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The Correlation Between Central Corneal Thickness and Glaucomatous Optic Nerve Damage in a Human Eye

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World Congress on Medical Physics and Biomedical Engineering 2018

Part of the book series: IFMBE Proceedings ((IFMBE,volume 68/1))

Abstract

Results from clinical studies suggest a strong correlation between central corneal thickness (CCT) and glaucomatous optic nerve damage. A 3D model is developed to carry out structural investigation of the IOP-induced posterior displacement of the lamina cribrosa (LC), under the influence of CCT. The cornea, the sclera and the LC are assumed to exhibit nonlinear material properties. The numerical results suggest a higher glaucoma progression rate with a lower CCT, which supports the clinical trend. The low influential rate of CCT towards optic nerve damage suggests that CCT may not be a dominant factor in structural injury of the nerve bundles. The results indicate that CCT measurement can be significant in the diagnostic system of glaucoma.

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References

  1. Burgoyne, C.F., Downs, J.C., Bellezza, A.J., Suh, J.-K.F., Hart, R.T.: The optic nerve head as a biomechanical structure: a new paradigm for understanding the role of IOP-related stress and strain in the pathophysiology of glaucomatous optic nerve head damage: Progress in Retinal and Eye Research 24, 39–73 (2005).

    Google Scholar 

  2. Downs, J.C., Roberts, M.D., Burgoyne, C.F.: Mechanical environment of the optic nerve head in glaucoma: Ophthalmol. Vis. Sci. 85, E425–E435 (2008).

    Google Scholar 

  3. Sng, C.C.A., Ang, M., Barton, K.: Central corneal thickness in glaucoma: Current Opinion in Ophthalmology 28(2), 120–126 (2017).

    Google Scholar 

  4. Lester, M., Telani, S., Frezzottie, P.: Differences in central corneal thickness between paired eyes and the severity of the glaucomatous damage: Eye (Lond) 26, 1424–1430 (2012).

    Google Scholar 

  5. Sigal, I.A.: Interactions between geometry and mechanical properties on the optic nerve head: Ophthalmol. Vis. Sci. 50, 2785–2795 (2009).

    Google Scholar 

  6. Ko, M.W.L.: Effect of corneal, scleral and lamina cribrosa elasticity, and intraocular pressure on optic nerve damages: JSM Ophthalmology 3(1), 1024 (2015).

    Google Scholar 

  7. Sigal, I.A., Flanagan, J., Tertinegg, I., Ethier, C.R.: Finite element modeling of optic nerve head biomechanics: Ophthalmol. Vis. Sci., 45, 4378–4387 (2004).

    Google Scholar 

  8. Sigal, I.A., Flanagan, J., Ethier, C.R.: Factors influencing optic nerve head biomechanics: Ophthalmol. Vis. Sci., 46, 4189–4199 (2005).

    Google Scholar 

  9. Ooi, E.H., Ng, E.Y.K.: Simulation of aqueous humor hydrodynamics in human eye heat transfer. Computers in Biology and Medicine 38(2), 252–262 (2008).

    Google Scholar 

  10. Murgatroyd, H., B.J.: Intraocular pressure: Continuing Education in Anaesthesia, Critical Care & Pain 8(3) (2008).

    Google Scholar 

  11. Sing, T., Noelani, M., Anderson, F., Sheila, Townsend, C., John: The normal optic nerve head: Optometry and Vision Science 77(6), 293–301 (2000).

    Google Scholar 

  12. Woo, S.L-Y., Kobayashi, A.S., Schlegel, W.A., Lawrence, C.: Nonlinear material properties of intact cornea and sclera: Experimental Eye Research 214, 29–39 (1972).

    Google Scholar 

  13. Salimi, S., Park, S.S., Freiheit, T.: Dynamic response of intraocular pressure and biomechanical effects of the eye considering fluid-structure interaction: Journal of Biomechanical Engineering 133/091009–1 (2011).

    Google Scholar 

  14. Zhang, K., Qian, X., Mei, X., Liu, Z.: An inverse method to determine the mechanical properties of the iris in vivo: Biomedical Engineering Online 13, 66 (2014).

    Google Scholar 

  15. Karimi, A., Rzaghi, R., Navidbakhsh, M., Sera, T., Kudo, S.: Quantifying the injury of the human eye components due to tennis ball impact using a computational fluid-structure interaction: Sports Engineering 19, 105–115 (2016).

    Google Scholar 

  16. Watson, R., Gray, W., Sponsel, W.E., Lund, B.J., Glickman, R.D., Groth, S.L., Reilly, M.A.: Simulations of porcine eye exposure to primary blast insult: TVST 4(4), 8 (2015).

    Google Scholar 

  17. Yan, D.B., Coloma, F.M., Metheetrairut, A., Trope, G.E., Heathcote, J.G., Ethier, C.R.: Deformation of the lamina cribrosa by elevated intraocular pressure: British Journal of Ophthalmology 78(8), 643–648 (1994).

    Google Scholar 

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Acknowledgements

This project is supported by the Ministry of Education Malaysia through the Fundamental Research Grant Scheme under the project FRGS/2/2014/SG02/MUSM/02/1.

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Correspondence to Chai Yee Loke .

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Loke, C.Y., Ooi, E.H., Ramli, N., Samsudin, A. (2019). The Correlation Between Central Corneal Thickness and Glaucomatous Optic Nerve Damage in a Human Eye. In: Lhotska, L., Sukupova, L., Lacković, I., Ibbott, G.S. (eds) World Congress on Medical Physics and Biomedical Engineering 2018. IFMBE Proceedings, vol 68/1. Springer, Singapore. https://doi.org/10.1007/978-981-10-9035-6_122

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  • DOI: https://doi.org/10.1007/978-981-10-9035-6_122

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-9034-9

  • Online ISBN: 978-981-10-9035-6

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