国际眼科纵览 ›› 2021, Vol. 45 ›› Issue (3): 193-197.doi: 10.3760/cma.j.issn.1673-5803.2021.03.004

• 综述 • 上一篇    下一篇

视神经筛板的生物力学研究

刘成坛,梁远波   

  1. 温州医科大学附属眼视光医院 325000
  • 收稿日期:2020-09-18 出版日期:2021-06-22 发布日期:2021-06-22
  • 通讯作者: 梁远波,Email:yuanboliang@126.com

Research on biomechanics of lamina cribrosa

Liu Chengtan, Liang Yuanbo   

  1. The Eye Hospital, Wenzhou Medical University, Wenzhou 325000, China
  • Received:2020-09-18 Online:2021-06-22 Published:2021-06-22
  • Contact: Liang Yuanbo, Email:yuanboliang@126.com

摘要: 视神经筛板是一个生物力学结构,其受力应变引起青光眼视神经损伤。眼压被认为是引起筛板应变的主要因素,眼压升高引起筛板应变增加。相应的在青光眼用药或术后眼压下降的患者中,筛板会发生应变的消除。脑脊液压力作为跨筛板压力差的组成部分同样影响筛板,脑脊液压力降低增加了跨筛板压力差从而导致筛板应变增加。此外,眼球水平运动引起视神经鞘的牵拉同样能引起筛板应变增加。(国际眼科纵览,2021, 45: 193-197)

关键词: 筛板, 生物力学, 青光眼

Abstract: As a biomechanical structure, the strain on the lamina cribrosa (LC) caused optic nerve damage. The intraocular pressure (IOP) is considered to be the main influential factor in LC biomechanics, for elevating IOP could induce large strain in LC. Correspondingly, lowering IOP after glaucoma surgery or medication could relieve strain levels in the LC. As a component of the trans-lamina cribrosa pressure difference(TLCPD), CSF pressure also affects LC. Lowering CSF pressure increases TLCPD, which leads to strain of LC. In addition, horizontal eye movements could induce large strain in LC through the pulling action of the optic nerve sheaths.(Int Rev Ophthalmol, 2021, 45: 193-197)


Key words: lamina cribrosa, biomechanics, glaucoma