Evidence map›Paper›PMID 28973327›Full record

ArticleInvestigative ophthalmology & visual science2017

Estimating Human Trabecular Meshwork Stiffness by Numerical Modeling and Advanced OCT Imaging.

Ke Wang, Murray A Johnstone, Chen Xin, Shaozhen Song, Steven Padilla, Janice A Vranka, Ted S Acott, Kai Zhou, Stephen A Schwaner, Ruikang K Wang and 2 more

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 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

68 citing papers in PubMed, 89 citations in OpenAlex.

  1. Trial
  2. Computational study of DurystaDrug delivery and translational research · 2026
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  14. Mechanobiology in the eye.npj biological physics and mechanics · 2025
    Review
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8 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

12 authors at 2 institutions in 1 country.

Ke WangDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia, United States.
Murray A JohnstoneDepartment of Ophthalmology, University of Washington, Seattle, Washington, United States.
Chen XinDepartment of Bioengineering, University of Washington, Seattle, Washington, United States.
Shaozhen SongDepartment of Bioengineering, University of Washington, Seattle, Washington, United States.
Steven PadillaDepartment of Ophthalmology, University of Washington, Seattle, Washington, United States.
Janice A VrankaDepartment of Ophthalmology, Casey Eye Institute, Portland, Oregon, United States.
Ted S AcottDepartment of Ophthalmology, Casey Eye Institute, Portland, Oregon, United States.
Kai ZhouDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia, United States.
Stephen A SchwanerDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia, United States.
Ruikang K WangDepartment of Bioengineering, University of Washington, Seattle, Washington, United States.
Todd SulchekGeorge W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, Georgia, United States.
C Ross EthierDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia, United States.
Georgia Institute of Technology · USUniversity of Washington · US

Funding

The Mechanical Basis of Primary Open Angle GlaucomaR01EY019696 · NEI · NORTHWESTERN UNIVERSITY · PI FREDBERG, JEFFREY J, JOHNSON, MARK · 2009 to 2019
$7.6M
VIsion Science Training in AtlantaT32EY007092 · NEI · EMORY UNIVERSITY · PI Machelle T. Pardue · 1985 to 2026
$4.6M
Molecular Mechanisms of Outflow Segmentation and Intraocular Pressure HomeostasisR01EY025721 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI ACOTT, TED S · 2015 to 2022
$2.8M
NEI NIH HHS R01 EY019696NEI NIH HHS R01 EY025721NEI NIH HHS T32 EY007092
6 · The paper itself

Abstract

Purpose: The purpose of this study was to estimate human trabecular meshwork (hTM) stiffness, thought to be elevated in glaucoma, using a novel indirect approach, and to compare results with direct en face atomic force microscopy (AFM) measurements. Methods: Postmortem human eyes were perfused to measure outflow facility and identify high- and low-flow regions (HF, LF) by tracer. Optical coherence tomography (OCT) images were obtained as Schlemm's canal luminal pressure was directly manipulated. TM stiffness was deduced by an inverse finite element modeling (FEM) approach. A series of AFM forcemaps was acquired along a line traversing the anterior angle on a radially cut flat-mount corneoscleral wedge with TM facing upward. Results: The elastic modulus of normal hTM estimated by inverse FEM was 70 ± 20 kPa (mean ± SD), whereas glaucomatous hTM was slightly stiffer (98 ± 19 kPa). This trend was consistent with TM stiffnesses measured by AFM: normal hTM stiffness = 1.37 ± 0.56 kPa, which was lower than glaucomatous hTM stiffness (2.75 ± 1.19 kPa). None of these differences were statistically significant. TM in HF wedges was softer than that in LF wedges for both normal and glaucomatous eyes based on the inverse FEM approach but not by AFM. Outflow facility was significantly correlated with TM stiffness estimated by FEM in six human eyes (P = 0.018). Conclusions: TM stiffness is higher, but only modestly so, in glaucomatous patients. Outflow facility in both normal and glaucomatous human eyes appears to associate with TM stiffness. This evidence motivates further studies to investigate factors underlying TM biomechanical property regulation.

Indexed as

AgedAged, 80 and overCadaverElastic ModulusFemaleFinite Element AnalysisGlaucomaHumansMaleTomography, Optical CoherenceTrabecular Meshwork

Identifiers

PMID28973327
PMCPMC5624775
OpenAlexW2588118468

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.