Ocular Biomechanical Responses to Long-Duration Spaceflight

<i>Objective:</i> To assess the impact of microgravity exposure on ocular rigidity (OR), intraocular pressure (IOP), and ocular pulse amplitude (OPA) following long-term space missions. OR was evaluated using optical coherence tomography (OCT) and deep learning-based choroid segmentation. IOP and OPA were measured with the PASCAL Dynamic Contour Tonometer (DCT). <i>Results:</i> The study included 26 eyes from 13 crew members who spent 157 to 186 days on the International Space Station. Post-mission results showed a 25% decrease in OPA (p < 0.005), an 11% decrease in IOP from 16.0 mmHg to 14.2 mmHg (p = 0.04), and a 33% reduction in OR (p = 0.04). No significant differences were observed between novice and experienced astronauts. <i>Conclusions:</i> These findings reveal previously unknown effects of microgravity on the eye's mechanical properties, contributing to a deeper understanding of Spaceflight-Associated Neuro-ocular Syndrome (SANS). Long-term space missions significantly alter ocular biomechanics and have the potential to become biomarkers of disease progression.