Age-Related Changes in Corneal Deformation Dynamics Utilizing Scheimpflug Imaging

To study age-related changes in corneal deformation response to air-puff applanation tonometry. Fifty healthy subjects were recruited for a prospective study and divided into two equal age groups (≤ 28 and ≥ 50 years old). Up to three measurements by a corneal deformation analyser based on the Schei...

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Veröffentlicht in:PloS one 2015-10, Vol.10 (10), p.e0140093-e0140093
Hauptverfasser: Rogowska, Marta E, Iskander, D Robert
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description To study age-related changes in corneal deformation response to air-puff applanation tonometry. Fifty healthy subjects were recruited for a prospective study and divided into two equal age groups (≤ 28 and ≥ 50 years old). Up to three measurements by a corneal deformation analyser based on the Scheimpflug principle were performed on the left eye of each subject. Raw Scheimpflug images were used to extract changes in anterior and posterior corneal profiles, which were further modelled by an orthogonal series of Chebyshev polynomial functions. Time series of the polynomial coefficients of even order exhibited a dynamic behavior in which three distinct stages were recognized. A bilinear function was used to model the first and the third stage of corneal dynamics. Slope parameters of the bilinear fit were then tested between the two age groups using Wilcoxon rank sum test and two-way non-parametric ANOVA (Friedman) test. Statistically significant changes (Wilcoxon test, P
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Fifty healthy subjects were recruited for a prospective study and divided into two equal age groups (≤ 28 and ≥ 50 years old). Up to three measurements by a corneal deformation analyser based on the Scheimpflug principle were performed on the left eye of each subject. Raw Scheimpflug images were used to extract changes in anterior and posterior corneal profiles, which were further modelled by an orthogonal series of Chebyshev polynomial functions. Time series of the polynomial coefficients of even order exhibited a dynamic behavior in which three distinct stages were recognized. A bilinear function was used to model the first and the third stage of corneal dynamics. Slope parameters of the bilinear fit were then tested between the two age groups using Wilcoxon rank sum test and two-way non-parametric ANOVA (Friedman) test. Statistically significant changes (Wilcoxon test, P&lt;0.05) between the age groups were observed in the phase of the second applanation dynamics for the posterior corneal profile. In a two-way comparison, in which the corneal profile was used as a dependent variable, statistically significant changes (ANOVA/Friedman test, P = 0.017) between the groups were also observed for that phase. Corneal biomechanics depend on age. 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Fifty healthy subjects were recruited for a prospective study and divided into two equal age groups (≤ 28 and ≥ 50 years old). Up to three measurements by a corneal deformation analyser based on the Scheimpflug principle were performed on the left eye of each subject. Raw Scheimpflug images were used to extract changes in anterior and posterior corneal profiles, which were further modelled by an orthogonal series of Chebyshev polynomial functions. Time series of the polynomial coefficients of even order exhibited a dynamic behavior in which three distinct stages were recognized. A bilinear function was used to model the first and the third stage of corneal dynamics. Slope parameters of the bilinear fit were then tested between the two age groups using Wilcoxon rank sum test and two-way non-parametric ANOVA (Friedman) test. Statistically significant changes (Wilcoxon test, P&lt;0.05) between the age groups were observed in the phase of the second applanation dynamics for the posterior corneal profile. In a two-way comparison, in which the corneal profile was used as a dependent variable, statistically significant changes (ANOVA/Friedman test, P = 0.017) between the groups were also observed for that phase. Corneal biomechanics depend on age. The changes in corneal deformation dynamics, which correspond to mostly free return of the cornea to its original shape after the air pulse, indicate that the age related differences in corneal biomechanics are subtle but observable with high speed imaging.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26460972</pmid><doi>10.1371/journal.pone.0140093</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Age
Age Factors
Analysis
Analysis of Variance
Biomechanics
Biomedical engineering
Cameras
Chebyshev approximation
Cornea
Cornea - pathology
Deformation
Dependent variables
Dynamics
Epithelium
Evaluation
Female
Functions (mathematics)
High speed
Humans
Imaging, Three-Dimensional
Male
Mathematical functions
Medical care
Middle Aged
Models, Biological
Physiological aspects
Physiology
Polynomials
Statistical analysis
Statistical significance
Time Factors
United States
Variance analysis
Viscoelasticity
Young Adult
title Age-Related Changes in Corneal Deformation Dynamics Utilizing Scheimpflug Imaging
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