Investigation of crystalline lens overshooting: ex vivo experiment and optomechanical simulation results

Introduction: Crystalline lens overshooting refers to a situation in which the lens momentarily shifts too much from its typical location immediately after stopping the rotational movement of the eye globe. This movement can be observed using an optical technique called Purkinje imaging.Methods: In this work, an experimental setup was designed to reproduce this effect ex vivo using a fresh porcine eye. The sample was rotated 90° around its centroid using a high-velocity rotation stage, and the Purkinje image sequences were recorded, allowing us to quantify the overshooting effect. The numerical part of the study consisted of developing a computational model of the eye, based on the finite element method, that allowed us to understand the biomechanical behavior of the different tissues in this dynamic scenario. A 2D fluid–structure interaction model of the porcine eye globe, considering both the solid parts and humors, was created to reproduce the experimental outcomes.Results: Outputs of the simulation were analyzed using an optical simulation software package to assess whether the mechanical model behaves optically like the real ex vivo eye. The simulation predicted the experimental results by carefully adjusting the mechanical properties of the zonular fibers and the damping factor.Conclusion: This study effectively demonstrates the importance of characterizing the dynamic mechanical properties of the eye tissues to properly comprehend and predict the overshooting effect

Novel Method of Measuring Corneal Viscoelasticity Using the Corvis ST Tonometer

Background: The process of rapid propagation of the corneal deformation in air puff tonometer depends not only on intraocular pressure, but also on the biomechanical properties of the cornea and anterior eye. One of the biomechanical properties of the cornea is viscoelasticity, which is the most visible in its high-speed deformations. It seems reasonable to link the corneal viscoelasticity parameter to two moments of the highest speed of corneal deformations, when the cornea buckles. The aim of this work is to present a method of determining the time and place of occurrence of corneal buckling, examine spatial and temporal dependencies between two corneal applanations and bucklings in the Corvis ST tonometer, and correlate these dependencies with corneal viscoelastic properties. Methods: Images of the horizontal cross section of the Corvis ST deformed cornea from the air puff tonometer Corvis ST were used. 14 volunteers participated in the study, each of them had one eye measured eight times. Mutual changes in the profile slopes of the deformed corneas were numerically determined. They describe pure corneal deformation, eliminating the influence of rotation, and displacement of the entire eyeball. For each point in the central area of the corneal profile, the maximum velocities of mutual slope changes accompanying the applanations were estimated. The times of their occurrence were adopted as buckling times. Results: The propagation of buckling along the corneal profile is presented, as well as the repeatability and mutual correlations between the buckling parameters and intraocular pressure. Based on the relationship between them, a new parameter describing corneal hysteresis: Corvis Viscoelasticity (CVE) is introduced. It is characterized by high repeatability: ICC = 0.82 (0.69–0.93 CI) and low and insignificant correlation with intraocular pressure: r = 0.25 (p-value = 0.38). Conclusion: The results show for the first time how to measure the corneal buckling and viscoelastic effects with Corvis ST. CVE is a new proposed biomechanical parameter related to the viscoelastic properties of the cornea, which has high repeatability for the examined subject. The distribution of its values is planned to be tested on different groups of patients in order to investigate its clinical applicability

Raw data from Ocular Response Analyzer applied for differentiation of normal and glaucoma patients

Purpose: Presented study describes new parameters calculated from the Ocular Response Analyzer (ORA) raw data. Such an approach can increase the applicability of the ORA in ophthalmic diagnosis. Among many proposed and examined by us parameters from raw data of the air pressure and applanation curves, only a few were chosen and then applied for characterizing a selected group of patients. Methods: The study included healthy subjects in a control group and patients divided into 2 groups: suspect and glaucoma. A series of four ORA measurements were taken from each subject. The raw ORA data were numerically analyzed and new parameters were calculated from the ORA curves for each measurement. Comparative analysis was carried out for the newly proposed parameters (and original parameters from the ORA device). Results: This interesting finding is that the new parameters showed a statistically significant ability to distinguish the glaucoma suspect group from healthy and glaucomatous patients. Moreover comparable or higher repeatability than for IOPg and CH was obtained. Conclusion: Raw data from the ORA enables definition and numerical analysis of new parameters, characterizing every measurement, which can be successfully used for describing an individual eye and differentiating between some specific groups of patients