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ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Mechanical basis of cortical cataract.

Maria Lißner, Harvey J Burd, Ralph Michael, Justin C D'Antin, Brian Sheil

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Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Maria LißnerDepartment of Engineering Science, Oxford University, Oxford, UK.
Harvey J BurdDepartment of Engineering Science, Oxford University, Oxford, UK.
Ralph MichaelInstitute for Medical Informatics, Statistics, and Epidemiology, Leipzig University, Leipzig, Germany.
Justin C D'AntinCentro de Oftalmología Barraquer, Muntaner 314, Barcelona, 08021, Spain. justin@barraquer.com.
Brian SheilDepartment of Engineering, Cambridge University, Cambridge, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAccommodation, the ability of the human eye to adjust focus, declines with age due to progressive lens stiffening. This study hypothesizes that cycles of attempted accommodation and relaxation in presbyopic eyes (≥ 50 years) induces internal deformations in the equatorial cortex of the lens, contributing to cortical cataract formation.

methodsFinite element simulations were performed to evaluate internal strains and stresses in the equatorial cortex of lenses of different ages caused by ciliary body movements during accommodation or attempted accommodation. The models incorporated previously published data on spatial variations in lens stiffness, quantified by shear modulus, and its age-related changes.

resultsIn the 55-year lens model, relaxation after attempted accommodation produced significant shear strain and radial stress concentrations in the equatorial cortex. The locations of these stress and strain concentrations corresponded with cortical cataract sites reported in the literature. The simulations also demonstrated local separations at the cortex-capsule and cortex-nucleus boundaries, consistent with prior in vitro findings. These separations reduced local stress and strain concentrations but may increase cataract risk through damage-repair and scarring.

conclusionsFinite element modeling suggests the possibility that internal deformations generated during attempted accommodation in aging lenses may play a role in cortical cataract development. This suggests a complex interplay between mechanical strain and biological repair mechanisms in age-related lens pathology.

Indexed as

AccommodationCortical cataractFinite elementPresbyopia

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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.