Scleral structure and biomechanics.


Journal

Progress in retinal and eye research
ISSN: 1873-1635
Titre abrégé: Prog Retin Eye Res
Pays: England
ID NLM: 9431859

Informations de publication

Date de publication:
01 2020
Historique:
received: 04 06 2019
revised: 07 08 2019
accepted: 08 08 2019
pubmed: 15 8 2019
medline: 4 2 2021
entrez: 15 8 2019
Statut: ppublish

Résumé

As the eye's main load-bearing connective tissue, the sclera is centrally important to vision. In addition to cooperatively maintaining refractive status with the cornea, the sclera must also provide stable mechanical support to vulnerable internal ocular structures such as the retina and optic nerve head. Moreover, it must achieve this under complex, dynamic loading conditions imposed by eye movements and fluid pressures. Recent years have seen significant advances in our knowledge of scleral biomechanics, its modulation with ageing and disease, and their relationship to the hierarchical structure of the collagen-rich scleral extracellular matrix (ECM) and its resident cells. This review focuses on notable recent structural and biomechanical studies, setting their findings in the context of the wider scleral literature. It reviews recent progress in the development of scattering and bioimaging methods to resolve scleral ECM structure at multiple scales. In vivo and ex vivo experimental methods to characterise scleral biomechanics are explored, along with computational techniques that combine structural and biomechanical data to simulate ocular behaviour and extract tissue material properties. Studies into alterations of scleral structure and biomechanics in myopia and glaucoma are presented, and their results reconciled with associated findings on changes in the ageing eye. Finally, new developments in scleral surgery and emerging minimally invasive therapies are highlighted that could offer new hope in the fight against escalating scleral-related vision disorder worldwide.

Identifiants

pubmed: 31412277
pii: S1350-9462(19)30049-7
doi: 10.1016/j.preteyeres.2019.100773
pmc: PMC7187923
mid: NIHMS1559972
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S. Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

100773

Subventions

Organisme : NEI NIH HHS
ID : R01 EY027759
Pays : United States
Organisme : NEI NIH HHS
ID : R01 EY023966
Pays : United States
Organisme : Medical Research Council
ID : MR/K000837/1
Pays : United Kingdom
Organisme : NEI NIH HHS
ID : R01 EY028662
Pays : United States
Organisme : NEI NIH HHS
ID : P30 EY003039
Pays : United States
Organisme : NEI NIH HHS
ID : R01 EY026588
Pays : United States
Organisme : NEI NIH HHS
ID : P30 EY008098
Pays : United States
Organisme : NEI NIH HHS
ID : R01 EY021500
Pays : United States

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

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Auteurs

Craig Boote (C)

Structural Biophysics Research Group, School of Optometry & Vision Sciences, Cardiff University, UK; Ophthalmic Engineering & Innovation Laboratory (OEIL), Department of Biomedical Engineering, National University of Singapore, Singapore; Newcastle Research & Innovation Institute Singapore (NewRIIS), Singapore. Electronic address: bootec@cardiff.ac.uk.

Ian A Sigal (IA)

Laboratory of Ocular Biomechanics, Department of Ophthalmology, University of Pittsburgh, USA.

Rafael Grytz (R)

Department of Ophthalmology & Visual Sciences, University of Alabama at Birmingham, USA.

Yi Hua (Y)

Laboratory of Ocular Biomechanics, Department of Ophthalmology, University of Pittsburgh, USA.

Thao D Nguyen (TD)

Department of Mechanical Engineering, Johns Hopkins University, USA.

Michael J A Girard (MJA)

Ophthalmic Engineering & Innovation Laboratory (OEIL), Department of Biomedical Engineering, National University of Singapore, Singapore; Singapore Eye Research Institute (SERI), Singapore National Eye Centre, Singapore.

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