国际眼科纵览 ›› 2025, Vol. 49 ›› Issue (6): 474-480.doi: 10. 3760/cma.j.cn115500-20250102-25610

• 综述 • 上一篇    

在体角膜生物力学测量新方法

胡沘  接英  田磊   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科研究所 眼科学与视觉科学北京市重点实验室,北京 100730

  • 收稿日期:2025-01-02 出版日期:2025-12-22 发布日期:2025-12-22
  • 通讯作者: 田磊,Email: tianlei0131@163.com
  • 基金资助:
    国家自然科学基金(82171101,32171304);北京市自然科学基金(7242019);首都卫生发展科研专项(2024-2-1082);北京市科技新星计划交叉学科课题(20230484466);北京市医药科研院所公益性发展改革试点项目(PWD&RPP-MRI·JYY2023-6)

The new methods for in vivo corneal biomechanical measurement

Hu Bi, Jie Ying, Tian Lei   

  1. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing 100730, China
  • Received:2025-01-02 Online:2025-12-22 Published:2025-12-22
  • Contact: Tian Lei, Email: tianlei0131@163.com
  • Supported by:
    Fund program: National Natural Science Foundationof China (82171101, 32171304); Beijing Natural Science Foundation(7242019); Capital Health Researchand Development of Special(2024-2-1082); Beijing Nova Program(20230484466); Beijing Municipal Public Welfare Developmentand Reform Pilot Project for Medical Research Institutes(PWD&RPP-MRI, JYY2023-6)

摘要: 角膜生物力学在角膜扩张性疾病等眼部疾病的筛查、鉴别、诊断与治疗中具有重要应用价值。在体角膜生物力学检测技术主要通过空气脉冲、光学技术及有限元建模探测在体角膜的生物力学特性。目前临床上多采用眼反应分析仪、可视化角膜生物力学分析仪、布里渊显微镜和相干光弹性成像四种仪器提取角膜生物力学参数。这些仪器的创新使得检测方法能够从整体角膜生物力学探测逐步转向局部区域的精准探测,测量手段的发展提高了角膜生物力学特征评估的准确性,也显著提升了圆锥角膜的早期筛查能力和精准分期的鉴别水平,同时为角膜屈光手术的安全性评估及角膜交联手术的疗效监测提供可靠依据。

关键词: 角膜生物力学, 圆锥角膜, 角膜生物力学分析仪, 眼反应分析仪, 布里渊显微镜, 相干光弹性成像

Abstract: Corneal biomechanics plays a critical role in the screening, differential diagnosis, diagnosis, and treatment of ocular disorders such as corneal ectatic diseases. In vivo corneal biomechanics testing techniques  primarily assess the biomechanical properties of cornea  through air-puff technique, optical imaging, and finite element modeling. Currently, four types of instruments are widely used in clinical practice to extract corneal biomechanical parameters:the Ocular Response Analyzer (ORA), the Corneal Visualization Scheimpflug Technology (Corvis ST), Brillouin microscopy, and optical coherence elastography (OCE).  Advances in these technologies have enabled a shift from global corneal biomechanical assessment toward localized and precise measurements. Such progress has not only improved the accuracy of evaluating corneal biomechanical properties, but also significantly enhanced early screening and precise staging of keratoconus. Furthermore, these tools offer reliable support for assessing the safety of corneal refractive surgery and monitoring the efficacy of corneal cross-linking procedures.

Key words: Corneal biomechanics;Keratoconus, Corneal visualization Scheimpflug technology, Ocular response analyzer, Brillouin microscopy, Optical coherence elastography