Translational Vision Science & Technology,
Journal Year:
2024,
Volume and Issue:
13(12), P. 36 - 36
Published: Dec. 30, 2024
Purpose:
To
assess
the
safety
of
acoustic
radiation
force
optical
coherence
elastography
in
crystalline
lens
situ.
Methods:
Acoustic
(ARF)
produced
by
an
immersion
single-element
ultrasound
transducer
(nominal
frequency
=
3.5
MHz)
was
characterized
using
a
needle
hydrophone
and
used
for
(OCE)
lens.
Preamplified
signals
at
50,
100,
250,
500,
750,
1000,
1250
mV
peak
amplitude
were
tested
on
ex
vivo
porcine
eyes
(n
21).
Three-dimensional
tomography
(OCT)
confocal
microscopy
images
acquired
before
after
ARF
exposure
to
each
signal
determine
damage.
Results:
The
intensity
100-mV
preamplified
input
demonstrated
signal-to-noise
ratio
high
enough
tracking
elastic
wave
propagation
spatial-peak
pulse-average
(SPPA)
24.1
W/cm²
mechanical
index
(MI)
0.46.
SPPA
lower
than
U.S.
Food
Drug
Administration
(FDA)
limit
(28
W/cm2),
but
MI
twice
(0.23).
OCT
structural
showed
damage
only
levels
exceeding
1150
W/cm2
3.2
MI,
respectively.
Conclusions:
that,
even
when
exceeded
FDA
recommendations
(>100
mV),
no
noticeable
observed.
Although
further
reduction
is
necessary
meet
limits,
ARF-based
shows
promise
safe
clinical
translation
quantitatively
characterizing
lenticular
biomechanical
properties.
Translational
Relevance:
This
work
assessed
standards
be
human
according
limits.
Translational Vision Science & Technology,
Journal Year:
2025,
Volume and Issue:
14(1), P. 26 - 26
Published: Jan. 24, 2025
Purpose:
To
characterize
frequency-dependent
wave
speed
dispersion
in
the
human
cornea
using
microliter
air-pulse
optical
coherence
elastography
(OCE),
and
to
evaluate
applicability
of
Lamb
theory
for
determining
corneal
elastic
modulus
high-frequency
symmetric
(S0)
anti-symmetric
(A0)
guided
waves
cornea.
Methods:
Wave
analysis
transient
(0.5
ms)
stimulation
was
performed
four
rabbit
eyes
ex
vivo
compared
air-coupled
ultrasound
excitation.
The
effects
angle
sample
geometry
on
were
evaluated
phantoms.
Corneal
measured
36
healthy
vivo.
Results:
Air-pulse-induced
comparable
ultrasound-induced
between
0.7
5
kHz
(mean-difference
±
1.96
×
SD:
0.006
0.5
m/s)
corneas.
Stimulation
0°
relative
surface
normal
generated
A0
tissue
phantoms,
while
oblique
(35°
65°)
S0
waves.
Stimulating
apex
(0°)
induced
waves,
plateauing
at
10.87
13.63
m/s
4
kHz,
when
obliquely
stimulated
periphery
(65°),
produced
13.10
15.98
kHz.
Conclusions:
Air-pulse
OCE
can
be
used
measure
propagation
modes
These
are
selectively
excited
by
changing
angle.
Accounting
enables
reliable
estimation
Translational
Relevance:
This
work
demonstrates
feasibility
robust
measurements
stiffness
disease
detection
therapy
evaluation.
International Ophthalmology,
Journal Year:
2024,
Volume and Issue:
44(1)
Published: March 13, 2024
Abstract
Purpose
Corneal
biomechanics
is
an
emerging
field
and
the
interest
into
physical
biological
interrelations
in
anterior
part
of
eye
has
significantly
increased
during
past
years.
There
are
many
factors
that
determine
corneal
such
as
hormonal
fluctuations,
hydration
environmental
factors.
Other
can
affect
corneas
age,
intraocular
pressure
central
thickness.
The
purpose
this
review
to
evaluate
affecting
recent
advancements
non-destructive,
vivo
measurement
techniques
for
early
detection
improved
management
diseases.
Methods
Until
recently,
could
not
be
directly
assessed
humans
were
instead
inferred
from
geometrical
cornea
analysis
ex
biomechanical
testing.
current
research
made
strides
studying
creating
non-destructive
contactless
measure
properties
vivo.
