RESUMEN
The aim of the study was to determine the age-dependence of the accommodative force on the lens in order to make it clear whether the causes of presbyopia are due to lenticular or extralenticular changes. A finite element model of the lens of an 11-, 29- and 45-year-old human eye was constructed to represent the fully accommodated state. Subsequently, the force that was needed to mould the lens into its unaccommodated state was calculated. The force on the lens appeared to be preserved with age, with only a slight increase to a value of approximately 0.06N. In conclusion, the preservation of the net force delivered by the extralenticular ciliary body indicates that the causes of presbyopia must be ascribed to lenticular changes.
Asunto(s)
Acomodación Ocular/fisiología , Envejecimiento/fisiología , Cristalino/fisiología , Adulto , Niño , Cuerpo Ciliar/fisiología , Análisis de Elementos Finitos , Humanos , Cristalino/anatomía & histología , Persona de Mediana Edad , Modelos Biológicos , Presbiopía/fisiopatología , Estrés MecánicoRESUMEN
Using new geometric information on the shape of the lens that has recently become available, a finite element model has been developed in order to estimate the forces that act on the lens during accommodation for a typical 29-year-old human eye. To investigate the influence of the anterior, posterior and central zonular fibres insertion regions, three models with different configurations were built. All three configurations appeared to be capable of inducing the required accommodative changes in the lens. Based on material properties from the literature, the estimated summed net force for each of the three models was approximately 0.08 N.