Literature DB >> 33672433

Effects of Schlemm's Canal Expansion: Biomechanics and MIGS Implications.

Chen Xin1, Shaozhen Song2, Ningli Wang1, Ruikang Wang2, Murray Johnstone3.   

Abstract

OBJECTIVE: To evaluate the change of biomechanical properties of the trabecular meshwork (TM) and configuration of collector channels (CC) by high-resolution optical coherence tomography (HR-OCT) induced by Schlemm's canal (SC) dilation.
METHODS: The anterior segments of two human eyes were divided into four quadrants. One end of a specially designed cannula was placed in SC and the other end connected to a perfusion reservoir. HR-OCT provided three-dimensional (3D) volumetric and two-dimensional (2D) cross-sectional imaging permitting assessment of the biomechanical properties of the TM. A large fluid bolus was introduced into SC. Same-sample, pre and post deformation and disruption of SC and CC lumen areas were analyzed.
RESULTS: Morphologic 3D reconstructions documented pressure-dependent changes in lumen dimension of SC, CC, and circumferential intrascleral channels. 2D imaging established volumetric stress-strain curves (elastance curves) of the TM in quadrants. The curves of TM elastance shift to the right with an increase in pressure-dependent steady-state SC area. After a bolus disruption, the SC area increased, while the CC area decreased.
CONCLUSION: Our experimental setup permits the study of the biomechanical properties of TM by examining elastance, which differs segmentally and is altered by mechanical expansion of SC by a fluid bolus. The study may shed light on mechanisms of intraocular pressure control of some glaucoma surgery.

Entities:  

Keywords:  biomechanics; optical coherence tomography; schlemm’s canal; trabecular meshwork

Year:  2021        PMID: 33672433     DOI: 10.3390/life11020176

Source DB:  PubMed          Journal:  Life (Basel)        ISSN: 2075-1729


  3 in total

1.  A Novel Technique Identifies Valve-Like Pathways Entering and Exiting Schlemm's Canal in Macaca nemestrina Primates With Similarities to Human Pathways.

Authors:  Elizabeth A Martin; Murray A Johnstone
Journal:  Front Cell Dev Biol       Date:  2022-07-04

2.  Valve-Like Outflow System Behavior With Motion Slowing in Glaucoma Eyes: Findings Using a Minimally Invasive Glaucoma Surgery-MIGS-Like Platform and Optical Coherence Tomography Imaging.

Authors:  Murray Johnstone; Chen Xin; Ted Acott; Janice Vranka; Joanne Wen; Elizabeth Martin; Ruikang K Wang
Journal:  Front Med (Lausanne)       Date:  2022-04-29

3.  Evaluation of different OCT systems in quantitative imaging of human Schlemm's canal.

Authors:  Xuan Wu; Bingyao Tan; Jinyuan Gan; Adeline R Lam; Yibing Chen; Xinyu Liu; Jacqueline Chua; Damon W K Wong; Marcus Ang; Leopold Schmetterer; Xinwen Yao
Journal:  Sci Rep       Date:  2022-01-26       Impact factor: 4.379

  3 in total

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