Biomechanical factors associated with glaucomatous optic neuropathy
ilustraciones, diagramas
- Autores:
-
Muñoz Sarmiento, Diana Marcela
- Tipo de recurso:
- Doctoral thesis
- Fecha de publicación:
- 2024
- Institución:
- Universidad Nacional de Colombia
- Repositorio:
- Universidad Nacional de Colombia
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.unal.edu.co:unal/86971
- Palabra clave:
- 610 - Medicina y salud::612 - Fisiología humana
610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología
Enfermedades del Nervio Óptico
Hipertensión Ocular
Presión del Líquido Cefalorraquídeo
Movimientos Oculares
Disco Óptico
Optic Nerve Diseases
Ocular Hypertension
Cerebrospinal Fluid Pressure
Eye Movements
Optic Disk
Glaucoma
Presión intraocular
Presión de líquido cefalorraquídeo
Espacio subaracnoideo
Movimientos oculares horizontales
Cabeza del nervio óptico
Biomecánica
Glaucoma
Intraocular pressure
Cerebrospinal fluid pressure
Subarachnoid space
Horizontal eye movements
Optic nerve head
Biomechanics
- Rights
- openAccess
- License
- Atribución-NoComercial 4.0 Internacional
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|
dc.title.eng.fl_str_mv |
Biomechanical factors associated with glaucomatous optic neuropathy |
dc.title.translated.spa.fl_str_mv |
Factores biomecánicos asociados a la neuropatía óptica glaucomatosa |
title |
Biomechanical factors associated with glaucomatous optic neuropathy |
spellingShingle |
Biomechanical factors associated with glaucomatous optic neuropathy 610 - Medicina y salud::612 - Fisiología humana 610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología Enfermedades del Nervio Óptico Hipertensión Ocular Presión del Líquido Cefalorraquídeo Movimientos Oculares Disco Óptico Optic Nerve Diseases Ocular Hypertension Cerebrospinal Fluid Pressure Eye Movements Optic Disk Glaucoma Presión intraocular Presión de líquido cefalorraquídeo Espacio subaracnoideo Movimientos oculares horizontales Cabeza del nervio óptico Biomecánica Glaucoma Intraocular pressure Cerebrospinal fluid pressure Subarachnoid space Horizontal eye movements Optic nerve head Biomechanics |
title_short |
Biomechanical factors associated with glaucomatous optic neuropathy |
title_full |
Biomechanical factors associated with glaucomatous optic neuropathy |
title_fullStr |
Biomechanical factors associated with glaucomatous optic neuropathy |
title_full_unstemmed |
Biomechanical factors associated with glaucomatous optic neuropathy |
title_sort |
Biomechanical factors associated with glaucomatous optic neuropathy |
dc.creator.fl_str_mv |
Muñoz Sarmiento, Diana Marcela |
dc.contributor.advisor.spa.fl_str_mv |
Cortés Rodríguez, Carlos Julio Rodríguez Montaño, Óscar Libardo |
dc.contributor.author.spa.fl_str_mv |
Muñoz Sarmiento, Diana Marcela |
dc.contributor.researchgroup.spa.fl_str_mv |
Grupo de Investigación en Biomecánica / Universidad Nacional de Colombia Gibm-Uncb |
dc.contributor.orcid.spa.fl_str_mv |
Muñoz Sarmiento, Diana Marcela [0000000150620257] |
dc.contributor.cvlac.spa.fl_str_mv |
https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001354493 |
dc.subject.ddc.spa.fl_str_mv |
610 - Medicina y salud::612 - Fisiología humana 610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología |
topic |
610 - Medicina y salud::612 - Fisiología humana 610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología Enfermedades del Nervio Óptico Hipertensión Ocular Presión del Líquido Cefalorraquídeo Movimientos Oculares Disco Óptico Optic Nerve Diseases Ocular Hypertension Cerebrospinal Fluid Pressure Eye Movements Optic Disk Glaucoma Presión intraocular Presión de líquido cefalorraquídeo Espacio subaracnoideo Movimientos oculares horizontales Cabeza del nervio óptico Biomecánica Glaucoma Intraocular pressure Cerebrospinal fluid pressure Subarachnoid space Horizontal eye movements Optic nerve head Biomechanics |
dc.subject.decs.spa.fl_str_mv |
Enfermedades del Nervio Óptico Hipertensión Ocular Presión del Líquido Cefalorraquídeo Movimientos Oculares Disco Óptico |
dc.subject.decs.eng.fl_str_mv |
Optic Nerve Diseases Ocular Hypertension Cerebrospinal Fluid Pressure Eye Movements Optic Disk |
dc.subject.proposal.spa.fl_str_mv |
Glaucoma Presión intraocular Presión de líquido cefalorraquídeo Espacio subaracnoideo Movimientos oculares horizontales Cabeza del nervio óptico Biomecánica |
dc.subject.proposal.eng.fl_str_mv |
