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Measurements of the Compressive Properties of Sclerol Tissue J. L. Barraglioli and R. D. Kamm Tests were conducted on small samples of sclera taken from cattle eyes and human eyes to determine the mechanical properties of the tissue in compression. It was found that the elastic modulus for radial compressive stress of human sclera was more than a factor of 100 less than the modulus for circumferential tensile stress. The stress-strain relationship was found to be mildly nonlinear and exhibited hysteresis when cycled through a pattern of increasing-then-decreasing stress. Given sufficient time, however, the sample returned to its original state and, therefore, exhibited no permanent deformation. Measurements of Poisson's ratio yielded values of 0.46 to 0.50, indicating that these samples were essentially incompressible. Invest Ophthalmol Vis Sci 25:59-65, 1984 rection. Since the collagen fiber bundles run primarily in the circumferential direction, they are better able to resist changes in globe circumference than changes in radial thickness. This is also evident in the tendency for the stroma7 and, to a lesser extent, the sclera8 to imbibe fluid when placed in water or an aqueous solution, and swell in thickness while maintaining relatively constant dimensions in the circumferential plane.9 Aside from these measures of the swelling properties of cornea and sclera, the literature contains little information concerning the scleral elastic modulus when the tissue is subjected to compressive stresses in the radial direction (hereinafter referred to as the radial compressive modulus), even though the sclera is normally subjected to radial compressive loads due to the intraocular pressure. (See Appendix A for expressions describing the stresses in the wall of spherical shell.) Knowledge of scleral elasticity is essential for predicting the response of the globe to changes in intraocular pressure,10 to externally applied forces during tonometry10 and oculoplethysmography, and to contraction of the extraocular muscles.'' In each of these problems, a structural model of the globe can be used to determine the distribution of stresses in the sclera and the resulting deformations. Although these models are of varying complexity, it is generally assumed that the sclera is isotropic—that its structural properties are the same in all directions. While assuming isotropic structural properties, some previous studies of scleral deformation do take account of the nonlinear stressstrain relationship for the sclera (see Woo and coworkers10). These assumptions can, in certain cases, lead to erroneous conclusions and must therefore be carefully assessed in each situation. Such errors can occur, for example, when one examines the potential collapse of vessels passing through the sclera, due to Measurements of the tensile stiffness (the ability of a material to retain its original dimension when subjected to forces that tend to stretch the sample) of scleral tissue have previously been reported by several investigators.1"3 Results from such tests are usually reported in terms of a relationship between the applied force per unit area (stress) and the corresponding fractional change in length (strain) of the sample. These tests have shown that the sclera exhibits a nonlinear relationship between stress (<r) and strain (e). The elastic modulus, or Young's modulus (E), is the ratio of change in stress to the associated change in strain and, therefore, represents a measure of the "strength" of a material. When the elastic modulus is high, little deformation occurs with a small increment in stress. The same stress increment will produce large deformations when the elastic modulus is small. Many materials exhibit values for the elastic modulus that change as the material is stretched. The sclera is one such material exhibiting values of the elastic modulus (for tensile stresses acting to stretch strips of sclera cut from the globe), which typically range from 107 to 109 dynes/ cm 2 with a tendency for the sclera to become less compliant (higher modulus) as the applied stress increases. This behavior can be attributed to the tendency for the collagen fibrils to be wavy at low levels of stress, but increasingly taut as the applied stress increases.4"6 As has been recognized for some time, the elastic properties of the sclera and corneal stroma are different in the radial direction than in the circumferential diFrom the Massachusetts Institute of Technology, Department of Mechanical Engineering, Cambridge, Massachusetts. Supported by the NIH, grant # EY 03141. Submitted for publication February 11, 1982. Reprint requests: Prof. Roger D. Kamm, MIT Rm. 3-260, 77 Massachusetts Avenue, Cambridge, MA 02139. 