Evidence map›Paper›PMID 29561496›Full record

ArticleOptometry and vision science : official publication of the American Academy of Optometry2018

Effects of Thickness on Corneal Biomechanical Properties Using Optical Coherence Elastography.

Srilatha Vantipalli, Jiasong Li, Manmohan Singh, Salavat R Aglyamov, Kirill V Larin, Michael D Twa

Abstract read
In one paragraph

Article in Optometry and vision science : official publication of the American Academy of Optometry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 26 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

6 authors at 4 institutions in 2 countries.

Srilatha VantipalliCollege of Optometry, University of Houston, Houston, Texas.
Jiasong LiDepartment of Biomedical Engineering, University of Houston, Houston, Texas.
Manmohan SinghDepartment of Biomedical Engineering, University of Houston, Houston, Texas.
Salavat R AglyamovDepartment of Biomedical Engineering, University of Texas at Austin, Austin, Texas.
Kirill V LarinDepartment of Biomedical Engineering, University of Houston, Houston, Texas.
Michael D Twa
University of Houston · USNational Research Tomsk State University · RUThe University of Texas at Austin · USUniversity of Alabama at Birmingham · US

Funding

Research Programming ModuleP30EY007551 · NEI · UNIVERSITY OF HOUSTON · PI LAURA J. FRISHMAN · 1988 to 2026
$16.4M
Optical Coherence Elastography of the CorneaR01EY022362 · NEI · UNIVERSITY OF HOUSTON · PI Salavat R Aglyamov, Kirill V Larin · 2012 to 2026
$6.7M
NEI NIH HHS P30 EY007551NEI NIH HHS R01 EY022362
6 · The paper itself

Abstract

significanceMeasured corneal biomechanical properties are driven by intraocular pressure, tissue thickness, and inherent material properties. We demonstrate tissue thickness as an important factor in the measurement of corneal biomechanics that can confound short-term effects due to UV riboflavin cross-linking (CXL) treatment. PURPOSE: We isolate the effects of tissue thickness on the measured corneal biomechanical properties using optical coherence elastography by experimentally altering the tissue hydration state and stiffness.

methodsDynamic optical coherence elastography was performed using phase-sensitive optical coherence tomography imaging to quantify the tissue deformation dynamics resulting from a spatially discrete, low-force air pulse (150-μm spot size; 0.8-millisecond duration; <10 Pa [<0.08 mmHg]). The time-dependent surface deformation is characterized by a viscoelastic tissue recovery response, quantified by an exponential decay constant-relaxation rate. Ex vivo rabbit globes (n = 10) with fixed intraocular pressure (15 mmHg) were topically instilled every 5 minutes with 0.9% saline for 60 minutes and 20% dextran for another 60 minutes. Measurements were made after every 20 minutes to determine the central corneal thickness (CCT) and the relaxation rates. Cross-linking treatment was performed on another 13 eyes, applying isotonic riboflavin (n = 6) and hypertonic riboflavin (n = 7) every 5 minutes for 30 minutes, followed by UV irradiation (365 nm, 3 mW/cm) for 30 minutes while instilling riboflavin. Central corneal thickness and relaxation rates were obtained before and after CXL treatment.

resultsCorneal thickness was positively correlated (R = 0.9) with relaxation rates. In the CXL-treated eyes, isotonic riboflavin did not affect CCT and showed a significant increase in relaxation rates (+10%; P = .01) from 2.29 ms to 2.53 ms. Hypertonic riboflavin showed a significant CCT decrease (-31%; P = .01) from 618 μm to 429 μm but showed little change in relaxation rates after CXL treatment.

conclusionsCorneal thickness and stiffness are correlated positively. A higher relaxation rate implied stiffer material properties after isotonic CXL treatment. Hypertonic CXL treatment results in a stiffness decrease that offsets the stiffness increase with CXL treatment.

Indexed as

Elasticity Imaging TechniquesAnimalsBiomechanical PhenomenaCollagenCorneaCorneal StromaCross-Linking ReagentsElasticityIntraocular PressureOrgan SizeOsmolar ConcentrationPhotosensitizing AgentsRabbitsRiboflavinTomography, Optical CoherenceTonometry, OcularCollagenCross-Linking ReagentsPhotosensitizing AgentsRiboflavin

Identifiers

PMID29561496
PMCPMC6252009
OpenAlexW2792612077

What OpenQuestion holds

Textmetadata
LicenceTDM
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.