Lens Changes Research Articles

Anterior segment ischemia in a young myopic following transposition surgery

A 35-year-old Kuwaiti lady, who is a known myope, developed severe anterior segment ischemia following extra-ocular muscle transposition surgery. The patient was treated with topical and systemic steroids. Her best corrected visual acuity after complete resolution of the inflammation was 20/40. She also developed pupillary mydriasis and anterior lens changes.

Age‐related lens yellowing per se contributes little to the increase in Farnsworth‐Munsell 100 hue error scores with age

Purpose: To investigate the effects of real and simulated age‐related changes in crystalline lens yellowing on Farnsworth–Munsell (FM) 100 hue total and partial error scores.Methods: FM 100 hue total and partial error scores were measured in a group of younger (n = 10, mean age 22.2 ± 2.65 years) and a group of older (n = 10, mean age = 54.5 ± 2.64 years) normal observers along with psychophysical estimates of crystalline lens optical density and pupil size measurements. Three younger observers underwent repeated FM 100 hue testing using a variety of simulated age‐related lens yellowing conditions, using filters with well‐defined absorption properties which mimicked the real age‐related lens yellowing changes of the older group. FM 100 hue scores were also measured under different levels of background illumination and pupil size in the 3 younger observers.Results: FM 100 hue total and partial error scores were significantly higher in the older age group compared to the younger group (p <0.01). Lens density measures were significantly higher in the older age group compared to the young group (p<0.01), but showed less scatter with age than FM 100 hue error scores. Pupil size was significantly larger in the younger group compared to the older group (p<0.01). Simulated lens yellowing in the three younger observers, equivalent to the level of that of the older observers, did not affect any of their FM 100 hue total or partial error scores. Reductions in pupil size and illumination significantly affected the younger observers’ performance, with increases in error score equivalent to the observed age‐related decline between the younger and older group.Conclusions: Lens yellowing per se makes little contribution to the increase in Farnsworth–Munsell 100 hue error score with increasing age. Retinal illumination levels and pupil size can significantly affect the error score and should be considered when interpreting FM 100 hue error scores in older subjects. Clinicians should also consider iris colour and macular pigment density when interpreting FM 100 hue error scores.

Influence of Age on Ocular Wavefront Aberration Changes With Accommodation

To perform a quantitative analysis of high order wavefront aberrations of the entire optical system of the eye that accompanies accommodation demands in the healthy and emmetropic eye. Fifty-six healthy emmetropic eyes of 30 patients were separated into three groups according to age: group 1, 20 to 29 years; group 2, 30 to 39 years; and group 3, 40 to 49 years. Using iTrace ray-tracing technology, pupil diameter, objective refraction, and wavefront aberrations at accommodation demands of 0 to 4.00 diopters (D) in five 1.00-D increments were determined. In analyzing higher order aberrations in the central 4-mm diameter zone of the pupil, Zernike polynomials were used to study the changes associated with accommodation in the magnitude of total higher order aberrations, third order aberrations (coma-like aberrations), fourth order aberrations (spherical-like aberrations), and the spherical aberration component (C4(0)) of the fourth order aberrations. Pupil diameter decreased significantly (P < .05) with accommodation demand in each group. Total higher order aberrations in group 1 increased significantly (P < .05). No significant change was seen in third order aberrations in any group, but fourth order aberrations increased significantly (P < .05) in group 1. Spherical aberration (C4(0)) showed phase shifts from positive to negative in all groups, but the shift in group 3 was minimal, remaining positive even for a 4.00-D accommodation demand. Among higher order aberrations accompanying accommodation demands, spherical aberration (C4(0)) in particular showed characteristic changes; however, these changes showed age-related disparities. The changes were probably due to the effects of reduction in accommodation resulting from age-related changes in the crystalline lens.

A novel connexin50 mutation associated with congenital nuclear pulverulent cataracts

Purpose:To screen for mutations of connexin50 (Cx50)/GJA8 in a panel of patients with inherited cataract and to determine the cellular and functional consequences of the identified mutation.Methods:All patients in the...

Dose dependent cataractogenesis and Maximum Tolerable Dose (MTD2.3:16) for UVR 300 nm-induced cataract in C57BL/6J mice

