Effect of Mydriasis-Caused Intraocular Pressure Changes on Corneal Biomechanical Metrics

Purpose: To evaluate the dependence of biomechanical metrics on intraocular pressure (IOP).Methods: 233 refractive surgery patients were included in this study—all were examined 3 times with the Corvis ST before and after dilation, and the differences (∆) in the main device parameters were assessed....

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Autores principales: Yufeng Ye, Yi Li, Zehui Zhu, Anas Ziad Masoud Abu Said, Kevin Nguelemo Mayopa, Stephen Akiti, Chengyi Huang, Bernardo T. Lopes, Ashkan Eliasy, Yuanyuan Miao, Junjie Wang, Xiaobo Zheng, Shihao Chen, Fangjun Bao, Ahmed Elsheikh
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/1e4d148cd0884a9a8be83e25e7fcbb69
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spelling oai:doaj.org-article:1e4d148cd0884a9a8be83e25e7fcbb692021-12-01T08:34:27ZEffect of Mydriasis-Caused Intraocular Pressure Changes on Corneal Biomechanical Metrics2296-418510.3389/fbioe.2021.751628https://doaj.org/article/1e4d148cd0884a9a8be83e25e7fcbb692021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fbioe.2021.751628/fullhttps://doaj.org/toc/2296-4185Purpose: To evaluate the dependence of biomechanical metrics on intraocular pressure (IOP).Methods: 233 refractive surgery patients were included in this study—all were examined 3 times with the Corvis ST before and after dilation, and the differences (∆) in the main device parameters were assessed. The data collected included the biomechanically corrected IOP (bIOP), the central corneal thickness (CCT), and six dynamic corneal response (DCR) parameters, namely DA, DARatio2mm, IIR, SP-A1, CBI, and SSI. Participants were divided into three groups according to the changes in patients’ bIOP after mydriasis.Results: Intra-operator repeatability was generally high in most of the DCR parameters obtained before and after dilation. The mean changes in bIOP and CCT after dilation were −0.12 ± 1.36 mmHg and 1.95 ± 5.23 μm, respectively. Only ∆DARatio2mm, ∆IIR, and ∆CBI exhibited a statistically significant correlation with ∆CCT (p < 0.05). The changes in all DCR parameters, especially ∆DA and ∆SP-A1 were also correlated with ∆bIOP (p < 0.01)—a 1-mmHg change in bIOP was associated, on average, with 5.612 and −0.037 units of change in SP-A1 and DA, respectively. In contrast, the weakest correlation with ∆bIOP was exhibited by ∆SSI.Conclusion: Most corneal DCR parameters, provided by the Corvis ST, were correlated with IOP, and more weakly with CCT. Changes experienced in CCT and IOP should therefore be considered in studies on corneal biomechanics and how it is affected by disease progression and surgical or medical procedures.Yufeng YeYi LiZehui ZhuAnas Ziad Masoud Abu SaidKevin Nguelemo MayopaStephen AkitiChengyi HuangBernardo T. LopesAshkan EliasyYuanyuan MiaoJunjie WangJunjie WangXiaobo ZhengXiaobo ZhengShihao ChenShihao ChenFangjun BaoFangjun BaoAhmed ElsheikhAhmed ElsheikhAhmed ElsheikhFrontiers Media S.A.articlebiomechanical metricsintraocular pressuremydriasisstiffness parameter at first applanationstress-strain indexBiotechnologyTP248.13-248.65ENFrontiers in Bioengineering and Biotechnology, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic biomechanical metrics
intraocular pressure
mydriasis
stiffness parameter at first applanation
stress-strain index
Biotechnology
TP248.13-248.65
spellingShingle biomechanical metrics
