flow rate and R2 = 0.30 at higher flow rate; cornea: R2 = 0.02 at lower flow rate and R2 |
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The purpose of this work is to study the outflow characteristics of perfused porcine eyes relative to the biomechanical properties of the perilimbal sclera, the posterior sclera and the cornea. Enucleated porcine eyes from eleven different animals were perfused with surrogate aqueous at two fixed flow rates while monitoring their IOP. After perfusion, mechanical stress-strain and relaxation tests were conducted on specimens of perilimbal sclera, posterior sclera, and cornea from the same perfused eyes. Statistical analysis of the data demonstrated a strong correlation between increased tangent modulus of the perilimbal sclera tissues and increased perfusion IOP (R2 = 0.74, p = 0.0006 at lower flow rate and R2 = 0.71, p = 0.0011 at higher flow rate). In contrast, there were no significant correlations between IOP and the tangent modulus of the other tissues (Posterior sclera: R2 = 0.17 at lower flow rate and R2 = 0.30 at higher flow rate; cornea: R2 = 0.02 at lower flow rate and R2<0.01 at higher flow rate) nor the viscoelastic properties of any tissue (R2 ≤ 0.08 in all cases). Additionally, the correlation occurred for IOP and not net outflow facility (R2 ≤ 0.12 in all cases). These results provide new evidence that IOP in perfused porcine eyes is strongly influenced by the tangent modulus, sometimes called the tissue stiffness, of the most anterior portion of the sclera, i.e. the limbus.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0195882</identifier><identifier>PMID: 29718942</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Animals ; Biology and Life Sciences ; Biomechanical Phenomena ; Biomechanics ; Blood flow ; Care and treatment ; Cornea ; Correlation ; Data processing ; Elasticity ; Eye ; Eye (anatomy) ; Flow rates ; Flow velocity ; Glaucoma ; Health aspects ; Intraocular Pressure ; Materials Testing ; Mechanical Phenomena ; Mechanical properties ; Medicine and Health Sciences ; Neuropathy ; Optic neuropathy ; Perfusion ; Physical Sciences ; Pressure ; Sclera - physiology ; Statistical analysis ; Statistical analysis of data ; Stiffness ; Stress relaxation ; Stress relaxation tests ; Swine ; Tangent modulus ; Tissues ; Viscoelasticity ; Viscosity</subject><ispartof>PloS one, 2018-05, Vol.13 (5), p.e0195882-e0195882</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. 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In contrast, there were no significant correlations between IOP and the tangent modulus of the other tissues (Posterior sclera: R2 = 0.17 at lower flow rate and R2 = 0.30 at higher flow rate; cornea: R2 = 0.02 at lower flow rate and R2<0.01 at higher flow rate) nor the viscoelastic properties of any tissue (R2 ≤ 0.08 in all cases). Additionally, the correlation occurred for IOP and not net outflow facility (R2 ≤ 0.12 in all cases). These results provide new evidence that IOP in perfused porcine eyes is strongly influenced by the tangent modulus, sometimes called the tissue stiffness, of the most anterior portion of the sclera, i.e. the limbus.</description><subject>Analysis</subject><subject>Animals</subject><subject>Biology and Life Sciences</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Blood flow</subject><subject>Care and treatment</subject><subject>Cornea</subject><subject>Correlation</subject><subject>Data processing</subject><subject>Elasticity</subject><subject>Eye</subject><subject>Eye (anatomy)</subject><subject>Flow rates</subject><subject>Flow velocity</subject><subject>Glaucoma</subject><subject>Health aspects</subject><subject>Intraocular Pressure</subject><subject>Materials Testing</subject><subject>Mechanical Phenomena</subject><subject>Mechanical properties</subject><subject>Medicine and Health Sciences</subject><subject>Neuropathy</subject><subject>Optic neuropathy</subject><subject>Perfusion</subject><subject>Physical Sciences</subject><subject>Pressure</subject><subject>Sclera - physiology</subject><subject>Statistical analysis</subject><subject>Statistical analysis of data</subject><subject>Stiffness</subject><subject>Stress relaxation</subject><subject>Stress relaxation tests</subject><subject>Swine</subject><subject>Tangent