In vivo biomechanical assessment of iridial deformations and muscle contractions in human eyes

J R Soc Interface. 2022 Jul;19(192):20220108. doi: 10.1098/rsif.2022.0108. Epub 2022 Jul 6.

Abstract

The iris is a muscular organ whose deformations can cause primary angle-closure glaucoma (PACG), a leading cause of blindness. PACG risk assessment does not consider iridial biomechanical factors, despite their expected influence on iris deformations. Here, we exploited an existing biometric dataset consisting of near-infrared movies acquired during the pupillary light reflex (PLR) as a unique resource to study iris biomechanics. The PLR caused significant (greater than 100%) and essentially spatially uniform radial strains in the iris in vivo, consistent with previous findings. Inverse finite-element modelling showed that sphincter muscle tractions were ca fivefold greater than iridial stroma stiffness (range 4- to 13-fold, depending on sphincter muscle size). This muscle traction is greater than has been previously estimated, which may be due to methodological differences and/or to different patient populations in our study (European descent) versus previous studies (Asian); the latter possibility is of particular interest due to differential incidence rates of PACG in these populations. Our methodology is fast and inexpensive and may be a useful tool in understanding biomechanical factors contributing to PACG.

Keywords: digital image correlation; finite-element method; glaucoma; iris; pupil.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Glaucoma, Angle-Closure*
  • Humans
  • Iridium
  • Iris / physiology
  • Muscle Contraction
  • Muscle, Smooth

Substances

  • Iridium