Doctor of Philosophy, The Ohio State University, 2024, Biomedical Engineering
The lens is the pivotal tissue of the eye allowing accommodation, the process by which the eye adjusts focal distance. Presbyopia and cataract, age-associated lens dysfunctions, prevent proper accommodative function and focusing of light as it passes through the lens. As the eye ages, lenses continue to grow in size and stiffen. As these properties change with age, lenticular dysfunctions arise.
Presbyopia is incredibly common, impairing near vision in nearly all people by 40 to 50 years of age. A significant portion of the population lives with imperfect near vision due to presbyopia. The exact causes of presbyopia are yet to be explained, and additionally, there remain no effective therapies capable of restoring, or preventing the loss of, full accommodative function in aged lenses.
It is now understood that both lens stiffening and lens geometric change due to continual lens growth, lead to presbyopia. Recent studies have demonstrated that mechanical force transduction, through the zonular fibers to the lens capsule, increases lens epithelial cell proliferation. These findings offer an avenue of study that could reveal mechanisms governing lens growth and guide future lens treatment options.
Some clinical practitioners consider presbyopia and cataract to be entirely treated through the use of spectacles and implanted artificial intraocular lenses; however, no preventative therapy exists and no current treatment is capable of restoring accommodation. Advancement in the understanding of lens cell biology, mechanics, and the lens epithelial cell (LEC) mechanobiological response is necessary for the improvement of clinical treatment for age-associated lens dysfunction. This dissertation seeks to describe a new branch in the field of lens study with hopes of expanding fundamental knowledge focusing on LEC growth and mechanobiology.
First, a novel method of simulating accommodation-like forces in a murine eye model is detailed. The methods described here demo (open full item for complete abstract)
Committee: Katelyn Swindle-Reilly (Committee Member); Cynthia Roberts (Committee Member); Heather Chandler (Committee Member); Matthew Reilly (Advisor)
Subjects: Biology; Biomechanics; Biomedical Engineering; Biomedical Research; Ophthalmology; Optics