59 Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933111/ on 06/14/2017 60 INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE / January 1984 Vol. 25 that run in the circumferential direction can be shown to collapse with increases in intraocular pressure. This phenomenon has obvious implications both in the flow of aqueous humor from the eye and in the regulation of blood flow at the point where veins pass through the sclera and is the primary motivation for this study. We have conducted experiments to examine the compressive modulus of the sclera in the radial direction. Ourfindingsshow (1) that the radial compressive modulus is two orders of magnitude less than previously reported values of the tensile modulus, and (2) that Poisson's ratio for the sclera falls between the values of 0.46 and 0.50 for changes in stress that occur over a time scale of less than 1 hour where the latter value corresponds to a perfectly incompressible material. Materials and Methods Apparatus (Fig. 1) OPTICAL DISPLACEMENT PROBE TRANSPARENT. HOLDER. \ \ SAMPLE DISH ISOTONIC SALINE SAMPLE FORCE FROM AIR PISTON Fig. 1. Top, Photograph of experimental apparatus. Bottom, Crosssectional view of sample holder and optical measurement probe. changes in intraocular pressure.12 If one assumes that the sclera is isotropic and linearly elastic, then it can be shown that all vessels will increase in cross-sectional area as intraocular pressure begins to increase, regardless of the orientation of the vessel within the sclera. If, however, the tissue actually is more compliant in compression than in tension (which we will proceed to demonstrate by our experimental results), vessels Tests were performed on small cylindrical sections of scleral tissue (1-mm thick by 9-mm diameter), which were placed in a sample dish and covered with an isotonic saline solution. A compressive stress is produced by pressurizing the air chamber beneath a lowfriction graphite piston contained within a 0.627-cm pyrex cylinder. Forces are transmitted-to the sample by way of a connecting rod, which isattached to the sample dish through a ball joint to ensure that the stresses are applied normal to the sample surface-Pressure inside the pyrex cylinder is regulated, and measured with a water manometer to an accuracy of 50 dynes/cm2. The sample dish and piston assembly are enclosed within a plexiglass chamber and kept at a temperature of 37 ± 1 °C. Since the sample thickness was typically about 1 mm, the displacements during compression were extremely small. These were measured using an optical displacement probe (Fotonic Sensor, Mechanical Technology, Inc.), which not only had excellent resolution (0.25 um) but also precluded the need for direct mechanical contact with the sample dish assembly. Sample Preparation The first set of experiments was conducted using cattle eyes (obtained from the Joseph T. Trelagan Co., Cambridge, MA). The eyes were placed in an isotonic solution shortly after enucleation and stored at 4°C until used. All experiments were conducted within 48 hours of enucleation. For the second series of tests, three pairs of human eyes were obtained from the Massachusetts Eye and Ear Infirmary Eye Bank. The ages of the donors were 93, 74, and 63 years. These eyes were also stored at Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933111/ on 06/14/2017 No. 1 COMPRESSIVE PROPERTIES OF SCLERAL TISSUE / Dorroglioli er ol. 4°C, and the experiments were conducted within 72 hours of enucleation. To prepare a test sample, the conjunctiva was removed and, for the cattle eyes only, the stubs of the rectus muscle were excised. The globe was then bisected at the equator, and the lens, iris, and choroid were removed. Cylindrical samples were taken from the sclera just posterior to the cornea (in the region of but not including the trabecular meshwork) using a 9-mm trephine and stored in isotonic saline at 4°C until tested, always within 3 hours of sample preparation. Some swelling of the tissue is likely to have occurred while the sample was stored in saline solution, but this is estimated to be no more than 15% of the initial volume.13 61 mations are encountered (see reference 14). However, even at the maximum values of strain, we observed (0.15), the difference between equation 1 and the engineering strain is less than 10%. In order to determine Poisson's ratio (j>),t the sample was photographed from above, under magnification, with different loading conditions. The cross-sectional area of the sample was thus determined both before (As0) and after (As) compression. These areas, in conjunction with the measured compressive strain, yield a value of Poisson's ratio: v = (VAs/As0 - l)/6 (2) as derived in Appendix B. The measured areas As0 and As correspond to compressive stresses of 2 X 103 and 4 X 104 dynes/cm 2 , respectively. All stresses are computed based on the area