Finite element modeling of transient shear wave elastography for the cornea

Recent advances in dynamic elastography have enabled rapid, localized, and non-invasive mechanical data acquisition of the cornea. This data opens the path to early-detection of pathologies and more accurate treatment. However, the analysis of the wave propagation is a complex mechanical problem: the cornea is a structure under pressure, with non-linear material behavior. Thus, computational analysis are needed to extract mechanical parameters from the data. In this study, we present a time-dependent finite element model for the reproduction of transient shear wave elastographic measurements in the cornea. The mechanical problem consists in a small-amplitude wave propagating in the cornea, largely deformed by intraocular pressure in physiological conditions. The model accounts for anisotropic, hyperelastic, and incompressible behavior of the cornea, as well as its accurate geometry and preloaded condition. We have implemented two different numerical approaches to solve first the static non-linear inflation of the cornea and then the linear wave propagation problem to reproduce the measurements. We investigate the impact of material anisotropy and prestress on wave propagation and demonstrate that intraocular pressure critically influences shear wave velocity. Additionally, by introducing a localized mechanical defect to simulate a pathological defect, we show that simulated shear wave can detect and quantify mechanical weaknesses, suggesting potential as a diagnostic tool to assess corneal health.