In this report we characterize the viscoelastic material properties of peripapillary sclera from the four quadrants surrounding the optic nerve head in both rabbit and monkey eyes. Scleral tensile specimens harvested from each quadrant were subjected to uniaxial stress relaxation and tensile ramp to failure tests. Linear viscoelastic theory, coupled with a spectral reduced relaxation function, was employed to characterize the viscoelastic properties of the tissues. We detected no differences in the stressstrain curves of specimens from the four quadrants surrounding the optic nerve head (ONH) below a strain of 4 percent in either the rabbit or monkey. While the peripapillary sclera from monkey eyes is significantly stiffer (both instantaneously and in equilibrium) and relaxes more slowly than that from rabbits, we detected no differences in the viscoelastic material properties (tested at strains of 0-1 percent) of sclera from the four quadrants surrounding the ONH within either species group.Glaucomatous optic neuropathy is one of the three leading causes of blindness in the US [1,2] and is the result of damage to the neural tissues of the optic nerve head (ONH). Its clinical hallmarks are posterior cupping (bowing back) of the surface of the ONH, and a characteristic pattern of visual field loss.Corresponding Author: J. Crawford Downs, PhD, Department of Biomedical Engineering, Tulane University, Lindy Boggs Center, Suite 500, New Orleans, LA 70118; Tel: (504) 865-5897; fax: (504)
NIH-PA Author ManuscriptNIH-PA Author Manuscript
NIH-PA Author ManuscriptWhile IOP-lowering is central to the treatment of the disease [2,3], there is wide disagreement over the role of IOP in the development and progression of glaucoma [3][4][5]. Much of the confusion over the role of IOP in glaucoma stems from two groups of patients: those exhibiting ocular hypertension (elevated IOP) that never develop the disease, and those that develop glaucoma with no measurable increase in IOP (normal tension glaucoma).The sclera is the principal load-bearing tissue of the eye and consists primarily of collagen. The primary function of the sclera is to resist intraocular pressure, provide attachment sites for the ocular musculature and support the retina in the spheroid shape necessary for focused vision. The thickness and predominant collagen fibril orientation of this tissue are dependent on location in the globe [6][7][8][9]. However, whether the fibril orientation has a large effect on scleral material properties remains controversial [6,[10][11][12][13].The scleral shell is pierced by the scleral canal, an elliptical hole (1-2.5 mm in diameter) in the posterior portion of the globe, through which the retinal ganglion cell axons pass on their path to form the orbital optic nerve (Fig. 1). The scleral canal is spanned by a series of thin, fenestrated connective tissue sheets known as the lamina cribrosa (Fig. 1B, 1C). The lamina cribrosa provides structural and nutritional support to the retinal ganglion cell axons as they pass ...