As0. Test Procedures The initial thickness of the scleral sample was measured to an accuracy of 10 /im using a spring-loaded thickness gauge and then placed into the sample dish filled with saline. A compressive stress of 2 X 103 dynes/ cm2* was then applied to ensure firm contact between the sample and holder, and 30 minutes was allowed for stabilization. This point was used as a reference (strain = e = 0) from which all subsequent strains were measured. At this level of stress we could see, by observing the sample through the transparent holder, that the entire upper surface of the sample was in contact with the sample holder and, therefore, that the initial curvature had been eliminated. This observation is consistent with that of Hedbys and Dohlman 8 who, using a sample holder of similar design, found that changing the diameter of their sample had no effect on their results. The optical displacement probe was then brought into position so that sample thickness (t) could be measured after deformation under a certain level of stress (stress was computed as F/AJQ where F is the force applied by the sample holder on the specimen and As0 is the initial specimen area). Given the initial sample thickness (to), compressive strain can be defined using the relationship: e = In (to/t) (1) Here we depart from the more common definition of compressive strain [e = (to - t)/to], which is applicable for small deformations and apply instead the expression for natural strain generally used when large defor* An eye with an intraocular pressure of 15 mmHg would have a radial compressive stress on the inner layers of the sclera of about 2 X 104 dynes/cm2 as calculated from the expressions given in Appendix A. Results Cattle Sclera The first tests were conducted using cattle eyes, essentially for the purpose of perfecting the experimental technique. However, the experiments exhibited several interesting features. First, it was found that cattle sclera continues to deform for some time after the load has been applied. This characteristic is common to many physiologic tissues15 and is often referred to as viscoelastic creep. Appreciable creep was observed in these experiments during the first 10-20 minutes following the application of pressure, corresponding approximately to the period of primary creep observed in rabbit sclera by Greene and McMahon. 16 Consequently, we found it necessary to wait 30 minutes between pressure increments to ensure a reasonably stable measurement. Second, we observed that the stress-strain relationship is somewhat nonlinear in that the tissue becomes less compliant with increasing compressive loads. A linear regression of the stress-strain data produced values for the compressive modulus (using Equation 1) ranging from 1.21 X 105 to 1.88 X 105 dynes/cm 2 , for compressive stresses between 2.0 X 103 and 2.6 X 104 dynes/cm2. Although the behavior was somewhat nonlinear, the linear regression coefficients for the individual sets of data ranged from 0.975 to 0.985. Human Sclera As with cattle sclera, human sclera exhibited considerable creep over a period of up to 20 minutes folt Poisson's ratio is found by dividing the induced lateral strain by the axial strain. If v = 0.5, then the material is perfectly incompressible. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933111/ on 06/14/2017 62 Vol. 25 INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE / January 1984 • INCREASING STRESS o DECREASING STRESS CVJ O 0 0.04 Q08 0.12 0.12 °0 0.16 0.0-4 0.08 0.12 0.08 0.12 STRAIN U) Fig. 2. Compressive stress-strain data for all human eyes. Test 1 shows the hysteresis loop formed by first loading, then unloading, the sample. Numbers refer to identifications in Table 1. which has previously been employed by others.17 19 Note that we continue to use the expression e = In (to/t), whereas the others referenced here use e = (to - t)/to. The parameter often used to describe the extent of nonlinearity in the resulting stress-strain relationship is the "stiffening coefficient"; a in equation 3. Low values of a are indicative of a lesser degree of nonlinearity. Values of a for the tensile elastic modulus of the sclera have been found to be over 40. l7 Our measurements of the radial compressive modulus yield values ranging from 3-10, with a mean of 6.1. Thus, due to the high degree of linearity in the data, we can express our results either by assuming a constant modulus of elasticity or an exponential form of the type in equation 3. The differences between the two would be slight. The procedure to determine Poisson's ratio was followed in six of the eight eyes, for compressive stresses between 2 X 102 and 4 X 104 dynes/cm 2 , with the results given in Table 1. The values of Poisson's ratio lowing a change in the applied stress level. The stressstrain relationship was also found to be mildly nonlinear, becoming stiffer for higher strains, consistent with measurements of the tensile modulus. 