intraocular pressure
mydriasis
stiffness parameter at first applanation
stress-strain index
Biotechnology
TP248.13-248.65
Yufeng Ye
Yi Li
Zehui Zhu
Anas Ziad Masoud Abu Said
Kevin Nguelemo Mayopa
Stephen Akiti
Chengyi Huang
Bernardo T. Lopes
Ashkan Eliasy
Yuanyuan Miao
Junjie Wang
Junjie Wang
Xiaobo Zheng
Xiaobo Zheng
Shihao Chen
Shihao Chen
Fangjun Bao
Fangjun Bao
Ahmed Elsheikh
Ahmed Elsheikh
Ahmed Elsheikh
Effect of Mydriasis-Caused Intraocular Pressure Changes on Corneal Biomechanical Metrics
description Purpose: To evaluate the dependence of biomechanical metrics on intraocular pressure (IOP).Methods: 233 refractive surgery patients were included in this study—all were examined 3 times with the Corvis ST before and after dilation, and the differences (∆) in the main device parameters were assessed. The data collected included the biomechanically corrected IOP (bIOP), the central corneal thickness (CCT), and six dynamic corneal response (DCR) parameters, namely DA, DARatio2mm, IIR, SP-A1, CBI, and SSI. Participants were divided into three groups according to the changes in patients’ bIOP after mydriasis.Results: Intra-operator repeatability was generally high in most of the DCR parameters obtained before and after dilation. The mean changes in bIOP and CCT after dilation were −0.12 ± 1.36 mmHg and 1.95 ± 5.23 μm, respectively. Only ∆DARatio2mm, ∆IIR, and ∆CBI exhibited a statistically significant correlation with ∆CCT (p < 0.05). The changes in all DCR parameters, especially ∆DA and ∆SP-A1 were also correlated with ∆bIOP (p < 0.01)—a 1-mmHg change in bIOP was associated, on average, with 5.612 and −0.037 units of change in SP-A1 and DA, respectively. In contrast, the weakest correlation with ∆bIOP was exhibited by ∆SSI.Conclusion: Most corneal DCR parameters, provided by the Corvis ST, were correlated with IOP, and more weakly with CCT. Changes experienced in CCT and IOP should therefore be considered in studies on corneal biomechanics and how it is affected by disease progression and surgical or medical procedures.
format article
author Yufeng Ye
Yi Li
Zehui Zhu
Anas Ziad Masoud Abu Said
Kevin Nguelemo Mayopa
Stephen Akiti
Chengyi Huang
Bernardo T. Lopes
Ashkan Eliasy
Yuanyuan Miao
Junjie Wang
Junjie Wang
Xiaobo Zheng
Xiaobo Zheng
Shihao Chen
Shihao Chen
Fangjun Bao
Fangjun Bao
Ahmed Elsheikh
Ahmed Elsheikh
Ahmed Elsheikh
author_facet Yufeng Ye
Yi Li
Zehui Zhu
Anas Ziad Masoud Abu Said
Kevin Nguelemo Mayopa
Stephen Akiti
Chengyi Huang
Bernardo T. Lopes
Ashkan Eliasy
Yuanyuan Miao
Junjie Wang
Junjie Wang
Xiaobo Zheng
Xiaobo Zheng
Shihao Chen
Shihao Chen
Fangjun Bao
Fangjun Bao
Ahmed Elsheikh
Ahmed Elsheikh
Ahmed Elsheikh
author_sort Yufeng Ye
title Effect of Mydriasis-Caused Intraocular Pressure Changes on Corneal Biomechanical Metrics
title_short Effect of Mydriasis-Caused Intraocular Pressure Changes on Corneal Biomechanical Metrics
title_full Effect of Mydriasis-Caused Intraocular Pressure Changes on Corneal Biomechanical Metrics
title_fullStr Effect of Mydriasis-Caused Intraocular Pressure Changes on Corneal Biomechanical Metrics
title_full_unstemmed Effect of Mydriasis-Caused Intraocular Pressure Changes on Corneal Biomechanical Metrics
title_sort effect of mydriasis-caused intraocular pressure changes on corneal biomechanical metrics
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/1e4d148cd0884a9a8be83e25e7fcbb69
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