Evidence map›Paper›PMID 26161963›Full record

ArticlePloS one2015

Glaucoma-related Changes in the Mechanical Properties and Collagen Micro-architecture of the Human Sclera.

Baptiste Coudrillier, Jacek K Pijanka, Joan L Jefferys, Adhiraj Goel, Harry A Quigley, Craig Boote, Thao D Nguyen

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
9.9field-weighted citation impact, top 1% 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

63 citing papers in PubMed, 106 citations in OpenAlex.

  1. Trial
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  9. Observational
  10. Factors Associated with Retinal Microvasculature Dropout Induced by Elevation of Intraocular Pressure in Primary Open-Angle Glaucoma.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
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  12. In Search of Mouse Models for Exfoliation Syndrome.American journal of ophthalmology · 2024
    Article
  13. Review
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  15. Article
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  18. Article
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3 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 4 institutions in 2 countries.

Baptiste CoudrillierDepartment of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA, United States of America.
Jacek K PijankaStructural Biophysics Group, School of Optometry and Vision Sciences, Cardiff University, Cardiff, United Kingdom.
Joan L JefferysGlaucoma Center of Excellence, Wilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.
Adhiraj GoelDepartment of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, United States of America.
Harry A QuigleyGlaucoma Center of Excellence, Wilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.
Craig BooteStructural Biophysics Group, School of Optometry and Vision Sciences, Cardiff University, Cardiff, United Kingdom.
Thao D NguyenDepartment of Mechanical Engineering, Johns Hopkins University, Baltimore, MD, United States of America.
Johns Hopkins University · USCardiff University · GBGeorgia Institute of Technology · USJohns Hopkins Medicine · US

Funding

Wilmer Core Grant for Vision ResearchP30EY001765 · NEI · JOHNS HOPKINS UNIVERSITY · PI Jiang Qian · 1985 to 2026
$22.1M
PATHOGENESIS OF GLAUCOMATOUS OPTIC NERVE DAMAGER01EY002120 · NEI · JOHNS HOPKINS UNIVERSITY · PI QUIGLEY, HARRY ALAN · 1985 to 2025
$12.6M
The Biomechanics of the Human Posterior Sclera: Effects of Age, Sex, and GlaucomaR01EY021500 · NEI · JOHNS HOPKINS UNIVERSITY · PI NGUYEN, THAO D · 2011 to 2016
$933k
Pathogenesis of Glaucomatous Optic Nerve DamageR56EY002120 · NEI · JOHNS HOPKINS UNIVERSITY · PI QUIGLEY, HARRY ALAN · 2008 to 2008
$369k
Medical Research Council MR/K000837/1NEI NIH HHS EY01765NEI NIH HHS EY02120NEI NIH HHS EY021500NEI NIH HHS P30 EY001765NEI NIH HHS R01 EY002120NEI NIH HHS R01 EY021500NEI NIH HHS R56 EY002120
6 · The paper itself

Abstract

objectiveThe biomechanical behavior of the sclera determines the level of mechanical insult from intraocular pressure to the axons and tissues of the optic nerve head, as is of interest in glaucoma. In this study, we measure the collagen fiber structure and the strain response, and estimate the material properties of glaucomatous and normal human donor scleras.

methodsTwenty-two posterior scleras from normal and diagnosed glaucoma donors were obtained from an eyebank. Optic nerve cross-sections were graded to determine the presence of axon loss. The specimens were subjected to pressure-controlled inflation testing. Full-field displacement maps were measured by digital image correlation (DIC) and spatially differentiated to compute surface strains. Maps of the collagen fiber structure across the posterior sclera of each inflated specimen were obtained using synchrotron wide-angle X-ray scattering (WAXS). Finite element (FE) models of the posterior scleras, incorporating a specimen-specific representation of the collagen structure, were constructed from the DIC-measured geometry. An inverse finite element analysis was developed to estimate the stiffness of the collagen fiber and inter-fiber matrix.

resultsThe differences between glaucoma and non-glaucoma eyes were small in magnitude. Sectorial variations of degree of fiber alignment and peripapillary scleral strain significantly differed between normal and diagnosed glaucoma specimens. Meridional strains were on average larger in diagnosed glaucoma eyes compared with normal specimens. Non-glaucoma specimens had on average the lowest matrix and fiber stiffness, followed by undamaged glaucoma eyes, and damaged glaucoma eyes but the differences in stiffness were not significant.

conclusionThe observed biomechanical and microstructural changes could be the result of tissue remodeling occuring in glaucoma and are likely to alter the mechanical environment of the optic nerve head and contribute to axonal damage.

Indexed as

AgedAged, 80 and overAlgorithmsBiomechanical PhenomenaFibrillar CollagensFinite Element AnalysisGlaucomaHumansIntraocular PressureLinear ModelsOptic NerveScattering, RadiationScleraSynchrotronsX-Ray DiffractionFibrillar Collagens

Identifiers

PMID26161963
PMCPMC4498780
OpenAlexW1816476742

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.