1 ' 217 Sample 1 was cycled through a pattern of increasing-then-decreasing stress with increments every 30 minutes and exhibited some hysteresis (Fig. 2), but returned to its original thickness when allowed to stabilize at the reference stress level. Thus the sample experienced no permanent set. All data for the eight eyes tested are shown in Figure 2. A linear regression yields values for the compressive modulus ranging from 2.7 X 105 to 4.1 X 105 dynes/ cm2 (0.982 < r2 < 0.992) with errors of less than 13% (Table 1). The degree of nonlinearity exhibited by these results can be compared to that of the tensile modulus by expressing our results in the general form a = A(e<" - 1) (3) Table 1. Measured properties of human scleral samples Sample Sample no. Radial compressive modulus (dynes/cm2)* Correlation coefficient (linear regression) Poisson 's ratiof [i 4.12 4.00 3.31 3.27 105 105 105 105 0.982 0.993 0.991 0.988 0.50 Age: 74 years One sample from each eye II 2.69 X 105 2.89 X 105 0.992 0.982 0.48 0.47 Age: 63 years One sample from each eye {I 3.18 X 105 3.24 X 105 0.989 0.982 0.46 0.47 Age: 93 years Two samples from each eye * Errors less than 13%. t Errors less than 6%. I 4 X X X X X Poisson's ratio not measured. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933111/ on 06/14/2017 —t 0.49 -t No, 1 COMPRESSIVE PROPERTIES OF SCLERAL TISSUE / Darroglioli er al. all are approaching 0.5, indicating that the sample remains nearly at constant volume when undergoing deformation. This finding is consistent with previous estimates.10 63 (a Discussion The values we found for the radial compressive modulus of the sclera are roughly a factor of 100 lower than values previously reported for the tensile modulus in the circumferential direction. This apparent discrepancy can be explained by reference to the structural arrangement of the collagen bundles, which provide the globe with its considerable stiffness. In the anterior segment of the eye, the collagen bundles form a ring around the cornea, which blends into the woven pattern that exists over most of the remainder of the eye. This structure provides for optimal strength in the circumferential direction, which is needed in order to maintain the structural integrity of the optical components of the eye. Since few of the collagen fibers are oriented in the radial direction, the tissue is much less capable of resisting deformation when subjected to radial stresses. In addition, because the stiffness of most collagen containing tissues increases with increasing strain (as do arteries, for example15), compression of these same tissues will tend to reduce the elastic modulus due to the release of tension and a consequent increase in the waviness of the collagen fibrils.4"615 For these two reasons, we would expect the elastic modulus for radial compressive stresses to be considerably less than that found when the tissue is subjected to tensile stresses in the circumferential direction, consistent with our observations. While it is relatively straightforward to compare our measurements of compressive modulus to the values of tensile modulus reported in the literature, it is perhaps more appropriate to consider a different collection of experiments—those in which swelling pressure of the corneal stroma or sclera have been measured (see references 9 and 13). In the experimental arrangement of Hedbys and Dohlman, 8 for example, the swelling pressure is that pressure exerted by a sample when confined between two rigid plates and exposed to water or an aqueous solution. Due to the tendency of the sample to imbibe fluid, it expands against the rigid plates, thereby producing an expansion force that can be measured by a force transducer. Scleral samples similar to those we have tested will exhibit swelling pressures strongly dependent upon sample hydration.8 By relating hydration to sample volume, and assuming that circumferential dimensions remain relatively constant in experiments of the type described above,13 one can, in principle, determine the compressive modulus of the sample from the experiments (b) c) Fig. 3. A schematic representation of the deformations produced by these experiments, (a), cross-sectional view of the scleral sample prior to flattening. The wavy lines represent collagen fibrils oriented in the circumferential direction, (b), same sample shown after flattening, (c), same sample shown after compressive stresses have been applied above that required for flattening. of Hedbys and Dohlman. While it is difficult to determine the elastic modulus precisely, a rough calculation based on an estimate of the slope at the point of normal hydration of the swelling pressure-hydration relationship for the sclera (Fig. 3 in reference 8) suggests values for the modulus somewhat lower than ours, possibly as high as 1 X 105 dynes/cm 2 . This apparent discrepency can be directly attributed to a subtle difference in the experimental systems. While similar in most respects, the two systems differ in that the upper and lower plates were porous in the experiments of Hedbys and Dohlman, but impermeable in ours. In addition, their samples remained at nearly constant volume since they were placed between two plates constrained to prevent relative motion. What little volume change occurs is facilitated by the close proximity of a permeable boundary. In order for our samples to change volume, fluid must pass to the peripheral edge at the outer radius of the sample. The resistance to flow by this pathway is enormous due to the low permeability of scleral tissue21 and would, as a result, % The time required to reach equilibrium in an experiment such as this is determined by the dimensions of the sample (the distance the fluid has to travel before leaving the sample), sample stiffness and porosity, and the permeability of the sample to flow. According to consolidation theory, which describes the rate at which a compressible, porous material is compacted by surface loads (see reference 22), the time for a sample to reach equilibrium once subjected to a new load will vary as the square of the distance from the center of the sample to the nearest permeable boundary. Therefore, for a disk 1 mm thick and 9 mm in diameter, the equilibration time for a disk with permeable flat surfaces would be approximately 81 times less than one with only the outer circumference permeable. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933111/ on 06/14/2017 64 INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE / January 1984 cause the time scale for changes in fluid volume to be extremely long in our experimental set-up.f Since we found values for Poisson's ratio of nearly 0.5, the time for significant changes in fluid volume must therefore be long compared to the duration of an experiment. As Bert and Fatt21 point out, swelling pressure curves are influenced only by the swelling components of the tissue (the mucopolysaccharide gel), while other structures are relatively unimportant. In contrast, since the hydration of our samples remained constant (as evidenced by values of Poisson's ratio close to 0.5), our results reflect the structural properties of the entire tissue matrix, including both the mucopolysaccharide gel and the collagen fibrils. It is impossible, however, to distinguish from these measurements, the relative importance of these two constituents. To illustrate, consider the sample shown schematically in Figure 3. Before flattening (a), all the collagen fibrils are relaxed and are assumed to have roughly the same initial degree of waviness. When the upper and lower plates are bought into contact with the sample, the globe segment is flattened (b). This flattening produces an increased waviness of the outermost (top) fibrils due to the local compressive stresses associated with bending, and a straightening of the fibrils near the inner wall due to the local tensile stresses. With subsequent compression (c), all the fibrils are lengthened, and the tissue matrix is deformed so as to maintain the total volume nearly constant. The strength of the tissue (or its ability to resist deformation) is, therefore, due to at least three factors: 1) stretching of the circumferential collagen fibrils, 2) compression of the radially oriented fibrils (not shown in the schematic representation of Figure 3), and 3) the general deformation of the tissue matrix. Measurements of swelling pressure reflect the effects of (2) and (3) but not (1), since the circumferential dimensions are observed to remain constant. Based on these arguments, it would seem most appropriate to use our results in situations where the tissue hydration remains relatively constant. This would presumably include situations in which the stress level in the eye changes rapidly as, for example, in the application of an applanation device to the ocular surface or when stresses are imposed by the extraocular muscles. We would expect even greater deformations (and a lower apparent modulus of elasticity) given a particular compressive stress if the sample were allowed to come to complete equilibrium and if the hydration were to change during this process. Key words: mechanical properties of scleral tissue, elastic modulus, structural modals of the globe Vol. 25 Acknowledgments We thank the members of the Howe Laboratory of Ophthalmology at the Massachusetts Eye and Ear Infirmary for their many helpful suggestions, and Mark Johnson who helped in the data analysis. References 1. Gloster J, Perkins ES, and Pomier ML: Extensibility of strips of sclera and cornea. Br J Ophthalmol 41:103, 1957. 