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Updated: Sep 6, 2025

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Keratoconus: A Biomechanical Perspective.

Prema Padmanabhan1, Ahmed Elsheikh2,3,4

  • 1Department of Cornea and Refractive Surgery, Medical Research Foundation, Sankara Nethralaya, Chennai, India.

Current Eye Research
|June 24, 2022
PubMed
Summary
This summary is machine-generated.

Corneal biomechanics is crucial for understanding keratoconus progression. Advances in assessing these properties aid in early diagnosis and treatment of corneal ectasias, improving patient outcomes.

Keywords:
Corneal biomechanicsbiomechanical propertiescorneal ultrastructurekeratoconusviscoelasticity

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Area of Science:

  • Ophthalmology
  • Biomedical Engineering
  • Materials Science

Background:

  • Corneal biomechanics and ultrastructure are integral to corneal function and shape.
  • Keratoconus, a form of corneal ectasia, is characterized by biomechanical instability leading to progressive thinning and steepening.
  • Understanding the link between corneal structure, biomechanics, and optical function is key to managing ectatic diseases.

Purpose of the Study:

  • To provide an overview of research on the biomechanical aspects of keratoconus.
  • To highlight the growing recognition of corneal biomechanics in clinical assessments of corneal ectasias.
  • To review the literature predominantly from the last two decades on keratoconus biomechanics.

Main Methods:

  • A systematic review of published articles on corneal biomechanics and keratoconus.
  • Electronic searches were conducted using PubMed, Elsevier, and Science Direct.
  • Keywords included "Corneal Biomechanics," "Mechanical properties of the cornea," "Corneal ultrastructure," "Corneal Collagen," and "Keratoconus."

Main Results:

  • Over 500 articles were identified through the search.
  • 80 relevant articles were selected for this review.
  • The review focuses on the biomechanical factors influencing keratoconus.

Conclusions:

  • Corneal stromal structure dictates its mechanical properties, maintaining corneal shape and function.
  • Alterations in corneal ultrastructure lead to biomechanical instability and ectasia.
  • Evolving non-invasive biomechanical assessment methods will improve early diagnosis of subclinical keratoconus and at-risk patients.