Results
Research
indicated
altered
contribute
diseases
keratoconus
glaucoma.
identification
pathological
through
new
imperative
preventing
postoperative
complications.
Conclusions
Identification
crucial
prevention
Therefore,
a
better
understanding
will
lead
earlier
diagnosis
ectatic
disorders,
improve
refractive
surgeries
allow
treatment.
Eye and Vision,
Journal Year:
2024,
Volume and Issue:
11(1)
Published: May 11, 2024
Abstract
Keratoconus
is
a
common
progressive
corneal
disorder
that
can
be
associated
with
significant
ocular
morbidity.
Various
imaging
techniques
have
been
used
for
the
diagnosis
of
established
cases.
However,
in
early
stages
disease,
which
include
subclinical
keratoconus
and
forme
fruste
keratoconus,
detection
such
cases
challenging.
The
importance
detecting
very
important
because
intervention
halt
disease
progression,
improve
visual
outcomes
prevent
postrefractive
surgery
ectasia
performing
refractive
procedures
patients.
This
narrative
review
aimed
to
examine
several
evolving
keratoconus.
utilization
combinations
these
may
further
increase
their
diagnostic
ability.
Journal of Biophotonics,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 16, 2025
ABSTRACT
Keratoconus
and
other
corneal
ectatic
disorders
involve
the
degradation
of
collagen
fibers,
which
compromises
biomechanical
properties.
Ultraviolet‐A
(UVA)
crosslinking
has
emerged
as
primary
treatment
to
slow
down
degradation.
This
is
limited
in
both
penetration
depth
spatial
precision,
potentially
leading
unwanted
side
effects.
study
compares
changes
properties
corneas
crosslinked
with
UVA
irradiation
a
near‐infrared
femtosecond
laser,
using
Brillouin
microscopy.
The
regions
were
mapped
terms
frequency
shift
three
dimensions.
showed
an
average
increase
~100
MHz.
We
demonstrate
targeted
axial
crosslinking,
similar
values
regions.
Biomedical Optics Express,
Journal Year:
2025,
Volume and Issue:
16(4), P. 1371 - 1371
Published: March 4, 2025
We
evaluate
the
effect
of
excitation
angles
on
observation
and
characterization
surface
wave
propagations
used
to
derive
tissue’s
mechanical
properties
in
optical
coherence
tomography
(OCT)-based
elastography
(OCE).
Air-pulse
stimulation
was
performed
at
center
sample
with
ranging
from
oblique
(e.g.,
70°
or
45°)
perpendicular
(0°).
OCT
scanning
conducted
radially
record
en
face
360°,
features
(amplitude,
attenuation,
group
phase
velocities)
were
calculated
spatiotemporal
wavenumber-frequency
domains.
measurements
isotropic,
homogeneous
samples
(1–1.6%
agar
phantoms),
anisotropic
(chicken
breast),
complex
boundaries,
coupling
media,
stress
conditions
(
ex
vivo
porcine
cornea,
intraocular
pressure
(IOP):
5–20
mmHg).
Our
findings
indicate
that
velocities
are
less
affected
by
compared
displacement
features,
demonstrating
robustness
using
waves
for
elasticity
estimations.
Agar
chicken
breast
showed
all
these
metrics
(particularly
relatively
consistent
when
smaller
than
45°.
However,
significant
disparities
observed
cornea
across
different
(even
between
15°
0°),
particularly
high
IOP
levels
20
provide
valuable
insights
enhancing
accuracy
biomechanical
assessments
air-pulse-based
other
dynamic
OCE
approaches.
This
facilitates
refinement
clinical
translation
technique
could
ultimately
improve
diagnostic
therapeutic
applications
various
biomedical
fields.
Journal of Biophotonics,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 10, 2025
ABSTRACT
Quantifying
ocular
tissue
mechanical
properties
is
pivotal
for
elucidating
eye
disease
etiology
and
progression.
Optical
coherence
elastography
(OCE),
leveraging
high‐resolution
optical
tomography,
promises
stiffness
assessment.
Traditional
OCE
relies
on
data
processing
of
the
time‐of‐flight
method
encounters
challenges
like
low
repeatability.
Our
study
presents
an
optimized
workflow
integrating
with
deep
learning
to
predict
biomechanical
properties.
