Evidence map›Paper›PMID 35660943›Full record

ArticleComputer methods and programs in biomedicine2022

Biomechanics of human trabecular meshwork in healthy and glaucoma eyes via dynamic Schlemm's canal pressurization.

Alireza Karimi, Seyed Mohammadali Rahmati, Reza Razaghi, J Crawford Downs, Ted S Acott, Ruikang K Wang, Murray Johnstone

Open access · greenAbstract read
In one paragraph

Article in Computer methods and programs in biomedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Computational study of DurystaDrug delivery and translational research · 2026
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  9. Minimally Invasive Glaucoma Surgery Procedure in the Human Eye. A Fluid Structure Interaction Study.International journal for numerical methods in biomedical engineering · 2025
    Article
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  13. Article
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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

7 authors at 4 institutions in 1 country.

Alireza KarimiDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: akarimi@uabmc.edu.
Seyed Mohammadali RahmatiSchool of Biological Sciences, Georgia Institute of Technology, Atlanta, GA, USA. Electronic address: srahmati3@gatech.edu.
Reza RazaghiDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
J Crawford DownsDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: cdowns@uabmc.edu.
Ted S AcottOphthalmology and Biochemistry and Molecular Biology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon, USA. Electronic address: acott@ohsu.edu.
Ruikang K WangDepartment of Ophthalmology, University of Washington, Seattle, WA, USA; Department of Bioengineering, University of Washington, Seattle, WA, USA. Electronic address: wangrk@u.washington.edu.
Murray JohnstoneDepartment of Ophthalmology, University of Washington, Seattle, WA, USA. Electronic address: murrayj2@uw.edu.
University of Alabama at Birmingham · USUniversity of Washington · USGeorgia Institute of Technology · USOregon Health & Science University · US

Funding

Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI John Peter Campbell · 1995 to 2026
$19.4M
Visual Phenotyping CoreP30EY003039 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Paul Douglas Gamlin · 1985 to 2026
$16.9M
Molecular Mechanisms of Outflow Segmentation and Intraocular Pressure HomeostasisR01EY025721 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI ACOTT, TED S · 2015 to 2022
$2.8M
The Aqueous Humor Outflow ResistanceR01EY030238 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI TED S ACOTT · 2019 to 2026
$2.7M
Age-related changes in optic nerve head structure and biomechanicsR01EY018926 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DOWNS, J CRAWFORD, GIRKIN, CHRISTOPHER ANTHONY · 2008 to 2015
$2.6M
Ultra-wide field optical coherence tomography based angiography for imaging diabetic retinopathyR01EY028753 · NEI · UNIVERSITY OF WASHINGTON · PI WANG, RUIKANG · 2018 to 2021
$2.2M
Optic Nerve Head Mechanobiology in GlaucomaR01EY027924 · NEI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DOWNS, J CRAWFORD, MURPHY-ULLRICH, JOANNE E · 2018 to 2021
$1.8M
NON-INVASIVE REAL-TIME LABEL-FREE 3D IMAGING OF RETINAL MICROCIRCULATIONR01EY024158 · NEI · UNIVERSITY OF WASHINGTON · PI WANG, RUIKANG · 2014 to 2017
$1.7M
Modulation of Outflow Facility and BiomechanicsR01EY036011 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Alireza Karimi · 2024 to 2026
$1.2M
NEI NIH HHS P30 EY003039NEI NIH HHS P30 EY010572NEI NIH HHS R01 EY018926NEI NIH HHS R01 EY024158NEI NIH HHS R01 EY025721NEI NIH HHS R01 EY027924NEI NIH HHS R01 EY028753NEI NIH HHS R01 EY030238NEI NIH HHS R01 EY036011
6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe trabecular meshwork (TM) consists of extracellular matrix (ECM) with embedded collagen and elastin fibers providing its mechanical support. TM stiffness is considerably higher in glaucoma eyes. Emerging data indicates that the TM moves dynamically with transient intraocular pressure (IOP) fluctuations, implying the viscoelastic mechanical behavior of the TM. However, little is known about TM viscoelastic behavior. We calculated the viscoelastic mechanical properties of the TM in n = 2 healthy and n = 2 glaucoma eyes.

methodsA quadrant of the anterior segment was submerged in a saline bath, and a cannula connected to an adjustable saline reservoir was inserted into Schlemm's canal (SC). A spectral domain-OCT (SD-OCT) provided continuous cross-sectional B-scans of the TM/JCT/SC complex during pressure oscillation from 0 to 30 mmHg at two locations. The TM/JCT/SC complex boundaries were delineated to construct a 20-µm-thick volume finite element (FE) mesh. Pre-tensioned collagen and elastin fibrils were embedded in the model using a mesh-free penalty-based cable-in-solid algorithm. SC pressure was represented by a position- and time-dependent pressure boundary; floating boundary conditions were applied to the other cut edges of the model. An FE-optimization algorithm was used to adjust the ECM/fiber mechanical properties such that the TM/JCT/SC model and SD-OCT imaging data best matched over time.

resultsSignificantly larger short- and long-time ECM shear moduli (p = 0.0032), and collagen (1.82x) and elastin (2.72x) fibril elastic moduli (p = 0.0001), were found in the TM of glaucoma eyes compared to healthy controls.

conclusionsThese findings provide additional clarity on the mechanical property differences in healthy and glaucomatous outflow pathway under dynamic loading. Understanding the viscoelastic properties of the TM may serve as a new biomarker in early diagnosis of glaucoma.

Indexed as

GlaucomaTrabecular MeshworkBiomechanical PhenomenaCross-Sectional StudiesElastinHumansElastinCollagen and elastin fibersFinite element-optimizationGlaucomaOcular biomechanicsTrabecular meshwork

Identifiers

PMID35660943
PMCPMC10424782
OpenAlexW4281611799

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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.