Glaucoma Intraocular pressure Cerebrospinal fluid pressure Subarachnoid space Horizontal eye movements Optic nerve head Biomechanics |
description |
ilustraciones, diagramas |
publishDate |
2024 |
dc.date.accessioned.none.fl_str_mv |
2024-10-16T13:31:06Z |
dc.date.available.none.fl_str_mv |
2024-10-16T13:31:06Z |
dc.date.issued.none.fl_str_mv |
2024 |
dc.type.spa.fl_str_mv |
Trabajo de grado - Doctorado |
dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
dc.type.version.spa.fl_str_mv |
info:eu-repo/semantics/acceptedVersion |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_db06 |
dc.type.content.spa.fl_str_mv |
Text |
dc.type.redcol.spa.fl_str_mv |
http://purl.org/redcol/resource_type/TD |
format |
http://purl.org/coar/resource_type/c_db06 |
status_str |
acceptedVersion |
dc.identifier.uri.none.fl_str_mv |
https://repositorio.unal.edu.co/handle/unal/86971 |
dc.identifier.instname.spa.fl_str_mv |
Universidad Nacional de Colombia |
dc.identifier.reponame.spa.fl_str_mv |
Repositorio Institucional Universidad Nacional de Colombia |
dc.identifier.repourl.spa.fl_str_mv |
https://repositorio.unal.edu.co/ |
url |
https://repositorio.unal.edu.co/handle/unal/86971 https://repositorio.unal.edu.co/ |
identifier_str_mv |
Universidad Nacional de Colombia Repositorio Institucional Universidad Nacional de Colombia |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
dc.relation.references.spa.fl_str_mv |
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Burgoyne CF, Crawford Downs J, Bellezza AJ, Francis Suh JK, Hart RT. The optic nerve head as a biomechanical structure: A new paradigm for understanding the role of IOP-related stress and strain in the pathophysiology of glaucomatous optic nerve head damage. Vol. 24, Progress in Retinal and Eye Research. 2005. p. 39–73. 75. Medical Advisory Secretariat. Diurnal tension curves for assessing the development or progression of glaucoma: an evidence-based analysis. Ont Health Technol Assess Ser. 2011;11(2):1-40. Epub 2011 Jun 1. PMID: 23074414; PMCID: PMC3377558. 76. Tojo N, Abe S, Miyakoshi M, Hayashi A. Correlation between short-term and long-term intraocular pressure fluctuation in glaucoma patients. Clin Ophthalmol. 2016;10:1713–7. 77. Nouri-Mahdavi K, Hoffman D, Coleman AL, Liu G, Li G, Gaasterland D, et al. Predictive factors for glaucomatous visual field progression in the Advanced Glaucoma Intervention Study. Ophthalmology. 2004 Sep;111(9):1627–35. 78. Musch DC, Gillespie BW, Lichter PR, Niziol LM, Janz NK. Visual Field Progression in the Collaborative Initial Glaucoma Treatment Study. The Impact of Treatment and Other Baseline Factors. Ophthalmology. 2009;116(2). 79. Musch DC, Gillespie BW, Palmberg PF, Spaeth G, Niziol LM, Lichter PR. Visual field improvement in the Collaborative Initial Glaucoma Treatment Study. Am J Ophthalmol. 2014;158(1):96-104.e2. doi:10.1016/j.ajo.2014.04.003. 80. Knier CG, Fleischman D, Hodge DO, Berdahl JP, Fautsch MP. Three-Decade Evaluation of Cerebrospinal Fluid Pressure in Open-Angle Glaucoma at a Tertiary Care Center. J Ophthalmol. 2020;2020. 81. Siaudvytyte L, Januleviciene I, Ragauskas A, et al. The difference in translaminar pressure gradient and neuroretinal rim area in glaucoma and healthy subjects. J Ophthalmol. 2014;2014:937360. doi:10.1155/2014/937360. 82. Fleischman D, Berdahl JP, Zaydlarova J, Stinnett S, Fautsch MP, Allingham RR. Cerebrospinal Fluid Pressure Decreases with Older Age. 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Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Cortés Rodríguez, Carlos Julio48fe60e7734d42e4e2cd46b83acff1c3Rodríguez Montaño, Óscar Libardo13e0b7f9a0997f10e330bb17f53f987bMuñoz Sarmiento, Diana Marcelafe40ea23a4fdfa4f52201e089b5345f6Grupo de Investigación en Biomecánica / Universidad Nacional de Colombia Gibm-UncbMuñoz Sarmiento, Diana Marcela [0000000150620257]https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=00013544932024-10-16T13:31:06Z2024-10-16T13:31:06Z2024https://repositorio.unal.edu.co/handle/unal/86971Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, diagramasAntecedentes: El glaucoma se ha asociado a diversos factores biomecánicos, tales como la presión intraocular (PIO), la presión del líquido cefalorraquídeo (PLCR), los movimientos oculares horizontales, la rigidez de los tejidos, entre otras. Esta tesis tiene como objetivo analizar la influencia de estos factores en la cabeza del nervio óptico (CNO). Además, debido a la alta variabilidad en las reconstrucciones