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A study for lens capsule tearing during capsulotomy by finite element simulation

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机构: [1]Beihang Univ, Sch Mech Engn & Automat, Beijing 100191, Peoples R China [2]Capital Med Univ, Beijing TongRen Hosp, Beijing TongRen Eye Ctr, Beijing Inst Ophthalmol,Beijing Ophthalmol & Visu, Beijing 100730, Peoples R China
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关键词: Capsulotomy Anterior capsule Lens model Crack propagation Tear force Tear direction

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Background and objective: During capsulotomy, the force applied to the anterior capsule is a crucial parameter controlling capsule tears, that affects the clinical performance. This study aims to investigate the tear force in capsulotomy and analyze the effects of different tearing conditions on the tear force. Methods: A three-dimensional model of the human lens was constructed based on published clinical data using the finite element (FE) method. The lens model consisted of four layers: the anterior and posterior lens capsule, the cortex, and the nucleus. Distortion energy failure criterion combined with the bilinear interface law was used to express the crack propagation process at the edge of the anterior lens capsule. At the clamping position, a local coordinate system was established to parameterize the capsule tearing. The simulation results were then validated by conducting a capsulorhexis experiment using isolated porcine eyes with force-sensing forceps. Results: The simulation results showed a good agreement with the experimental data of two porcine specimens (No. 6 and 9) during a stable tearing process (p-values = 0.76 and 0.10). The mean force differences between the experimental data and the simulation were 3.10 +/- 2.24 mN and 2.14 +/- 1.73 mN, respectively. The tear direction with a minimum mean tear force was at theta(1) = 0 degrees and theta(2) = 30 degrees. The tear velocity was not significantly different to the variation in the tear force. However, an appropriate capsulorhexis diameter was found to contribute to the reduction of tear force. Conclusions: The outcome of this paper demonstrates that our FE model could be used in modeling lens capsule tearing and the theoretical study of tear mechanism. (C) 2021 Elsevier B.V. All rights reserved.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 2 区 计算机:理论方法 2 区 医学:信息 3 区 计算机:跨学科应用 3 区 工程:生物医学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 计算机:跨学科应用 2 区 计算机:理论方法 2 区 工程:生物医学 2 区 医学:信息
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出版当年[2019]版:
Q1 MEDICAL INFORMATICS Q1 COMPUTER SCIENCE, THEORY & METHODS Q2 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Q2 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q1 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Q1 COMPUTER SCIENCE, THEORY & METHODS Q1 ENGINEERING, BIOMEDICAL Q1 MEDICAL INFORMATICS

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Beihang Univ, Sch Mech Engn & Automat, Beijing 100191, Peoples R China
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