2. Curtin BJ: Physiopathologic aspects of scleral stress-strain. Trans Am Ophthalmol Soc 67:417, 1969. 3. Yamada H: Strength of Biological Materials, Krieger, Huntingdon, New York Press, 1973, p. 238. 4. McCally RL and Farrell RA: Effect of transcorneal pressure on small-angle light scattering from rabbit cornea. Polymer 18:444, 1977. 5. Ku DN and Greene PR: Scleral creep in vitro resulting from cyclic pressure pulses: applications to myopia. Am J Optom Physiol Opt 58:528, 1981. 6. McCally RL and Farrell RA: Structural implications of smallangle light scattering from cornea. Exp Eye Res 34:99, 1982. 7. Cogan DG and Kinsey VE: The cornea. V: Physiologic aspects. Arch Ophthalmol 28:661, 1942. 8. Hedbys BO and Dohlman CH: A new method for the determination of the swelling pressure of the corneal stroma in vitro. Exp Eye Res 2:122, 1963. 9. Fatt I: Physiology of the Eye—An Introduction to the Vegetative Functions, Boston and London, Butterworth Inc., 1978. 10. Woo SL-Y, Kobayashi AS, Lawrence C, and Schlegel WA: Mathematical model of the corneo-scleral shell as applied to intraocular pressure-volume relations and applanation tonometry. Ann Biomed Eng 1:87, 1972. 11. Greene PR: Mechanical considerations in myopia: relative effects of accommodation, convergence, intraocular pressure, and the extraocular muscles. Am J Optom Physiol Opt 57:902, 1980. 12. Battaglioli JL and Kamm RD: The collapse of small vessels in the wall of a spherical cavity. Proc. 34th ACEMB, p. 364, 1981. 13. Maurice DM: The cornea and sclera. In The Eye Vol I: Vegetative Physiology and Biochemistry, Davson, H, editor. New York, Academic Press, 1962, pp. 289-368. 14. Popov EP: Introduction to Mechanics of Solids, Englewood Cliffs, NJ, Prentice-Hall, 1968, p. 94. 15. Fung YC: Biomechanics: Mechanical Properties of Living Tissues, New York, Springer-Verlag, 1981, pp. 267-276. 16. Greene PR and McMahon TA: Scleral creep versus temperature and pressure in vitro. Exp Eye Res 29:527, 1979. 17. Woo SL-Y, Kobayashi AS, Schegel WA, and Lawrence C: Nonlinear material properties of intact cornea and sclera. Exp Eye Res 14:29, 1972. 18. Graebel WP and van Alphen GWHM: The elasticity of sclera and choroid of the human eye, and its implications on scleral rigidity and accommodation. J Biomech Eng 99:203, 1977. 19. Nash IS, Greene PR, and Foster CS: Comparison of mechanical properties of keratoconus and normal corneas. Exp Eye Res 35:413, 1982. 20. Fatt I and Hedbys BO: Flow of water in the sclera. Exp Eye Res 10:243, 1970. 21. Bert JL and Fatt I: Relation of water transport to water content in swelling membranes. In Surface Chemistry of Biological Systems, Blank M, editor. New York, Plenum Press, 1970, pp. 287294. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933111/ on 06/14/2017 No. 1 COMPRESSIVE PROPERTIES OF SCLERAL TISSUE / Dorroglioli er ol. 22. Yong RN and Warkentin BP: Introduction to Soil Behavior, New York, Macmillan, 1966, pp. 192-198. 23. Timoshenko S: Theory of Elasticity, New York, McGraw-Hill, 1934, pp. 323-326. Appendix A For a spherical shell of uniform thickness subjected to a uniform intraocular pressure (IOP), the radial stress (trr) and circumferential stress (<rc) have the following distributions (23): 3 3 <rr = IOP[l - (b/r) ]/[(b/a) - 1] 3 3 <rc = IOP[2 + (b/r) ]/[2 - 2(b/a) ] (Al) (A2) where a and b are the inner and outer radii of the shell, respectively, and r is the radial position measured from the center of the sphere. Notice that the radial stress is negative for positive values of intraocular pressure and ranges from - I O P at the inner surface (r = a) and zero at the outer surface (r = b). The circumferential stress is always positive and is typically about five times as large as the intraocular pressure. 65 ness Xo to a final thickness x as a result of compression between two flat, rigid surfaces, the other dimensions of the sample will also generally change. If the initial dimensions in the two orthogonal directions perpendicular to the direction of applied stress are y0 and Zo, respectively, then the final dimensions are expressible in terms of the Poisson's ratio as given below: y = yoO + «) (Bi) z = Zo(l + where e is the strain in the direction of stress application and the deformations are assumed to be small. Accordingly, the initial volume of the sample is XoyoZo and the final volume is xyz = XoyoZoU + e)(l + vef (B2) Similarly, the sample area in the plane perpendicular to the x-direction is As = A s O ( l + ^ ) 2 (B3) where A^ = yozo. Rearranging A3 one obtains Appendix B If a sample of an elastic material, such as the scleral disks used in these experiments, is deformed from an initial thick- v = (As/Aso - l)/e which is used to determine Poisson's ratio. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933111/ on 06/14/2017 (B4)