Doctor of Engineering, Cleveland State University, 2014, Washkewicz College of Engineering
The cornea is the outermost layer of the human eye where the tissue meets with the
external environment. It provides the majority of the eye's refractive power and is the
most important ocular determinant of visual image formation. The refractive power of the
cornea derives from its shape, and this shape is a function of the ocular biomechanical
properties and loading forces such as the intraocular pressure (IOP).
With having the majority of refractive power in the eye, the cornea is the primary tissue
of interest for refractive intervention. Globally, the predominant mode of surgical
treatment of refractive disorders is photoablation. However, optical power regression
over time and under/over correction due to neglected corneal biomechanical properties
were still observed following refractive procedures including LASIK, PRK, Astigmatic
Keratotomy etc especially at high degree corrections. Also, some evolving procedures
such as corneal collagen crosslinking (CXL), a collagen stiffening procedure most
commonly performed through UVA photoactivation of riboflavin in the corneal stroma,
currently lack surgical guidance for optimizing visual outcomes. Thus, there is a need for
methods that explore the patient specific treatment planning strategies for refractive
procedures. This work will have a potential impact in translating mechanical principles
into corneal surgical planning in order to provide a better guidance and predictive
environment to the corneal surgeons.
The goals of this thesis are three fold:
1) To develop patient specific models from clinical LASIK cases and to compare the
outcomes of these models with clinical outcomes in a patient population.
2) To simulate investigational procedures that utilize CXL.
3) To advance a potential approach to characterize corneal mechanical properties
in vivo.
Committee: William J. Dupps Jr., MD, PhD (Committee Chair); Nolan Holland PhD (Committee Co-Chair); Ahmet Erdemir PhD (Committee Member); Antonie Van den Bogert PhD (Committee Member); Andrew Resnick PhD (Committee Member); Abhijit Sinha Roy PhD (Committee Member)
Subjects: Engineering