anatómicas propuestas históricamente, se evalúa el impacto de incluir y excluir diferentes regiones anatómicas. Métodos: Se desarrolló un modelo computacional tridimensional del ojo y la órbita usando el método de los elementos finitos, documentando las deformaciones promedio a lo largo de los ejes anatómicos y en las direcciones principales en la CNO. Asimismo, se creó un modelo axisimétrico del ojo, a partir del cual se generaron 17 casos anatómicos. Resultados: La inclusión y exclusión de las regiones anatómicas afectó significativamente las deformaciones obtenidas. Por otro lado, se obtuvo una alta dispersión de las deformaciones debida a los movimientos oculares laterales, que no se observó con la variación de la PIO y la PLCR. Desde una perspectiva anatómica, una PIO alta y una PLCR baja generaron un efecto mecánico sinérgico sobre la CNO. Finalmente, los factores más influyentes fueron la PIO, la PLCR, la rigidez del espacio subaracnoideo (ESA), y la rigidez del tejido adiposo (TA). Conclusión: Los factores biomecánicos más importantes para el desarrollo del glaucoma son una PIO alta, una PLCR baja, y una rigidez elevada del ESA y del TA (Texto tomado de la fuente).Background: Glaucoma has been associated with various biomechanical factors, such as intraocular pressure (IOP), cerebrospinal fluid pressure (CSFP), horizontal eye movements, and tissue stiffness, among others. This thesis aims to analyze the influence of these factors on the optic nerve head (ONH). Furthermore, due to the high variability in historically proposed anatomical reconstructions, the impact of including and excluding different anatomical regions is examined. Methods: A three-dimensional computational model of the eye and orbit was developed using the finite element method, and the mean strains along the anatomical axes and in the principal directions in the ONH were documented. Likewise, an axisymmetric model of the eye was created, from which 17 anatomical cases were generated. Results: The inclusion and exclusion of the anatomical regions significantly affected the obtained strains. On the other hand, there was a high strain dispersion due to lateral eye movements, which was not observed with IOP and CSFP variations. From an anatomical perspective, high IOP and low CSFP generated a synergistic mechanical effect on the ONH. Finally, the most influential factors were IOP, CSFP, the subarachnoid space (SAS) stiffness, and adipose tissue (ADT) stiffness. Conclusion: The most important biomechanical factors for the development of glaucoma are high IOP, low CSFP, high SAS stiffness, and high ADT stiffness.DoctoradoDoctor en IngenieríaSe desarrolló un modelo computacional tridimensional del ojo y la órbita usando el método de los elementos finitos, documentando las deformaciones promedio a lo largo de los ejes anatómicos y en las direcciones principales en la CNO. Asimismo, se creó un modelo axisimétrico del ojo, a partir del cual se generaron 17 casos anatómicos. A three-dimensional computational model of the eye and orbit was developed using the finite element method, and the mean strains along the anatomical axes and in the principal directions in the ONH were documented. Likewise, an axisymmetric model of the eye was created, from which 17 anatomical cases were generated.Biomecánica ocular210 páginasapplication/pdfengUniversidad Nacional de ColombiaBogotá - Ingeniería - Doctorado en Ingeniería - Ingeniería Mecánica y MecatrónicaFacultad de IngenieríaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::612 - Fisiología humana610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiologíaEnfermedades del Nervio ÓpticoHipertensión OcularPresión del Líquido CefalorraquídeoMovimientos OcularesDisco ÓpticoOptic Nerve DiseasesOcular HypertensionCerebrospinal Fluid PressureEye MovementsOptic DiskGlaucomaPresión intraocularPresión de líquido cefalorraquídeoEspacio subaracnoideoMovimientos oculares horizontalesCabeza del nervio ópticoBiomecánicaGlaucomaIntraocular pressureCerebrospinal fluid pressureSubarachnoid spaceHorizontal eye movementsOptic nerve headBiomechanicsBiomechanical factors associated with glaucomatous optic neuropathyFactores biomecánicos asociados a la neuropatía óptica glaucomatosaTrabajo de grado - Doctoradoinfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/coar/resource_type/c_db06Texthttp://purl.org/redcol/resource_type/TD1. 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