Open Access
5 January 2017 Optical coherence elastography for evaluating customized riboflavin/UV-A corneal collagen crosslinking
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Abstract
UV-induced collagen cross-linking is a promising treatment for keratoconus that stiffens corneal tissue and prevents further degeneration. Since keratoconus is generally localized, the efficacy of collagen cross-linking (CXL) treatments could be improved by stiffening only the weakened parts of the cornea. Here, we demonstrate that optical coherence elastography (OCE) can spatially resolve transverse variations in corneal stiffness. A short duration (1  ms) focused air-pulse induced low amplitude (10  μm) deformations in the samples that were detected using a phase-stabilized optical coherence tomography system. A two-dimensional map of material stiffness was generated by measuring the damped natural frequency (DNF) of the air-pulse induced response at various transverse locations of a heterogeneous phantom mimicking a customized CXL treatment. After validation on the phantoms, similar OCE measurements were made on spatially selective CXL-treated in situ rabbit corneas. The results showed that this technique was able to clearly distinguish the untreated and CXL-treated regions of the cornea, where CXL increased the DNF of the cornea by 51%. Due to the noncontact nature and minimal excitation force, this technique may be valuable for in vivo assessments of corneal biomechanical properties.
© 2017 Society of Photo-Optical Instrumentation Engineers (SPIE) 1083-3668/2017/$25.00 © 2017 SPIE
Manmohan Singh, Jiasong Li, Srilatha Vantipalli, Zhaolong Han, Kirill V. Larin, and Michael D. Twa "Optical coherence elastography for evaluating customized riboflavin/UV-A corneal collagen crosslinking," Journal of Biomedical Optics 22(9), 091504 (5 January 2017). https://doi.org/10.1117/1.JBO.22.9.091504
Received: 2 September 2016; Accepted: 15 November 2016; Published: 5 January 2017
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Cited by 35 scholarly publications.
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KEYWORDS
Cornea

Tissues

Elastography

Optical coherence tomography

Collagen

Coherence (optics)

Biomedical optics

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