The biomechanical properties of the cornea have a profound influence on its health and function. Rose bengal/green light
corneal collagen cross-linking (RGX) has been proposed as an alternative to UV-A Riboflavin collagen cross-linking
(UV-CXL) for treatment of keratoconus. However, the effects of RGX on the biomechanical properties of the cornea are
not as well understood as UV-CXL. In this work, we demonstrate the feasibility of quantifying the viscoelasticity of the
rabbit cornea before and after RGX using a noncontact method of phase-stabilized swept source optical coherence
elastography (PhS-SSOCE) and finite element modeling (FEM). Viscoelastic FE models of the corneas were constructed
to simulate the elastic wave propagation based on the OCE measurements. In addition, the effect of the fluid-structure
interface (FSI) between the corneal posterior surface and aqueous humor on the elastic wave group velocity was also
investigated. The effect of the FSI was first validated by OCE measurements and FEM simulations on contact lenses, and
the OCE and FEM results were in good agreement. The Young’s modulus of the rabbit cornea before RGX was assessed
as E=80 kPa, and the shear viscosity was η=0.40 Pa•s at an intraocular pressure (IOP) of 15 mmHg. After RGX, the
Young’s modulus increased to E=112 kPa and shear viscosity decreased to η=0.37 Pa•s. Both the corneal OCE
experiments and the FE simulations also demonstrated that the FSI significantly reduced the group velocity of the elastic
wave, and thus, the FSI should be considered when determining the biomechanical properties of the cornea.
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