Narrow Results

Background: Determining the viscoelastic properties of cornea is important in the fields of understanding of the tissue’s response to mechanical actions and the accurate numerical simulation of corneal biomechanical behavior under the effects of keratoconus and refractive surgery. To address this need, we present an approach to model the viscoelastic response of rabbit cornea from uniaxial test data. Methods: The corneal strip samples from six rabbits were obtained to perform cyclic uniaxial tension tests and stress relaxation tests. We investigated the suitability of six constitutive models, including empirical models and hyperelastic models, by a quasi-linear viscoelastic law. Applying non-linear optimization techniques, we found material parameters for each different strip sample. Results and conclusions: The model gave a better fit to loading data with $R^2>0.99$, and predicted the unloading data in the cyclic uniaxial tests with errors-of-fit ranging from 0.03 to 0.06. The results indicate that the best model is the power of the first invariant of strain with Prony form relaxation model, and that the method to identify the material parameters are valid for modeling the visoelastic response of cornea from uniaxial test data.

The three-dimensional (3D) mechanical response of the cornea to intraocular pressure (IOP) elevation has not been previously reported. In this study, we use an ultrasound speckle tracking technique to measure the 3D displacements and strains within the central 5.5mm of porcine corneas during the whole globe inflation. Inflation tests were performed on dextran-treated corneas (treated with a 10% dextran solution) and untreated corneas. The dextran-treated corneas showed an inflation response expected of a thin spherical shell, with through-thickness thinning and in-plane stretch, although the strain magnitudes exhibited a heterogeneous spatial distribution from the central to more peripheral cornea. The untreated eyes demonstrated a response consistent with swelling during experimentation, with through-thickness expansion overriding the inflation response. The average volume ratios obtained in both groups was near 1 confirming general incompressibility, but local regions of volume loss or expansion were observed. These results suggest that biomechanical measurements in 3D provide important new insight to understand the mechanical response of ocular tissues such as the cornea.

Multiphoton microscopy (MPM), with the advantages of improved penetration depth, decreased photo-damage, and optical sectioning capability, has become an indispensable tool for biomedical imaging. The combination of multiphoton fluorescence (MF) and second-harmonic generation (SHG) microscopy is particularly effective in imaging tissue structures of the ocular surface. This work is intended to be a review of advances that MPM has made in ophthalmic imaging. The MPM not only can be used for the label-free imaging of ocular structures, it can also be applied for investigating the morphological alterations in corneal pathologies, such as keratoconus, infected keratitis, and corneal scar. Furthermore, the corneal wound healing process after refractive surgical procedures such as conductive keratoplasty (CK) can also be studied with MPM. Finally, qualitative and quantitative SHG microscopy is effective for characterizing corneal thermal denaturation. With additional development, multiphoton imaging has the potential to be developed into an effective imaging technique for in vivo studies and clinical diagnosis in ophthalmology.