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In vivo measurements of prelamina and lamina cribrosa biomechanical properties in humans

Zhang, Liang, Beotra, Meghna R., Baskaran, Mani, Tun, Tin A., Wang, Xiaofei, Perera, Shamira A., Strouthidis, Nicholas G., Aung, Tin, Boote, Craig and Girard, Michael J. A. 2020. In vivo measurements of prelamina and lamina cribrosa biomechanical properties in humans. Investigative Ophthalmology & Visual Science 61 (3) , 27. 10.1167/iovs.61.3.27

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Purpose: To develop and use a custom virtual fields method (VFM) to assess the biomechanical properties of human prelamina and lamina cribrosa (LC) in vivo. Methods: Clinical data of 20 healthy, 20 ocular hypertensive (OHT), 20 primary open-angle glaucoma, and 16 primary angle-closure glaucoma eyes were analyzed. For each eye, the intraocular pressure (IOP) and optical coherence tomography (OCT) images of the optic nerve head (ONH) were acquired at the normal state and after acute IOP elevation. The IOP-induced deformation of the ONH was obtained from the OCT volumes using a three-dimensional tracking algorithm and fed into the VFM to extract the biomechanical properties of the prelamina and the LC in vivo. Statistical measurements and P values from the Mann-Whitney-Wilcoxon tests were reported. Results: The average shear moduli of the prelamina and the LC were 64.2 ± 36.1 kPa and 73.1 ± 46.9 kPa, respectively. The shear moduli of the prelamina of healthy subjects were significantly lower than those of the OHT subjects. Comparisons between healthy and glaucoma subjects could not be made robustly due to a small sample size. Conclusions: We have developed a methodology to assess the biomechanical properties of human ONH tissues in vivo and provide preliminary comparisons in healthy and OHT subjects. Our proposed methodology may be of interest for glaucoma management.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Optometry and Vision Sciences
Publisher: Association for Research in Vision and Ophthalmology
ISSN: 0146-0404
Date of First Compliant Deposit: 16 April 2020
Date of Acceptance: 5 December 2019
Last Modified: 16 Apr 2020 10:55

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