The
concentration
prediction
network
(CPN),
a
3D
convolutional
neural
network,
predicts
sample's
concentrations
calculates
Young's
modulus
based
relationship
between
agar
from
testing.
CPN
showed
high
accuracy,
mean
absolute
error
0.028
±
0.036
training
0.024
testing
phantoms.
In
situ
porcine
corneas
various
intraocular
pressures
was
measured,
yielding
corneal
distribution
via
method.
This
approach
enhances
efficiency
underscores
potential
clinical
applications
in
ophthalmology.
Journal of Biophotonics,
Journal Year:
2024,
Volume and Issue:
17(6)
Published: March 7, 2024
Abstract
Quantifying
the
mechanical
properties
of
cornea
can
provide
valuable
insights
into
occurrence
and
progression
keratoconus,
as
well
effectiveness
corneal
crosslinking
surgery.
This
study
presents
a
non‐contact
non‐invasive
wave‐based
optical
coherence
elastography
system
that
utilizes
air‐pulse
stimulation
to
create
two‐dimensional
map
elasticity.
Homogeneous
dual
concentration
phantoms
were
measured
with
sampling
25
×
points
over
6.6
mm
2
area,
verify
measurement
capability
for
elastic
mapping
spatial
resolution
(0.91
mm).
The
velocity
waves
distribution
porcine
corneas
before
after
surgery
further
mapped,
showing
significant
change
in
biomechanics
crosslinked
region.
features
non‐invasiveness
high
resolution,
holding
great
potential
application
ophthalmic
clinics.
Corneal
biomechanics
is
a
hot
topic
in
ophthalmology.
The
biomechanical
properties
of
the
cornea
(BMPs)
have
important
implications
management
and
diagnosis
corneal
diseases
such
as
ectasia
keratoconus.
In
addition,
characterization
BMPs
crucial
to
model
predictability
surgery
intervention,
outcomes
refractive
or
follow-up
diseases.
behavior
governed
by
viscoelastic
that
allow,
among
other
structural
implications,
damping
excess
intraocular
pressure
reduce
damage
optic
nerve.
Currently,
most
versatile
complete
methods
measure
viscoelasticity
are
based
on
air-puff
applanation.
However,
those
lack
ability
directly
viscosity.
aim
this
work
propose
new
methodology
analysis
measurements
through
Standard
Linear
Solid
(SLSM)
provide
analytical
expressions
separately
calculate
elastic
time-dependent
(corneal
retardation
time
viscosity)
properties.
results
shown
mean
values
elasticity
(E),
viscosity
(Ƞ)
(τ)
sample
200
young
healthy
subjects.
influence
viscoelasticity,
high-order
aberrations
optical
transparency
investigated.
Finally,
SLSM
fed
back
from
experimental
E
Ƞ
was
employed
compare
creep-relaxation
response
between
normal,
an
ocular
hypertension
patient
Ortho-K
user.
Cureus,
Journal Year:
2024,
Volume and Issue:
unknown
Published: July 30, 2024
Corneal
biomechanical
data
has
been
used
since
2005
to
screen
for
keratoconus
and
corneal
ectasia
by
specialists.
Older
technology
uses
force
applanation
techniques
over
a
3
mm
area
in
the
central
cornea,
making
it
highly
dependent
on
extraneous
variables
unable
calculate
elasticity
of
tissue.
Brillouin
microscopy
is
newer
method
that
natural
shift
frequency
light
as
passes
through
material.
This
can
be
estimate
viscoelasticity
The
advantage
create
full
three-dimensional
(3D)
map
entire
cornea
without
direct
contact.
A
literature
search
was
conducted
using
databases
PubMed,
Google
Scholar,
Ovid
regarding
applications
diagnostics.
final
total
16
articles
included
describing
various
ex
vivo
studies
microscopy.
Applications
this
spanned
from
diagnosis
post-corneal
refractive
surgery
evaluation.
All
evaluated
biomechanics
other
properties
quantification
shifts.
Many
found
diagnostic
device
capable
detecting
subtle
changes
thickness
keratoconic
corneas
at
high
level
specificity
sensitivity.
However,
limitations
may
include
duration
time
required
use
fluctuations
accuracy
depending
hydration
state.
Future
seems
geared
toward
combination
optical
coherence
tomography
(OCT)
microscopy,
OCT
pupil-tracking
modality.
Further
research
understanding
involved
will
lead
better
care
patients
field
ophthalmology.