Multiscale Multiphysics Modeling of Aqueous Humor Dynamics in the Human Eye

Aqueous humor (AH) is a watery fluid continuously circulating through the posterior and anterior chambers of the human eye and is essential to maintain a healthy intraocular pressure in the eyeball and keep the eye clean from waste products of metabolism and external agents. This paper presents a stationary compartment model of AH dynamics consisting of three integrated modules (M): M1 for AH production, M2 for AH passive flow and M3 for AH drainage. M1 is a zero-dimensional (0D) reduction of the velocity-extended Poisson-Nernst-Planck model and simulates solute transfer and fluid movement across the cellular structure of the ciliary epithelium (CE). M2 is the electric equivalent representation of Poiseuille flow across the series of two linear hydraulic resistors. M3 is a 0D reduction of the Darcy equations for a porous medium and simulates AH flow across the parallel between a nonlinear and a linear resistor. Compared to existing compartment approaches, the present model integrates at the macroscopic scale the multi-physical description of the human eye at the cellular scale. Numerical simulations suggest that (1) sodium channels in the CE are essential for maintaining proper AH dynamics; and (2) increased episcleral vein pressure reduces AH drainage, potentially explaining the development of secondary open-angle glaucoma. These insights advance the understanding of the mechanisms regulating AH dynamics and offer new perspectives for patient-specific therapies.