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research article

A new self-adjustable glaucoma valve

Rafiei, Soroush  
•
Gerber, Julien Maxime  
•
Bigler, Stephane  
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May 2, 2024
Frontiers In Bioengineering And Biotechnology

Introduction: Glaucoma, the leading cause of irreversible blindness globally, affects more than 70 million people across the world. When initial treatments prove ineffective, especially for cases with high intraocular pressure (IOP), the preferred approach involves employing glaucoma drainage devices (GDDs). Methods: This study introduces a novel self-adjustable glaucoma drainage device (SAGDD) designed to maintain IOP within the desired biological range (10 mmHg < IOP <18 mmHg) by dynamically modulating its fluidic resistance. Inspired by the starling resistor, we designed a circular valve with a thin, flexible membrane placed over the valve's inlet and outlet. To achieve the ideal design for the SAGDD and optimize its parameters, we utilized fluid-solid interaction (FSI) numerical models and conducted parametric studies, wherein simulations demonstrated the validity of the concept. Subsequently, to confirm and validate the numerical results, we fabricated a SAGDD at a 3:1 scale and subjected it to in vitro testing. Results: Our findings demonstrate that, on a 3:1 scale, a circular SAGDD with a diameter of 8.1 mm and a stainless-steel membrane with a thickness of 10 mu m effectively maintained IOP within the target range when the membrane exposed to external pressures of 7.5 or 10 mmHg. Discussion: In summary, our study establishes a strong foundation for further exploration of the potential efficacy of SAGDD as a promising treatment for glaucoma. The cost-effectiveness and simplicity of its design, devoid of costly instrumentation, hold considerable promise in addressing the challenges associated with glaucoma.

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Type
research article
DOI
10.3389/fbioe.2024.1383459
Web of Science ID

WOS:001223273100001

Author(s)
Rafiei, Soroush  
Gerber, Julien Maxime  
Bigler, Stephane  
Stergiopulos, Nikolaos  
Date Issued

2024-05-02

Publisher

Frontiers Media Sa

Published in
Frontiers In Bioengineering And Biotechnology
Volume

12

Article Number

1383459

Subjects

Life Sciences & Biomedicine

•

Technology

•

Glaucoma

•

Self-Adjustable Valve

•

Sagdd

•

Pressure-Regulator

•

Fluid-Solid Interaction

•

Iop Management

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LHTC  
FunderGrant Number

Ecole Polytechnique Federale de Lausanne

Available on Infoscience
June 5, 2024
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/208368
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