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Effects of ocular dimensions on IOP-related stress within the optic nerve head and posterior scleral shell

机译:眼睛尺寸对视神经头部和后巩膜壳体​​内外易相关应力的影响

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In glaucoma, retinal axons are damaged as they pass through the connective tissue beams (the lamina cribrosa) which span the scleral canal. We created a set of idealized finite element models (FEMs) of the posterior scleral shell of the human eyeto study stresses within the lamina cribrosa and surrounding sclera. These models incorporate a range of human dimensions for scleral wall thickness (SWT), axial length (AL), and size and shape of the scleral canal. Stresses within the laminar tissues ofcircular canals ranged from 48×IOP (intraocular pressure) to 163×IOP. In regions where laminar tissues inserted into the surrounding scleral shell, stresses were highest on the anterior (inner) side of the laminar beams. For elliptically shaped canals,the ratio of vertical to horizontal diameters had an effect on the maximum laminar stress and maximum stress at the insertion zones, and on the distance from the canal where the sclera withstands increased stresses. Decreasing SWT led to significantincreases in laminar, insertion zone, and peripapillary scleral stress. Changes in AL of the hemisphere had little effect on stresses within the tissues.
机译:在青光眼中,视网膜轴突被损坏,因为它们穿过跨越巩膜管的连接组织束(椎板Cribrosa)。我们创建了一套理想化的有限元模型(FEMS)的后巩膜壳体​​的Lemina Cribrosa和周围巩膜内的研究压力。这些型号包括一系列用于巩膜壁厚(SWT),轴向长度(Al)和巩膜管的尺寸和形状的人体尺寸。颅内组织内的压力范围为48倍(眼内压)至163×IOP。在插入周围巩膜壳体中的层状组织的区域中,在层状梁的前(内部)侧上的应力最高。对于椭圆形的管道,垂直与水平直径的比率对插入区的最大层隙应力和最大应力具有影响,以及巩膜承受压力增加的运河的距离。减少SWT导致层流,插入区和围网巩膜应力中的显着性。半球的Al的变化对组织内的应力几乎没有影响。

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