modulus</subject><subject>Tissues</subject><subject>Viscoelasticity</subject><subject>Viscosity</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkltr3DAQhU1padK0_6C0hkJpH3arqyX3oRBCLwuBlF4fhSyPd7XIlivZIfn31WadsC55KHqwGH9zxmd8suw5RktMBX639WPotFv2voMlwiWXkjzIjnFJyaIgiD48uB9lT2LcIsSpLIrH2REpBZYlI8fZ768QrLNtpV0ejYOg8xbMRnfWpEoffA9hsBDf56u212bIfZfbbgjam9HpkAiIcQyQinnvg7Ed5HAN8Wn2qNEuwrPpeZL9_PTxx9mXxfnF59XZ6fnCFCUZFhRXTOCqMdDUAmreFIwwTkjVYCAIDOe6QDWuCdNC1lpSRrgwUnDBKeEg6En2cq_bOx_VtJOokudklVOOErHaE7XXW9UH2-pwrby26qbgw1rpZDF5V4yWTDLAmmHECMYVoVAKxinSXAhZJK0P07SxaqE2sNuEm4nO33R2o9b-UvGS4kKwJPBmEgj-zwhxUK2NBpzTHfjx5rsZkbIsyoS--ge9391ErXUyYLvGp7lmJ6pOORWoIKWUiVreQ6VTQ2tNClBjU33W8HbWkJgBroa1HmNUq-_f_p-9-DVnXx-wG9Bu2ETvxsH6Ls5BtgdN8DEGaO6WjJHa5f92G2qXfzXlP7W9OPxBd023gad_AXtK_to</recordid><startdate>20180502</startdate><enddate>20180502</enddate><creator>Man, Xiaofei</creator><creator>Arroyo, Elizabeth</creator><creator>Dunbar, Martha</creator><creator>Reed, David M</creator><creator>Shah, Neil</creator><creator>Kagemann, Larry</creator><creator>Kim, Wonsuk</creator><creator>Moroi, Sayoko E</creator><creator>Argento, Alan</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-3732-3746</orcidid></search><sort><creationdate>20180502</creationdate><title>Perilimbal sclera mechanical properties: Impact on intraocular pressure in porcine eyes</title><author>Man, Xiaofei ; Arroyo, Elizabeth ; Dunbar, Martha ; Reed, David M ; Shah, Neil ; Kagemann, Larry ; Kim, Wonsuk ; Moroi, Sayoko E ; Argento, Alan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-31b471bfcefd7ed5f6424522bf1e20ec55a60d1d24a78da834257c87575325e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Analysis</topic><topic>Animals</topic><topic>Biology and Life Sciences</topic><topic>Biomechanical Phenomena</topic><topic>Biomechanics</topic><topic>Blood flow</topic><topic>Care and treatment</topic><topic>Cornea</topic><topic>Correlation</topic><topic>Data processing</topic><topic>Elasticity</topic><topic>Eye</topic><topic>Eye (anatomy)</topic><topic>Flow rates</topic><topic>Flow velocity</topic><topic>Glaucoma</topic><topic>Health aspects</topic><topic>Intraocular Pressure</topic><topic>Materials Testing</topic><topic>Mechanical Phenomena</topic><topic>Mechanical properties</topic><topic>Medicine and Health Sciences</topic><topic>Neuropathy</topic><topic>Optic neuropathy</topic><topic>Perfusion</topic><topic>Physical Sciences</topic><topic>Pressure</topic><topic>Sclera - 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The purpose of this work is to study the outflow characteristics of perfused porcine eyes relative to the biomechanical properties of the perilimbal sclera, the posterior sclera and the cornea. Enucleated porcine eyes from eleven different animals were perfused with surrogate aqueous at two fixed flow rates while monitoring their IOP. After perfusion, mechanical stress-strain and relaxation tests were conducted on specimens of perilimbal sclera, posterior sclera, and cornea from the same perfused eyes. Statistical analysis of the data demonstrated a strong correlation between increased tangent modulus of the perilimbal sclera tissues and increased perfusion IOP (R2 = 0.74, p = 0.0006 at lower flow rate and R2 = 0.71, p = 0.0011 at higher flow rate). In contrast, there were no significant correlations between IOP and the tangent modulus of the other tissues (Posterior sclera: R2 = 0.17 at lower flow rate and R2 = 0.30 at higher flow rate; cornea: R2 = 0.02 at lower flow rate and R2<0.01 at higher flow rate) nor the viscoelastic properties of any tissue (R2 ≤ 0.08 in all cases). Additionally, the correlation occurred for IOP and not net outflow facility (R2 ≤ 0.12 in all cases). These results provide new evidence that IOP in perfused porcine eyes is strongly influenced by the tangent modulus, sometimes called the tissue stiffness, of the most anterior portion of the sclera, i.e. the limbus.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29718942</pmid><doi>10.1371/journal.pone.0195882</doi><tpages>e0195882</tpages><orcidid>https://orcid.org/0000-0003-3732-3746</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Analysis Animals Biology and Life Sciences Biomechanical Phenomena Biomechanics Blood flow Care and treatment Cornea Correlation Data processing Elasticity Eye Eye (anatomy) Flow rates Flow velocity Glaucoma Health aspects Intraocular Pressure Materials Testing Mechanical Phenomena Mechanical properties Medicine and Health Sciences Neuropathy Optic neuropathy Perfusion Physical Sciences Pressure Sclera - physiology Statistical analysis Statistical analysis of data Stiffness Stress relaxation Stress relaxation tests Swine Tangent modulus Tissues Viscoelasticity Viscosity |
title | Perilimbal sclera mechanical properties: Impact on intraocular pressure in porcine eyes |
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