Evidence map›Paper›PMID 25389203›Full record

ArticleInvestigative ophthalmology & visual science2014

Age- and race-related differences in human scleral material properties.

Rafael Grytz, Massimo A Fazio, Vincent Libertiaux, Luigi Bruno, Stuart Gardiner, Christopher A Girkin, J Crawford Downs

Open access · bronzeAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
9.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 134 citations in OpenAlex.

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  6. Two-Photon Fabrication of Donor-Specific Human Lamina Cribrosa Models.Translational vision science & technology · 2025
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  9. Analysis of In Vivo Sclera Impact on the Biomechanics of Myopic Eyes.Translational vision science & technology · 2025
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  10. Observational
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  12. Article
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  14. Observational
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Rafael GrytzOphthalmology, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, United States.
Massimo A FazioOphthalmology, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, United States.
Vincent LibertiauxOphthalmology, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, United States.
Luigi BrunoMechanical Engineering, University of Calabria, Calabria, Italy.
Stuart GardinerDiscoveries in Sight Research Laboratories, Devers Eye Institute, Portland, Oregon, United States.
Christopher A GirkinOphthalmology, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, United States.
J Crawford DownsOphthalmology, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, United States.
University of Alabama at Birmingham · USLegacy Health · USUniversity of Calabria · IT

Funding

Age-related changes in optic nerve head structure and biomechanicsR01EY018926 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DOWNS, J CRAWFORD, GIRKIN, CHRISTOPHER ANTHONY · 2008 to 2015
$2.6M
NEI NIH HHS R01 EY018926NEI NIH HHS R01-EY18926
6 · The paper itself

Abstract

purposeWe tested the hypothesis that there are age- and race-related differences in posterior scleral material properties, using eyes from human donors of European (20-90 years old, n = 40 eyes) and African (23-74 years old, n = 22 eyes) descent.

methodsInflation tests on posterior scleral shells were performed while full-field, three-dimensional displacements were recorded using laser speckle interferometry. Scleral material properties were fit to each eye using a microstructure-based constitutive formulation that incorporates the collagen fibril crimp and the local anisotropic collagen architecture. The effects of age and race were estimated using Generalized Estimating Equations, while accounting for intradonor correlations.

resultsThe shear modulus significantly increased (P = 0.038) and collagen fibril crimp angle significantly decreased with age (P = 0.002). Donors of African descent exhibited a significantly higher shear modulus (P = 0.019) and showed evidence of a smaller collagen fibril crimp angle (P = 0.057) compared to donors of European descent. The in-plane strains in the peripapillary sclera were significantly lower with age (P < 0.015) and African ancestry (P < 0.015).

conclusionsThe age- and race-related differences in scleral material properties result in a loss of scleral compliance due to a higher shear stiffness and a lower level of stretch at which the collagen fibrils uncrimp. The loss of compliance should lead to larger high frequency IOP fluctuations and changes in the optic nerve head (ONH) biomechanical response in the elderly and in persons of African ancestry, and may contribute to the higher susceptibility to glaucoma in these at-risk populations.

Indexed as

Black PeopleWhite PeopleAdultAgedAgingBiomechanical PhenomenaCollagenElasticityFemaleHumansInterferometryMaleMiddle AgedPosterior Eye SegmentScleraYoung AdultCollagencomputational modelingextracellular matrixglaucoma posterior segment

Identifiers

PMID25389203
PMCPMC4266082
OpenAlexW2038047187

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.