2005
DOI: 10.1115/1.2132368
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Biomechanical Modeling of Refractive Corneal Surgery

Abstract: The aim of refractive corneal surgery is to modify the curvature of the cornea to improve its dioptric properties. With that goal, the surgeon has to define the appropriate values of the surgical parameters in order to get the best clinical results, i.e., laser and geometric parameters such as depth and location of the incision, for each specific patient. A biomechanical study before surgery is therefore very convenient to assess quantitatively the effect of each parameter on the optical outcome. A mechanical … Show more

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Cited by 139 publications
(125 citation statements)
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“…Exactly the same constitutive model was used in Alastrué et al (2006) and Lanchares et al (2008) for analysing surgical procedures such as photorefractive keratectomy and limbal relaxing incisions, and for analysing the palpation of the cornea (Niroomandi et al 2008). …”
Section: (B) Modelling Other Soft Tissuesmentioning
confidence: 99%
“…Exactly the same constitutive model was used in Alastrué et al (2006) and Lanchares et al (2008) for analysing surgical procedures such as photorefractive keratectomy and limbal relaxing incisions, and for analysing the palpation of the cornea (Niroomandi et al 2008). …”
Section: (B) Modelling Other Soft Tissuesmentioning
confidence: 99%
“…However, the whole eye model may not be efficient because it is highly time consuming and not economical for development and analysis. Alastrue et al (5) analyzed the corneal model with the limbus constrained against displacement. Anderson et al (23) compared the deformation pattern of the entire eye model to the rigid cornea-limbus boundary.…”
Section: Boundary Conditionsmentioning
confidence: 99%
“…Recently, the use of computational models based on the finite element method has proven to be an effective way for studying corneal mechanics and related diseases (2,6,(11)(12) . These models have been successful in predicting the pre-and postoperative response to eye surgery for myopia, hyperopia, as tigma tism, and keratoconus (5,(13)(14)(15)(16) . The finite element method (FEM) is a numerical technique to obtain approximate solutions for partial differential equations involving physical, thermal, chemical, and other phenomena.…”
Section: Introductionmentioning
confidence: 99%
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“…Several continuum modelling approaches to describe the anisotropic material properties of soft biological tissues have been suggested in the literature; see, for instance, Almeida & Spilker (1998), the contributions in Cowin & Humphrey (2000), Alastrué et al (2007) and Menzel & Steinmann (2001) for a comparison of two different modelling approaches. While phenomenological formulations are used to consider individual fibre families to be perfectly aligned with pre-defined directions, recent investigations additionally account for the dispersion of fibres; see Gasser et al (2006) for a formulation based on generalized structural tensors and Marquez (2006) in view of experimental investigations to identify the orientation of fibre distributions.…”
Section: Introductionmentioning
confidence: 99%