Evidence map›Paper›PMID 40293397›Full record

ArticleInvestigative ophthalmology & visual science2025

A Model of the Mechanisms Underpinning Unconventional Aqueous Humor Outflow.

Jennifer H Tweedy, Mariia Dvoriashyna, Jessica R Crawshaw, Darryl R Overby, Rodolfo Repetto, Paul A Roberts, Tamsin A Spelman, Peter S Stewart, Alexander J E Foss

Abstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Jennifer H TweedyDepartment of Mathematical Sciences, University of Bath, Claverton Down, Bath, United Kingdom.
Mariia DvoriashynaSchool of Mathematics and Maxwell Institute for Mathematical Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Jessica R CrawshawWolfson Centre for Mathematical Biology, Mathematical Institute, University of Oxford, Oxford, United Kingdom.
Darryl R OverbyDepartment of Bioengineering, Imperial College London, London, United Kingdom.
Rodolfo RepettoDepartment of Civil, Chemical and Environmental Engineering, University of Genoa, Genoa, Italy.
Paul A RobertsDepartment of Optometry and Visual Sciences, City St. George's, University of London, London, United Kingdom.
Tamsin A SpelmanSainsbury Laboratory, University of Cambridge, Cambridge, United Kingdom.
Peter S StewartSchool of Mathematics & Statistics, University Place, University of Glasgow, Glasgow, United Kingdom.
Alexander J E FossDepartment of Ophthalmology, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To develop a mathematical model of the unconventional outflow pathway. Methods: The unconventional pathway is modeled as having two key components: the uveo-vortex and the trans-scleral pathways. The uveo-vortex pathway is modeled using Starling's law and the trans-scleral flow using predominately hydrostatic forces. We include transcytosis from the choriocapillaris (CC) and collapsibility of the suprachoroidal space (SCS) as particular features. There is considerable uncertainty in a number of model parameter values, and we identify the most significant ones using sensitivity analysis. Results: The model successfully generates a fluid flow from anterior to posterior in the choroidal tissue and the SCS, which also demonstrates many of the known physiological features, including the insensitivity of the unconventional flow to fluctuations in the IOP, albumin removal by the trans-scleral flow, and the CC as a net absorber of fluid from, and supplier of albumin to, the choroidal tissue. The model supports the two previously proposed mechanisms of the action of prostaglandin F2α analogues. Conclusions: We have developed a theoretical model of the unconventional aqueous outflow pathway that successfully captures its physiological features and elucidates the actions of prostaglandin F2α analogues and other drugs.

Indexed as

Aqueous HumorIntraocular PressureModels, BiologicalModels, TheoreticalUveaChoroidHumansSclera

Identifiers

PMID40293397
PMCPMC12060054

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.