机构:[1]School of Biomedical Engineering, Capital Medical University, Beijing, China[2]Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Beijing, China[3]Beijing Tiantan Hospital, Capital Medical University, Beijing, China首都医科大学附属天坛医院
Pupil blocking force (PBF) can indicate the potential risk of pupil block (PB), which is considered as a main pathogenic factor of primary angle-closure glaucoma (PACG). However, the effect of PB on the PBF under different pupil diameters and iris-lens channel (ILC) distance was unknown. Besides, a simple and practical method to assess PBF has not been reported yet. In this study, 21 finite element models of eyes with various pupil diameters (2.4 mm-2.6mm) and ILC (2 mu m-20 mu m) were constructed and were conducted to simulate aqueous humor flow by fluid-solid coupling numerical simulation. PBF in each model was calculated based on the numerical simulation results and was fitted using response surface methodology. The results demonstrated that ILC distance had a more significant effect than pupil diameter on PBF. With the decrease of ILC distance, the PBF increased exponentially. When the reduced distance was lower than 5 mu m, the PBF exploded quickly, resulting in a high risk of iris bomb. The PBF also varied with pupil diameter, especially under the condition of narrow ILC. Both ILC distance and pupil diameter could explain more than 97% variation in PBF, and a second-order empirical model has been developed to be a good predictor of PBF. Based on the linear relationship between anterior chamber deformation and PBF, a threshold value of PBF was given to guide clinical decisions. This study could be used to investigate PACG pathological correlation and its pathogenesis, so as to provide a reference value for clinical diagnosis of PACG.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [10802053, 31570952]; Beijing Natural Science FoundationBeijing Natural Science Foundation [7152022]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2018]版:
大类|3 区生物
小类|3 区生物工程与应用微生物4 区医学:研究与实验
最新[2023]版:
无
JCR分区:
出版当年[2017]版:
Q2BIOTECHNOLOGY & APPLIED MICROBIOLOGYQ3MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q3BIOTECHNOLOGY & APPLIED MICROBIOLOGYQ3MEDICINE, RESEARCH & EXPERIMENTAL
第一作者机构:[1]School of Biomedical Engineering, Capital Medical University, Beijing, China[2]Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Beijing, China[3]Beijing Tiantan Hospital, Capital Medical University, Beijing, China
通讯作者:
通讯机构:[1]School of Biomedical Engineering, Capital Medical University, Beijing, China[2]Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Beijing, China
推荐引用方式(GB/T 7714):
Wenjia Wang,Hongfang Song,Zhicheng Liu.Computational Study on the Biomechanics of Pupil Block Phenomenon[J].BioMed research international.2019,2019:-.doi:10.1155/2019/4820167.
APA:
Wenjia Wang,Hongfang Song&Zhicheng Liu.(2019).Computational Study on the Biomechanics of Pupil Block Phenomenon.BioMed research international,2019,
MLA:
Wenjia Wang,et al."Computational Study on the Biomechanics of Pupil Block Phenomenon".BioMed research international 2019.(2019):-