We characterized the structural and mechanical changes after experimental digestion of sulfated glycosaminoglycans (s-GAGs) in the human posterior sclera, using ultrasound thickness measurements and an inflation test with three-dimensional digital image correlation (3D-DIC). Each scleral specimen was first incubated in a buffer solution to return to full hydration, inflation tested, treated in a buffer solution with chondroitinase ABC (ChABC), then inflation tested again. After each test series, the thickness of eight locations was measured. After enzymatic treatment, the average scleral thickness decreased by 13.3% ( p , 0.001) and there was a stiffer overall stress-strain response ( p , 0.05). The stress-strain response showed a statistically significant increase in the low-pressure stiffness, high-pressure stiffness and hysteresis. Thus, s-GAGs play a measurable role in the mechanical behaviour of the posterior human sclera.

Alterations in mechanical loading can induce growth and remodeling in soft connective tissues. Numerous studies have measured changes in the collagen structure and mechanical properties of cellularized native and engineered tissues in response to cyclic mechanical loading. However, a recent experimental study demonstrated that cyclic loading also caused significant stiffening and strengthening of acellular collagen constructs. In this work, we developed an anisotropic hyperelastic model of the collagen constructs to investigate whether the measured changes in the tissue-level properties can be attributed to changes in the anisotropic collagen structure or mechanical properties of the collagen fibrils. The model parameters describing the elastic properties, damage properties, and morphology of the fibril were fit to the stress-stretch response measured for the constructs subjected to different preconditioning strains and cycles. The results showed that the changes in the collagen anisotropy measured in experiments were insufficient to explain the increase in the stiffness and strength of the collagen constructs with cyclic loading and that the increase in the strength of the collagen constructs may be attributed mainly to the increase in the effective stiffness of the fibrils. These findings suggest that mechanical loading can induce changes in the stiffness and failure properties of the collagen fibril network through passive chemomechanical processes in addition to active cellular processes.