The Effect of Nonlinear Scleral Properties on Optic Nerve Head Biomechanics

Author(s):  
Armin Eilaghi ◽  
Ian A. Sigal ◽  
Christian G. Olesen ◽  
Inka Tertinegg ◽  
John G. Flanagan ◽  
...  

Glaucoma is a group of potentially blinding ocular diseases caused by gradual and progressive damage to the optic nerve, and is usually associated with elevated intraocular pressure (IOP) [1]. This damage occurs at the optic nerve head (ONH), the site where the optic nerve axons leave the posterior eye. IOP-related biomechanical factors are hypothesized to play a key role in the pathogenesis of glaucomatous damage [2].

2019 ◽  
Vol 60 (1) ◽  
pp. 312 ◽  
Author(s):  
Shandiz Tehrani ◽  
Lauren Davis ◽  
William O. Cepurna ◽  
R. Katherine Delf ◽  
Diana C. Lozano ◽  
...  

2021 ◽  
Author(s):  
Sophie Pilkinton ◽  
T.J. Hollingsworth ◽  
Brian Jerkins ◽  
Monica M. Jablonski

Glaucoma is a multifactorial, polygenetic disease with a shared outcome of loss of retinal ganglion cells and their axons, which ultimately results in blindness. The most common risk factor of this disease is elevated intraocular pressure (IOP), although many glaucoma patients have IOPs within the normal physiological range. Throughout disease progression, glial cells in the optic nerve head respond to glaucomatous changes, resulting in glial scar formation as a reaction to injury. This chapter overviews glaucoma as it affects humans and the quest to generate animal models of glaucoma so that we can better understand the pathophysiology of this disease and develop targeted therapies to slow or reverse glaucomatous damage. This chapter then reviews treatment modalities of glaucoma. Revealed herein is the lack of non-IOP-related modalities in the treatment of glaucoma. This finding supports the use of animal models in understanding the development of glaucoma pathophysiology and treatments.


PLoS ONE ◽  
2016 ◽  
Vol 11 (11) ◽  
pp. e0167364 ◽  
Author(s):  
Shandiz Tehrani ◽  
Lauren Davis ◽  
William O. Cepurna ◽  
Tiffany E. Choe ◽  
Diana C. Lozano ◽  
...  

2011 ◽  
Vol 52 (9) ◽  
pp. 6192 ◽  
Author(s):  
Naeem Fatehee ◽  
Paula K. Yu ◽  
William H. Morgan ◽  
Stephen J. Cringle ◽  
Dao-Yi Yu

2008 ◽  
Vol 49 (3) ◽  
pp. 986 ◽  
Author(s):  
Chandrakumar Balaratnasingam ◽  
William H. Morgan ◽  
Louise Bass ◽  
Stephen J. Cringle ◽  
Dao-Yi Yu

Author(s):  
Ian A. Sigal ◽  
Jonathan L. Grimm

Glaucoma is one of the leading causes of blindness worldwide. Although elevated intraocular pressure (IOP) is the main risk factor for the development of the disease, its role remains unclear. Several studies have explored the hypothesis that an IOP-induced altered biomechanical environment within the optic nerve head (ONH), and the lamina cribrosa in particular, may contribute to disruption of the retinal ganglion cell axons, and the subsequent loss of vision associated with glaucoma [1–3]. Identifying the normal ONH biomechanical environment, however, has proven challenging. This has been in part because of the difficulty in accessing the ONH directly for experimentation, but also because of the difficulty in reconstructing models of the relevant structures with which to estimate its biomechanics. Few models represent only a small subset of the possible variations in ONH characteristics in a population, with the consequent lack of statistical power in the predictions.


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