The mathematical model described appears to provide a framework for further development, capturing the essential features of mechanical anisotropy of the cornea. The tunnel incision simulation indicated the importance of the anisotropy in this case.
Transverse shear moduli are two to three orders of magnitude lower than tensile moduli reported in the literature. The profile of shear moduli through the depth displayed a significant increase from posterior to anterior. This gradient supports the hypothesis and corresponds to the gradient of interwoven lamellae seen in imaging of stromal cross-sections.
A low to moderate amount of cyclotorsion was observed in the transition from seated to supine position. Comparison of eye position at the time of measurement to eye position at the time of surgery can be used to adjust the laser ablation algorithm to compensate for this rotational displacement.
Eye movements (EMs) are an important aspect of human visual behavior. The temporal and space-variant nature of sampling a visual scene requires frequent attentional gaze shifts (saccades) to fixate onto different parts of an image. Fixations are often directed toward the most informative regions in the visual scene. We introduce a model and its simulation that can select such regions based on prior knowledge of similar scenes. Having representations of scenes as a probabilistic combination of regions with certain properties, it is possible to assess the likely contribution of each region in the successive recognition process. Using Bayesian conditional probabilities for each region given the scene category, the model can then predict the informative value of that region and initiate a spatial information-gathering algorithm analogous to an EM saccade to a new fixation.
Purpose of reviewAssessment of corneal biomechanics has been an unmet clinical need in ophthalmology for many years. Many researchers and clinicians have identified corneal biomechanics as source of variability in refractive procedures and one of the main factors in keratoconus. However, it has been difficult to accurately characterize corneal biomechanics in patients. The recent development of Brillouin light scattering microscopy heightens the promise of bringing biomechanics into the clinic. The aim of this review is to overview the progress and discuss prospective applications of this new technology.Recent findingsBrillouin microscopy uses a low-power near-infrared laser beam to determine longitudinal modulus or mechanical compressibility of tissue by analyzing the return signal spectrum. Human clinical studies have demonstrated significant difference in the elastic properties of normal corneas versus corneas diagnosed with mild and severe keratoconus. Clinical data have also shown biomechanical changes after corneal cross-linking treatment of keratoconus patients. Brillouin measurements of the crystalline lens and sclera have also been demonstrated.SummaryBrillouin microscopy is a promising technology under commercial development at present. The technique enables physicians to characterize the biomechanical properties of ocular tissues.
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