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.
基金:
National Key Research and Development Program of China [2017YFB1302700]; National Natural Science Foundation of China [51875011]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
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
JCR分区:
出版当年[2019]版:
Q1MEDICAL INFORMATICSQ1COMPUTER SCIENCE, THEORY & METHODSQ2COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONSQ2ENGINEERING, BIOMEDICAL
最新[2023]版:
Q1COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONSQ1COMPUTER SCIENCE, THEORY & METHODSQ1ENGINEERING, BIOMEDICALQ1MEDICAL INFORMATICS
第一作者机构:[1]Beihang Univ, Sch Mech Engn & Automat, Beijing 100191, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Han Shaofeng,He Changyan,Ma Ke,et al.A study for lens capsule tearing during capsulotomy by finite element simulation[J].COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE.2021,203:doi:10.1016/j.cmpb.2021.106025.
APA:
Han, Shaofeng,He, Changyan,Ma, Ke&Yang, Yang.(2021).A study for lens capsule tearing during capsulotomy by finite element simulation.COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE,203,
MLA:
Han, Shaofeng,et al."A study for lens capsule tearing during capsulotomy by finite element simulation".COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 203.(2021)