Question 10.1: Under a disease condition where the trabeculae become occlud...

Under a disease condition where the trabeculae become occluded, the intraocular pressure transiently increases by 5 mmHg. If the trabeculae occlusion is removed, which brings the flow resistance back to normal levels, what is the time required to bring the intraocular pressure back to within 5% of the steady state value? Assume that C is equal to 2.8 μL/mmHg and that R is equal to 5 mmHg min/μL. Assume that the inflow flow rate is 2 μL/min.

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To solve this problem, we will need to solve the differential equation derived for the Conservation of Mass of the eye:

\frac{d(p_{eye}  –  p_{norm})}{dt} = -\frac{p_{eye}  –  p_{norm}}{RC}

\int{\frac{d(p_{eye}  –  p_{norm})}{p_{eye}  –  p_{norm}}} = -\int{\frac{dt}{RC}}

\ln(p_{eye}  –  p_{norm})= \frac{-t}{RC} + K

where K is the indefinite integration constant:

p_{eye}  –  p_{norm}= K_{0}e^{-t/RC}

where K0 is a different constant from K:

p_{eye}= p_{norm} + K_{0}e^{-t/RC}

To solve for K0, we know that the initial condition is

p_{eye}(t = 0)= p_{norm} + 5  mmHg

p_{norm} + 5  mmHg= p_{norm} + K_{0}e^{0}= p_{norm} + K_{0}

K_{0}= 5  mmHg

p_{eye}= p_{norm} + 5  mmHg(e^{-t/RC})

To solve for the time required to return back to 5% of the steady state normal pressure

1.05p_{norm}= p_{norm} + 5  mmHg(e^{-t/RC})

\frac{0.05p_{norm}}{5  mmHg}= e^{-t/RC}

– \frac{t}{RC}= \ln \left(\frac{0.05p_{norm}}{5  mmHg}\right)= \ln \left(\frac{0.05  \ast  Q_{in}  \ast  R}{5  mmHg}\right)

t = -RC \ln \left(\frac{0.05  \ast  Q_{in}  \ast  R}{5  mmHg}\right)

t= – \left(5\frac{mmHg  min}{\mu L}\right) \left(2.8 \frac{\mu L}{mmHg}\right) \ln \left(\frac{0.05  \ast  2 \frac{\mu L}{min}  \ast  5 \frac{mmHg  min}{\mu L}}{5  mmHg}\right)

t = 32.2 min