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Translating Ocular Biomechanics into Clinical Practice: Current State and Future Prospects

Identifieur interne : 001484 ( Pmc/Corpus ); précédent : 001483; suivant : 001485

Translating Ocular Biomechanics into Clinical Practice: Current State and Future Prospects

Auteurs : Michaël J. A. Girard ; William J. Dupps ; Mani Baskaran ; Giuliano Scarcelli ; Seok H. Yun ; Harry A. Quigley ; Ian A. Sigal ; Nicholas G. Strouthidis

Source :

RBID : PMC:4233020

Abstract

Biomechanics – the study of the relationship between forces and function in living organisms – is thought to play a critical role in a significant number of ophthalmic disorders. This is not surprising, as the eye is a pressure vessel that requires a delicate balance of forces to maintain its homeostasis. Over the past few decades, basic science research in ophthalmology mostly confirmed that ocular biomechanics could explain in part the mechanisms involved in almost all major ophthalmic disorders such as optic nerve head neuropathies, angle closure, ametropia, presbyopia, cataract, corneal pathologies, retinal detachment, and macular degeneration. Translational biomechanics in ophthalmology, however, is still in its infancy. It is believed that its use could make significant advances in diagnosis and treatment. Several translational biomechanics strategies are already emerging, such as corneal stiffening for the treatment of keratoconus, and more are likely to follow. This review aims to cultivate the idea that biomechanics plays a major role in ophthalmology and that its clinical translation, lead by collaborative teams of clinicians and biomedical engineers, will benefit our patients. Specifically, recent advances and future prospects in corneal, iris, trabecular meshwork, crystalline lens, scleral and lamina cribrosa biomechanics are discussed.


Url:
DOI: 10.3109/02713683.2014.914543
PubMed: 24832392
PubMed Central: 4233020

Links to Exploration step

PMC:4233020

Le document en format XML

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<surname>Baskaran</surname>
<given-names>Mani</given-names>
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<surname>Scarcelli</surname>
<given-names>Giuliano</given-names>
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<name>
<surname>Yun</surname>
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<name>
<surname>Quigley</surname>
<given-names>Harry A.</given-names>
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<surname>Sigal</surname>
<given-names>Ian A.</given-names>
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<given-names>Nicholas G.</given-names>
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In Vivo Biomechanics Laboratory, Department of Biomedical Engineering, National University of Singapore, Singapore</aff>
<aff id="A2">
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Singapore Eye Research Institute, Singapore National Eye Centre, Singapore</aff>
<aff id="A3">
<label>3</label>
Ophthalmology, Biomedical Engineering & Transplant, Cole Eye Institute and Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA</aff>
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Harvard Medical School and Wellman Center for Photomedicine, Massachusetts General Hospital, Cambridge, MA, USA</aff>
<aff id="A5">
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Wilmer Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA</aff>
<aff id="A6">
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Department of Ophthalmology, UPMC Eye Center, Eye and Ear Institute, Ophthalmology and Visual Science Research Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA</aff>
<aff id="A7">
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Department of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USA</aff>
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NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust & UCL Institute of Ophthalmology, London, UK</aff>
<author-notes>
<corresp id="FN1">Corresponding Author: Michaël J. A. Girard, Ph.D., In vivo Biomechanics Laboratory, Department of Biomedical Engineering, National University of Singapore, 9 Engineering Drive 1, Block EA #03-12, Singapore 117576,
<email>mgirard@nus.edu.sg</email>
, +65 6516 5549,
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<pmc-comment>elocation-id from pubmed: 10.3109/02713683.2014.914543</pmc-comment>
<abstract>
<p id="P1">Biomechanics – the study of the relationship between forces and function in living organisms – is thought to play a critical role in a significant number of ophthalmic disorders. This is not surprising, as the eye is a pressure vessel that requires a delicate balance of forces to maintain its homeostasis. Over the past few decades, basic science research in ophthalmology mostly confirmed that ocular biomechanics could explain in part the mechanisms involved in almost all major ophthalmic disorders such as optic nerve head neuropathies, angle closure, ametropia, presbyopia, cataract, corneal pathologies, retinal detachment, and macular degeneration. Translational biomechanics in ophthalmology, however, is still in its infancy. It is believed that its use could make significant advances in diagnosis and treatment. Several translational biomechanics strategies are already emerging, such as corneal stiffening for the treatment of keratoconus, and more are likely to follow. This review aims to cultivate the idea that biomechanics plays a major role in ophthalmology and that its clinical translation, lead by collaborative teams of clinicians and biomedical engineers, will benefit our patients. Specifically, recent advances and future prospects in corneal, iris, trabecular meshwork, crystalline lens, scleral and lamina cribrosa biomechanics are discussed.</p>
</abstract>
<kwd-group>
<kwd>Translational biomechanics</kwd>
<kwd>Ocular Biomechanics</kwd>
<kwd>Personalised Medicine</kwd>
<kwd>Optical Coherence Tomography</kwd>
<kwd>Brillouin Microscopy</kwd>
<kwd>Ophthalmic Pathologies</kwd>
<kwd>Intraocular Pressure</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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