Evidence map›Paper›PMID 40079568›Full record

ArticleJournal of biomechanical engineering2025

Biomechanical Strain Responses in the Sclera, Choroid, and Retina in Glaucoma Patients After Intraocular Pressure Lowering.

Zhuochen Yuan, Cameron A Czerpak, Michael Saheb Kashaf, Harry A Quigley, Thao D Nguyen

Abstract read
In one paragraph

Article in Journal of biomechanical engineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Considerations and implications of currentFrontiers in cell and developmental biology · 2025
    Review
  3. Review
  4. Article
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

5 authors.

Zhuochen Yuan *Wilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Wilmer 120, 400 North Broadway, Baltimore, MD 21287.ORCID 0000-0001-6468-784X
Cameron A Czerpak *Department of Mechanical Engineering, The Johns Hopkins University, Baltimore, MD 21218.ORCID 0000-0003-1806-5593
Michael Saheb KashafWilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Harry A QuigleyWilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Thao D NguyenWilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287; Department of Mechanical Engineering, The Johns Hopkins University, Baltimore, MD 21218.ORCID 0000-0002-0312-1583

Funding

Wilmer Core Grant for Vision ResearchP30EY001765 · NEI · JOHNS HOPKINS UNIVERSITY · PI Ji Yi · 1985 to 2026
$22.1M
PATHOGENESIS OF GLAUCOMATOUS OPTIC NERVE DAMAGER01EY002120 · NEI · JOHNS HOPKINS UNIVERSITY · PI QUIGLEY, HARRY ALAN · 1985 to 2025
$12.6M
Biomechanics of the Human Optic Nerve Head for Glaucoma Biomarkers.R01EY036042 · NEI · JOHNS HOPKINS UNIVERSITY · PI Thao D Nguyen · 2024 to 2026
$1.2M
NEI NIH HHS P30 EY001765NEI NIH HHS R01 02120NEI NIH HHS R01 EY002120NEI NIH HHS R01 EY036042
6 · The paper itself

Abstract

This study measured the strain response to intraocular pressure (IOP) change in the sclera, choroid, and retina of glaucoma patients whose optic nerve head region was imaged by optical coherence tomography (OCT) before and after IOP-lowering by laser suturelysis following trabeculectomy surgery. The strain response was calculated from digital volume correlation of the prior and after images. The strain response of the sclera, choroid, and retina were compared to those previously published for the anterior lamina cribrosa (ALC). Mean strains were lowest in the retina and highest in the prelaminar neural tissue (PLNT). Maximum principal and maximum shear strains were significantly increased with greater IOP decrease in all five eye regions. Maximum principal and maximum shear strains in the anterior lamina cribrosa and the sclera were significantly related (p = 0.0094). Strain in the radial direction was negative in the ALC and PLNT, but positive in the sclera (p = 0.017). In conclusion, the strain response of the sclera, choroid, and retina is related to the magnitude of IOP change and is smaller than those of the ALC. The strain response of the ALC and sclera are significantly related to each other.

Indexed as

ChoroidGlaucomaIntraocular PressureRetinaScleraStress, MechanicalAgedBiomechanical PhenomenaFemaleHumansMaleMiddle AgedTomography, Optical Coherenceglaucomaintraocular pressureoptic nerve headsclerastrain

Identifiers

PMID40079568
PMCPMC11977571

What OpenQuestion holds

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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.