眼生物力学材料属性在体测量方法研究进展
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1.北京航空航天大学生物与医学工程学院、生物力学与力生物学教育部重点实验室、北京市生物医学工程高精尖创新中心;2.温州医科大学附属眼视光医院、国家眼部疾病临床医学研究中心;3.北京航空航天大学医学科学与工程学院、生物力学与力生物学教育部重点实验室、北京市生物医学工程高精尖创新中心;4.佛山大学物理与光电工程学院、粤港澳智能微纳光电技术联合实验室;5.汕头大学·6.香港中文大学联合汕头国际眼科中心;7.中国人民解放军总医院眼科医学部

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国家自然科学基金(12472304;12272030;62575066)、广东省基础与应用基础研究基金(2024A1515011344)


Advances in In Vivo Measurement Methods for Ocular Biomechanical Material Properties
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1.School of Biological Science and Medical Engineering, Beihang University;2.Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education;3.Beijing Advanced Innovation Center for Biomedical Engineering;4.Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University;5.State Key Laboratory of Ophthalmology, Optometry and Visual Science;6.School of Engineering Medicine, Beihang University;7.School of Physics and Optoelectronic Engineering, Foshan University;8.Guangdong-Hong Kong-Macao Joint Laboratory for Intelligent Micro-Nano Optoelectronic Technology;9.Joint Shantou International Eye Center of Shantou University and the Chinese University of Hong Kong;10.Department of Ophthalmology, Chinese PLA General Hospital

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    摘要:

    角膜、巩膜和视神经乳头(ONH)是维持眼部结构与视觉功能的关键组织,近年来,青光眼、圆锥角膜和高度近视均被证实与这些组织的生物力学变化密切相关。本文综述了在体眼生物力学材料属性的主要测量方法。外部主动加载的直接测量方法已形成成熟指数体系,但结果常受眼压和角膜厚度影响。无外部加载的直接测量方法在舒适度和安全性上具优势,但受限于信号衰减与噪声。患者特异性间接反演方法可实现个体化、非线性、各向异性材料属性识别,尤其在巩膜与ONH评估中展现价值,但因模型复杂度和计算耗时限制临床应用。总体来看,在体测量正依托成像技术进步、计算能力提升,以及人工智能与多模态方法的协同发展不断推进,其临床价值有望进一步凸显。

    Abstract:

    The cornea, sclera, and optic nerve head (ONH) are critical tissues for maintaining ocular structural integrity and visual function. In recent years, glaucoma, keratoconus, and high myopia have been confirmed to be closely associated with biomechanical alterations in these tissues. This review summarizes the main approaches for in vivo measurement of ocular biomechanical material properties. Externally induced direct measurement methods have established relatively mature index systems, but their results are often confounded by intraocular pressure and corneal thickness. Non?loading direct measurement methods offer advantages in patient comfort and safety, yet remain limited by signal attenuation and noise. Patient-specific indirect inversion methods enable individualized, nonlinear, and anisotropic material property identification, showing particular value in the evaluation of the sclera and ONH, though their high model complexity and computational demands restrict clinical feasibility. Overall, in vivo measurement is advancing with improvements in imaging technologies, computational power, and the synergistic development of artificial intelligence and multimodal approaches, and its clinical value is expected to become increasingly prominent.

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  • 收稿日期:2025-12-14
  • 最后修改日期:2025-12-14
  • 录用日期:2025-12-15
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