A theoretical and experimental study of the mechanical behavior of the cornea with application to the measurement of intraocular pressure

A theoretical and experimental study was made of the mechanical behavior of the cornea. The theoretical analysis included an analytical solution for the symmetrical constraint of a thin, shallow, spherical shell by a rigid indenter. The experimental study investigated the rheology of the cornea with particular emphasis on its compliance with the requirements of the Boltzmann Superposition Principle. Representative results of tests on twenty enucleated hog eyes and two human eyes have been reported. The corneas of the human and hog eyes behaved as linear viscoelastic solids; the human eyes differed from the hog eyes in having a long term creep component. Several eyes were tested at the site of procurement, six to seven minutes after the animal's death, and it was established that creep is not an artifact due to aging or enucleation. The analytical and experimental results were combined to study some instruments used to detect the level of pressure in the eye. The theoretical analysis predicted that a type of elastic instability occurs during the process of flattening a small portion of the cornea; this is discussed with reference to the Goldmann and Mackay-Marg tonometers. The role of corneal creep was considered with reference to the response of the Schiøtz indentation tonometer during the time dependent process known as tonography.