Evidence map›Paper›PMID 28389675›Full record

ArticleInvestigative ophthalmology & visual science2017

Deformation of the Lamina Cribrosa and Optic Nerve Due to Changes in Cerebrospinal Fluid Pressure.

Andrew J Feola, Baptiste Coudrillier, John Mulvihill, Diogo M Geraldes, Nghia T Vo, Julie Albon, Richard L Abel, Brian C Samuels, C Ross Ethier

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
8.2field-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

33 citing papers in PubMed, 64 citations in OpenAlex.

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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

9 authors at 8 institutions in 3 countries.

Andrew J FeolaDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia, United States.
Baptiste CoudrillierDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia, United States 2Exponent, Inc., Menlo Park, California, United States.
John MulvihillDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia, United States 3School of Engineering/Bernal Institute, University of Limerick, Limerick, Ireland.
Diogo M GeraldesBiomechanics Group, Department of Mechanical Engineering, Imperial College London, London, United Kingdom.
Nghia T VoDiamond Light Source, Didcot, United Kingdom.
Julie AlbonOptic Nerve Group, School of Optometry and Vision Sciences, Cardiff University, Cardiff, Wales, United Kingdom 7Cardiff Institute of Tissue Engineering and Repair, Cardiff University, Cardiff, Wales, United Kingdom.
Richard L AbelDepartment of Surgery and Cancer, Imperial College, London, United Kingdom.
Brian C SamuelsDepartment of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama, United States.
C Ross EthierDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia, United States.
Imperial College London · GBCardiff University · GBDiamond Light Source · GBEmory University · USExponent (United States) · USGeorgia Institute of Technology · USUniversity of Alabama at Birmingham · USUniversity of Limerick · IE

Funding

Targeting Scleral Stiffness as a Novel Therapeutic Approach in GlaucomaR01EY025286 · NEI · GEORGIA INSTITUTE OF TECHNOLOGY · PI ETHIER, C ROSS · 2015 to 2019
$2.5M
6 · The paper itself

Abstract

Purpose: Cerebrospinal fluid pressure (CSFp) changes are involved or implicated in various ocular conditions including glaucoma, idiopathic intracranial hypertension, and visual impairment and intracranial pressure syndrome. However, little is known about the effects of CSFp on lamina cribrosa and retrolaminar neural tissue (RLNT) biomechanics, potentially important in these conditions. Our goal was to use an experimental approach to visualize and quantify the deformation of these tissues as CSFp increased. Methods: The posterior eye and RLNT of porcine eyes (n = 3) were imaged using synchrotron radiation phase-contrast micro-computed tomography (PC μCT) at an intraocular pressure of 15 mm Hg and CSFps of 4, 10, 20, and 30 mm Hg. Scans of each tissue region were acquired at each CSFp step and analyzed using digital volume correlation to determine 3-dimensional tissue deformations. Results: Elevating CSFp increased the strain in the lamina cribrosa and RLNT of all three specimens, with the largest strains occurring in the RLNT. Relative to the baseline CSFp of 4 mm Hg, at 30 mm Hg, the lamina cribrosa experienced a mean first and third principal strain of 4.4% and -3.5%, respectively. The corresponding values for the RLNT were 9.5% and -9.1%. Conclusions: CSFp has a significant impact on the strain distributions within the lamina cribrosa and, more prominently, within the RLNT. Elevations in CSFp were positively correlated with increasing deformations in each region and may play a role in ocular pathologies linked to changes in CSFp.

Indexed as

AnimalsBiomechanical PhenomenaCerebrospinal Fluid PressureDisease Models, AnimalFemaleGlaucomaIntraocular PressureNerve FibersOptic DiskOptic NerveSwineTonometry, OcularX-Ray Microtomography

Identifiers

PMID28389675
PMCPMC6733531
OpenAlexW2604522052

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.