国际眼科纵览 ›› 2026, Vol. 50 ›› Issue (4): 260-265.doi: 10.3760/cma.j.cn115500-20260326-26404

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有限元方法在青光眼研究中的应用

符陈禹 傅林 梁远波   

  1. 温州医科大学附属眼视光医院 国家眼耳鼻喉疾病(眼部疾病)临床医学研究中心,浙江温州 325027
  • 收稿日期:2026-03-26 出版日期:2026-08-25 发布日期:2026-08-14
  • 通讯作者: 梁远波,Email:yuanboliang@wmu.edu.cn

Applications of the finite element method in glaucoma research

Fu Chenyu, Fu Lin, Liang Yuanbo   

  1. National Clinical Research Center for Ocular Diseases, Eye Hospital of Wenzhou Medical University, Wenzhou Zhejiang 325027, China
  • Received:2026-03-26 Online:2026-08-25 Published:2026-08-14
  • Contact: Liang Yuanbo, Email: yuanboliang@wmu.edu.cn

摘要: 青光眼是全球主要的不可逆致盲性眼病,以眼压升高、视盘及筛板生物力学损伤、房水外流通道功能异常为主要核心病理环节,传统诊疗难以定量揭示其力学机制。有限元方法可模拟眼部组织应力、应变及房水流体动力学行为,已成为青光眼生物力学研究的关键工具。该方法可量化高眼压下筛板后移、应力集中与不对称分布,提示小梁网刚度增加导致外流阻力显著升高,并可用于眼压测量校正、药物递送系统优化及手术安全性评估。本文系统综述有限元在青光眼发病机制、诊断优化、治疗策略评估中的应用进展,分析几何建模、材料参数、多尺度耦合及模型验证等挑战,展望其与人工智能、多物理场融合的趋势,旨在为青光眼精准风险分层与个体化干预提供重要生物力学依据。

关键词: 有限元方法, 青光眼, 生物力学

Abstract: Glaucoma is a leading cause of irreversible blindness worldwide, associated with elevated intraocular pressure, biomechanical injury of the optic nerve head and lamina cribrosa, and abnormal aqueous humor outflow. Conventional approaches fail to quantitatively reveal its mechanical pathogenesis. As a important computational approach, the finite element method (FEM) enables accurate simulation of ocular tissue stress, strain, and fluid dynamics. FEM quantifies lamina cribrosa displacement, stress concentration, and asymmetric distribution under high IOP, confirms increased outflow resistance caused by trabecular meshwork stiffening, and helps optimize IOP measurement, drug delivery, and surgical safety. This review summarizes advances of FEM in glaucoma research, discusses challenges in modeling, and explores the prospects of its integration with artificial intelligence and multiphysics coupling, providing reliable biomechanical evidence for precision management.

Key words: Finite element method, Glaucoma, Biomechanics