In vivo biomechanical assessment of iridial deformations and muscle contractions in human eyes.

In vivo biomechanical assessment of iridial deformations and muscle contractions in human eyes.
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人眼虹膜变形和肌肉收缩的在体生物力学评估。

DOI:
10.1098/rsif.2022.0108
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发表时间:
2022-07
期刊:
Journal of the Royal Society, Interface
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虹膜是一种肌肉器官,其变形可引起原发性闭角型青光眼(PACG),这是导致失明的主要原因。PACG风险评估没有考虑虹膜生物力学因素,尽管它们对虹膜变形有预期的影响。在这里,我们利用现有的生物特征数据集,包括在瞳孔光反射(PLR)过程中获得的近红外电影,作为研究虹膜生物力学的独特资源。在体内,PLR在虹膜中引起显著(大于100%)且基本上空间均匀的径向应变,与先前的研究结果一致。逆有限元模型显示,括约肌牵引力比虹膜间质刚度大5倍(范围4- 13倍,取决于括约肌大小)。这种肌肉牵引力比先前估计的要大,这可能是由于方法上的差异和/或我们研究中的患者群体(欧洲血统)与之前的研究(亚洲人)不同;由于PACG在这些人群中的发病率不同,后一种可能性尤其令人感兴趣。我们的方法快速且廉价,可能是了解导致PACG的生物力学因素的有用工具。
The iris is a muscular organ whose deformations can cause primary angle-closure glaucoma (PACG), a leading cause of blindness. PACG risk assessment does not consider iridial biomechanical factors, despite their expected influence on iris deformations. Here, we exploited an existing biometric dataset consisting of near-infrared movies acquired during the pupillary light reflex (PLR) as a unique resource to study iris biomechanics. The PLR caused significant (greater than 100%) and essentially spatially uniform radial strains in the iris in vivo, consistent with previous findings. Inverse finite-element modelling showed that sphincter muscle tractions were ca fivefold greater than iridial stroma stiffness (range 4- to 13-fold, depending on sphincter muscle size). This muscle traction is greater than has been previously estimated, which may be due to methodological differences and/or to different patient populations in our study (European descent) versus previous studies (Asian); the latter possibility is of particular interest due to differential incidence rates of PACG in these populations. Our methodology is fast and inexpensive and may be a useful tool in understanding biomechanical factors contributing to PACG.
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