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2014 ; 40
(6
): 1041-7
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Serial biomechanical comparison of edematous, normal, and collagen crosslinked
human donor corneas using optical coherence elastography
#MMPMID24767794
Ford MR
; Sinha Roy A
; Rollins AM
; Dupps WJ Jr
J Cataract Refract Surg
2014[Jun]; 40
(6
): 1041-7
PMID24767794
show ga
PURPOSE: To noninvasively evaluate the effects of corneal hydration and collagen
crosslinking (CXL) on the mechanical behavior of the cornea. SETTING: Cleveland
Clinic Cole Eye Institute, Cleveland, Ohio, USA. DESIGN: Experimental study.
METHODS: An optical coherence elastography (OCE) technique was used to measure
the displacement behavior of 5 pairs of debrided human donor globes in 3 serial
states as follows: edematous, normal thickness, and after
riboflavin-ultraviolet-A-mediated CXL. During micromotor-controlled axial
displacements with a curved goniolens at physiologic intraocular pressure (IOP),
serial optical coherence tomography scans were obtained to allow high-resolution
intrastromal speckle tracking and displacement measurements over the central 4.0
mm of the cornea. RESULTS: With no imposed increase in IOP, the mean lateral to
imposed axial displacement ratios were 0.035 ?m/?m ± 0.037 (SD) in edematous
corneas, 0.021 ± 0.02 ?m/?m in normal thickness corneas, and 0.014 ± 0.009 ?m/?m
in post-CXL corneas. The differences were statistically significant (P<.05,
analysis of variance) and indicated a 40% increase in lateral stromal resistance
with deturgescence and a further 33% mean increase in relative stiffness with
CXL. CONCLUSIONS: Serial perturbations of the corneal hydration state and CXL had
significant effects on corneal biomechanical behavior. With an axially applied
stress from a nonapplanating contact lens, displacements along the direction of
the collagen lamellae were 2 orders of magnitude lower than axial deformations.
These experiments show the ability of OCE to quantify clinically relevant
mechanical property differences under physiologic conditions. FINANCIAL
DISCLOSURES: Proprietary or commercial disclosures are listed after the
references.