Biomechanical Changes after in vivo Enzyme-Induced Corneal Crosslinking in Rabbits

2019 ◽  
Vol 63 (5) ◽  
pp. 501-506 ◽  
Author(s):  
Yuan Wu ◽  
Wenjing Song ◽  
Yun Tang ◽  
Xiaoming Yan
2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Johannes Steinberg ◽  
Toam Katz ◽  
Aiham Mousli ◽  
Andreas Frings ◽  
Maria K. Casagrande ◽  
...  

Purpose.To evaluate the effect of corneal crosslinking in progressive keratoconus by applying in vivo corneal visualization Scheimpflug technology.Design.Longitudinal retrospective study.Subjects and Controls.Seventeen eyes of patients treated with corneal crosslinking for progressive keratoconus.Methods.Corneal visualization Scheimpflug technology analyses (research software version 6.07r08) of subjects with progressive keratoconus before and 3 months after corneal crosslinking (CXL) were reviewed retrospectively.t-test (for normal distribution) and Wilcoxon matched-pairs test (if not normally distributed) were used to test for statistically significant differences between pre- and post-CXL analyses.Results.We demonstrated statistically significant differences for the intraocular pressure (median: +3 mmHg,P =0.004), the central corneal pachymetry (pachy; mean: −35 µm,P<0.001), the timespan between the air impulse release and the first applanation of the cornea (A1time; median: +0.12 ms,P<0.05), and the timespan between the air impulse release and the second applanation of the cornea (A2time; median: −37 ms,P<0.05).Conclusions.With the A1time and the A2time, we identified two parameters that demonstrated a statistically significant improvement of the biomechanical properties of the cornea after CXL. Despite the known initial decrease of the pachymetry after CXL, none of the analyzed parameters indicated a progression of the keratoconus.


Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Matthew H Park ◽  
Annabel Imbrie-moore ◽  
Yuanjia Zhu ◽  
Hanjay Wang ◽  
Michael J Paulsen ◽  
...  

Introduction: Advances in ex vivo heart simulation have enabled the study of valvular biomechanics, disease pathologies, and repair strategies. However, these simulators test the valves in isolation, which does not fully replicate in vivo physiology. We hypothesize that by engineering a simulator that preserves the aortomitral junction, we can better recreate pathophysiologies such as systolic anterior motion (SAM). Here, we present a new heart simulator that preserves and manipulates the native aortomitral physiology. Methods: Our simulator is comprised of three subsystems: the ventricular chamber, atrial chamber, and aortic chamber (Fig A, B). The heart is excised at the apex to preserve the papillary muscles, and the left ventricle, atrial cuff, and aorta are fixed to their respective chambers via hemostatic suturing to 3D-printed elastomeric rings. The chambers are equipped with pressure and flow sensors, and a linear piston pump generates physiologic pressures and flows. The atrial and aortic chambers are mounted on 5-degree-of-freedom arms. To demonstrate system function, we manipulated the aortomitral angle and measured aortic cardiac output. Results: In our testing, we evaluated two unique configurations of an explanted porcine heart, of which the aortomitral angles spanned the SAM predictive risk threshold of <120° (Fig C, D). From the flow readings, we measured a 36% reduction in aortic cardiac output upon decreasing the aortomitral angle by 25°. Conclusions: This work highlights the design and development of an ex vivo heart simulator capable of modeling native aortomitral physiology. Our results point to a clear direction for future experimentation, particularly evaluating the biomechanical changes of the heart based on the aortomitral angle. Future work will utilize this platform to create new models and repair techniques to ultimately improve clinical care of valvular pathologies.


2019 ◽  
Vol 35 (3) ◽  
pp. 202-206 ◽  
Author(s):  
Riccardo Vinciguerra ◽  
Argyrios Tzamalis ◽  
Vito Romano ◽  
Esmaeil M. Arbabi ◽  
Mark Batterbury ◽  
...  

2014 ◽  
Vol 40 (10) ◽  
pp. 1706-1715 ◽  
Author(s):  
Marco Lombardo ◽  
Sebastiano Serrao ◽  
Marianna Rosati ◽  
Pietro Ducoli ◽  
Giuseppe Lombardo

2017 ◽  
Vol 40 (6) ◽  
pp. 286-293 ◽  
Author(s):  
Daniel Bia ◽  
Yanina Zócalo ◽  
Sandra Wray ◽  
Edmundo I. Cabrera-Fischer

Purpose The comparative effect of the intimal and adventitial layers on arterial biomechanics control, in basal and altered conditions, remains to be elucidated. This study aimed ( 1 ) to characterize the arterial conduit (CF) and buffering (distensibility) function of the iliac arteries in in vivo animals, in which the intimal and adventitial layers were removed; ( 2 ) to determine the effects of intra-aortic ballon pumping (IABP) on simultaneously de-adventitialized (DA) and de-endothelialized (DE) iliac arteries before and after induced heart failure. Methods Pressure and diameter signals were measured in the iliac arteries of sheep (n = 7) in which the adventitial and intima layer were removed. Intra-aortic balloon pump (IABP) assistance was used in a control state and after heart failure induction. Results Both DE and DA determined significant changes in arterial diameter, distensibility and CF. Changes were higher after DA than after DE in terms of distensibility and CF (p<0.05). DA followed by DE (DA + DE) showed significant increases in arterial diameter and CF, accompanied by a decrease in distensibility (p<0.05) with respect to intact arteries. Heart failure induction caused significant hemodynamic changes without modifying the already impaired local biomechanical parameters. Nonsignificant improvements in the biomechanical parameters of DA+ DE iliac arteries were observed during IABP before and after heart failure induction. Conclusions Biomechanical changes caused by DA of iliac arteries were more important than those observed after DE. The DA + DE arteries showed significant differences with respect to intact arteries and with DA or DE arteries. IABP-related effects on arterial mechanics were absent in DA+ DE arteries.


2017 ◽  
Vol 33 (12) ◽  
pp. 840-846 ◽  
Author(s):  
Riccardo Vinciguerra ◽  
Vito Romano ◽  
Esmaeil M. Arbabi ◽  
Matthias Brunner ◽  
Colin E. Willoughby ◽  
...  

2017 ◽  
Vol 58 (3) ◽  
pp. 1612 ◽  
Author(s):  
Nandor Bekesi ◽  
Patricia Gallego-Muñoz ◽  
Lucía Ibarés-Frías ◽  
Pablo Perez-Merino ◽  
M. Carmen Martinez-Garcia ◽  
...  

2021 ◽  
Vol 10 (5) ◽  
pp. 7
Author(s):  
Tanner J. Ferguson ◽  
Srinidhi Singuri ◽  
Sanjai Jalaj ◽  
Matthew R. Ford ◽  
Vinicius S. De Stefano ◽  
...  

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