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On the Mathematical Simulation of the Measuring of the Intraocular Pressure by Applanation Method after Refractive Surgery
Author(s) -
Bauer Svetlana,
Semenov Boris,
Kornikov Vladimir,
Kachanov Andrey
Publication year - 2011
Publication title -
pamm
Language(s) - English
Resource type - Journals
ISSN - 1617-7061
DOI - 10.1002/pamm.201110053
Subject(s) - refractive surgery , sclera , cornea , intraocular pressure , ophthalmology , finite element method , optics , materials science , medicine , engineering , physics , structural engineering
Applanation tonometry estimates intraocular pressure (IOP) by quantifying the force needed to create a defined amount of deformation of the cornea (Goldmann tonometer) or by estimating the diameter of the circular contact area of the cornea and flat tonometer of defined load (Maklakov tonometer). The first simplest models of the applanation method for measurement of the IOP were based on approach, in which an eyeball is modelled as a thin‐walled spherical liquid‐filled soft shell with corneal biomechanical properties. It was usually supposed that these properties were the same for all patients. In this work numerical simulation have been carried out using finite element code ANSYS. The eye shell is modeled as two joint shells (cornea and sclera) with different mechanical properties. The results are obtained for numerous sets of parameters and were compared to clinical data. For statistics the measurements of IOP for both eyes of 120 patients before and one month after refractive surgery are used. All parameter of refractive surgery (depth, the width and the place of ablation ‐ refractive surgery for myopia or hypermetropia) have effect on IOP reading obtained with both Goldmann and Maklakov tonometry. The results obtained by Goldmann tonometer are significantly more sensitive to all parameters of refractive surgery than those found with Maklakov tonometer with load 10 g. (© 2011 Wiley‐VCH Verlag GmbH & Co. KGaA, Weinheim)