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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Cataract+Refract+Surg
2014 ; 40
(6
): 1021-31
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Spatially heterogeneous corneal mechanical responses before and after
riboflavin-ultraviolet-A crosslinking
#MMPMID24751145
Palko JR
; Tang J
; Cruz Perez B
; Pan X
; Liu J
J Cataract Refract Surg
2014[Jun]; 40
(6
): 1021-31
PMID24751145
show ga
PURPOSE: To determine the heterogeneous through-thickness strains in the cornea
at physiologic intraocular pressures before and after corneal collagen
crosslinking (CXL) using noninvasive ultrasound. SETTING: Department of
Biomedical Engineering, Ohio State University, Columbus, Ohio, USA. DESIGN:
Experimental study. METHODS: Sixteen paired canine corneoscleral shells were
divided into 2 groups. The CXL group completed a standard CXL protocol using
riboflavin-ultraviolet-A (UVA) irradiation. The control group was given an
identical treatment except UVA irradiation. Ultrasound scans (at 55 MHz) of the
cornea were obtained before and after treatment as the corneoscleral shell was
inflated from 5 mm Hg to 45 mm Hg to calculate the distributive through-thickness
strains in the cornea. The mean radial and tangential strains of the whole cornea
layer, as well as those of the anterior, middle, and posterior thirds of the
cornea, were compared before and after treatment in the control group and CXL
group using linear mixed models with repeated measures. RESULTS: Significant
reductions in tangential and radial strains occurred in the CXL group (P=.003 and
P=.0025, respectively) but not the control group (P=.08 and P=.63, respectively).
The anterior third had the smallest strains in all pretreated corneas (P<.001)
and posttreated corneas (CXL group, P=.023; control group, P=.01). CONCLUSIONS:
Ultrasound speckle tracking showed heterogeneous strain distributions through the
cornea and confirmed that CXL results in a stiffer corneal response (ie, smaller
strains during physiologic loadings). This technique may provide a clinical tool
to quantify the biomechanical effects of CXL. FINANCIAL DISCLOSURE: No author has
a financial or proprietary interest in any material or method mentioned.