Evidence map›Paper›PMID 31412277›Full record

ReviewProgress in retinal and eye research2020

Scleral structure and biomechanics.

Craig Boote, Ian A Sigal, Rafael Grytz, Yi Hua, Thao D Nguyen, Michael J A Girard

Abstract readReview
In one paragraph

Review in Progress in retinal and eye research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 211 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
211citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

211 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Role of Autophagy in Scleral Remodeling During Form-Deprivation Myopia.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  7. [Research progress and applications of biologically derived materials in scleral reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
  8. Scleral Postn Drives Myopia via Promoting Myofibroblast Transdifferentiation.Investigative ophthalmology & visual science · 2026
    Article
  9. Review
  10. Etiology, surgical management, and outcomes of patients with scleral thinning.The Journal of international medical research · 2026
    Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Gonioscopy-guided transscleral direct cyclopexy for traumatic cyclodialysis cleft --eye injury vitrectomy study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  19. Article
  20. Observational

151 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

6 authors.

Craig BooteStructural Biophysics Research Group, School of Optometry & Vision Sciences, Cardiff University, UK; Ophthalmic Engineering & Innovation Laboratory (OEIL), Department of Biomedical Engineering, National University of Singapore, Singapore; Newcastle Research & Innovation Institute Singapore (NewRIIS), Singapore. Electronic address: bootec@cardiff.ac.uk.
Ian A SigalLaboratory of Ocular Biomechanics, Department of Ophthalmology, University of Pittsburgh, USA.
Rafael GrytzDepartment of Ophthalmology & Visual Sciences, University of Alabama at Birmingham, USA.
Yi HuaLaboratory of Ocular Biomechanics, Department of Ophthalmology, University of Pittsburgh, USA.
Thao D NguyenDepartment of Mechanical Engineering, Johns Hopkins University, USA.
Michael J A GirardOphthalmic Engineering & Innovation Laboratory (OEIL), Department of Biomedical Engineering, National University of Singapore, Singapore; Singapore Eye Research Institute (SERI), Singapore National Eye Centre, Singapore.

Funding

Virus Production and Manipulation of Protein/Gene Expression ModuleP30EY008098 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Yuanyuan Chen · 1989 to 2026
$17.8M
Visual Phenotyping CoreP30EY003039 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Paul Douglas Gamlin · 1985 to 2026
$16.9M
Scleral Remodeling in MyopiaR01EY026588 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Rafael Grytz · 2016 to 2026
$4.1M
Optic nerve head microstructure, biomechanics and susceptibility to glaucomaR01EY023966 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Ian A Sigal · 2014 to 2026
$3.8M
High-resolution Elastographic Assessment of the Optic Nerve HeadR01EY028662 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHEN, ZHONGPING, SIGAL, IAN A · 2018 to 2021
$2.7M
The influence of ocular remodeling on glaucomaR01EY027759 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GRYTZ, RAFAEL, SAMUELS, BRIAN CHRISTOPHER · 2017 to 2021
$2.3M
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
Medical Research Council MR/K000837/1NEI NIH HHS P30 EY003039NEI NIH HHS P30 EY008098NEI NIH HHS R01 EY021500NEI NIH HHS R01 EY023966NEI NIH HHS R01 EY026588NEI NIH HHS R01 EY027759NEI NIH HHS R01 EY028662
6 · The paper itself

Abstract

As the eye's main load-bearing connective tissue, the sclera is centrally important to vision. In addition to cooperatively maintaining refractive status with the cornea, the sclera must also provide stable mechanical support to vulnerable internal ocular structures such as the retina and optic nerve head. Moreover, it must achieve this under complex, dynamic loading conditions imposed by eye movements and fluid pressures. Recent years have seen significant advances in our knowledge of scleral biomechanics, its modulation with ageing and disease, and their relationship to the hierarchical structure of the collagen-rich scleral extracellular matrix (ECM) and its resident cells. This review focuses on notable recent structural and biomechanical studies, setting their findings in the context of the wider scleral literature. It reviews recent progress in the development of scattering and bioimaging methods to resolve scleral ECM structure at multiple scales. In vivo and ex vivo experimental methods to characterise scleral biomechanics are explored, along with computational techniques that combine structural and biomechanical data to simulate ocular behaviour and extract tissue material properties. Studies into alterations of scleral structure and biomechanics in myopia and glaucoma are presented, and their results reconciled with associated findings on changes in the ageing eye. Finally, new developments in scleral surgery and emerging minimally invasive therapies are highlighted that could offer new hope in the fight against escalating scleral-related vision disorder worldwide.

Indexed as

AgingAnimalsBiomechanical PhenomenaGlaucomaHumansMyopiaScleraAgeingBiomechanicsConnective tissue structureGlaucomaMyopiaSclera

Identifiers

PMID31412277
PMCPMC7187923

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.