The purpose of the present study was to investigate the in vivo dose response function for UVR 300nm-induced cataract in the C57BL/6J mouse lens and to establish a cataract threshold estimate expressed as Maximum Tolerable Dose (MTD2.3:16) for UVR 300 nm-induced cataract in the C57BL/6J mouse lens. Knowledge of the MTD2.3:16 in the C57BL/6J mouse will permit quantitative in vivo comparison of UVR-B threshold sensitivity of knockout mice, e.g. animals deficient in key antioxidative enzymes or mice suffering from genetically predetermined eye disease, to wild type animals. Eighty C57BL/6J mice were divided into four dose groups. The animals were exposed unilaterally to 0, 2, 4, or 8kJ/m2 UVR 300nm for 15min (n=20). The radiation output of the UVR-source had λmax at 302.6nm with 5nm full width at half maximum. Two days after exposure cataract was quantified as forward lens light scattering intensity in the exposed and the contralateral non-exposed lens. Morphological lens changes were documented using grid and dark field illumination photography. MTD2.3:16 was estimated from the forward light scattering measurements. Two days after exposure mainly anterior subcapsular but also cortical and nuclear cataract developed in lenses that had received 2, 4, and 8kJ/m2 UVR 300nm. Forward light scattering intensity increased with increasing UVR 300nm dose. MTD2.3:16 for the mouse lens was estimated to 2.9kJ/m2 UVR 300nm. Lens light scattering intensity in the C57BL/6J mouse lens increases with UVR 300nm in vivo dose in the range 0–8kJ/m2. The MTD2.3:16 of 2.9kJ/m2 in the C57BL/6J mouse lens determined here, is essential to quantify and compare in vivo the impact of genetic modulation on lens susceptibility to oxidative stress and plan dose-ranges in future investigations of UVR 300nm-induced cataract pathogenesis.

Variation of the Contribution from Axial Length and Other Oculometric Parameters to Refraction by Age and Ethnicity

To compare the distribution of spherical equivalent refraction (SER) and other ocular parameters and to assess the contribution from oculometric parameters to SER in two age-specific, cross-sectional samples of children, and in two ethnic groups (European Caucasian and East Asian). A random-cluster design was used to recruit predominantly 6-year-old (1765 participants, 78.9% response) and 12-year-old children (2353 participants, 75.3% response) from schools across Sydney, Australia. Data collection included questionnaires and eye examination (keratometry, biometry, and cycloplegic autorefraction). Results of three analytical methods (Pearson correlation, partial correlation coefficient, and linear regression analyses) are reported for 6- and 12-year-old children. Kurtosis for SER and axial length (AL) in the 12-year-old children (14.3 and 2.1, respectively) was similar to that previously reported for the 6-year-old children (11.3 and 0.5). AL showed high correlation (r) with SER in the 6- (r = -0.44) and 12-year-old (r = -0.61) children. Lower correlations for SER with corneal radius (r </= 0.09) and with lens power (r </= 0.13) were noted in both samples. In multivariate models, AL accounted for 24% and 49% of the variations in SER for the 6- and 12-year-old children, respectively. In these older children, correlations between AL and SER were greater in the East-Asian ethnic group (r = -0.79 vs. -0.47), and multivariate analyses showed that AL accounted for a greater proportion of the variation in refraction in East-Asian children (68%) than in European-Caucasian children (24%). In the samples of predominantly 6- and 12-year-old children, the main determinant of SER was AL. The greater contribution of AL in the older sample and in East-Asian children corresponds well with recently proposed models of continuing axial elongation in the absence of compensatory lens changes.

Polarization of light in a lens made from plastically strained synthetic sapphire

This paper shows how the polarization of natural light changes in an isotropic lens made from plastically strained synthetic sapphire. A formula is proposed for calculating the degree of polarization of the refracted rays. The refracted light is partially polarized perpendicular to the plane of incidence.

Magnification and accommodation with phakic intraocular lenses

The calculation of phakic lenses (PL) was described by van der Heijde et al. [Klin. Monatsbl. Augenheilkd (1988) Vol. 193, pp. 99-102], but a formalism for estimating relative magnification compared with spectacle correction and accommodation effects are not yet published. The purpose of this study was to describe a mathematical strategy for calculating PL and relative magnification as a function of object vergence (phakic accommodation). Parameters used for the calculations are the spectacle refraction before and after (target refraction) surgery, the vertex distance, corneal refraction, and the predicted position of the phakic intraocular lens. The lens power is determined as the difference in vergences between the spectacle-corrected eye and the uncorrected eye at the reference plane of the predicted lens position. If we simplify the crystalline lens to a single refracting surface located at the principal plane of the crystalline lens, the vergence of the eye with spectacle correction and with PL is determined as a function of object distance [object vergence 0 D (infinity) to 10 D (object at a distance of 10 cm)] to evaluate accommodation effects of the crystalline lens. The method was applied to two clinical examples. In example 1 we calculated the power of a PL for correction of a 10-D myopia and determined the relative magnification and the vergence at the principal plane of the crystalline lens as a function of object vergence. Magnification gain increases with objects at near from 17% to 26%, whereas the vergence at the principal plane of the crystalline lens changes by 3.04 D less than in the spectacle-corrected eye. In example 2, a 20-D myopia was corrected with a PL. The gain in magnification changed from 33% to 58% with nearer objects. The change in vergence at the principal plane of the crystalline lens with objects at near was much higher with the PL compared with the spectacle correction, which implies that the refractive change necessary for focusing objects at near distance is much higher in the PL correction. Even if the predictability of postoperative refraction with PL is comparable or better than in other methods of correcting high or excessive ametropia, the effects of lateral magnification change and accommodation have to be considered to avoid image-size disparities (aniseikonia) and to maintain binocular vision, especially with monocular PL implantation and anisometropia.

Topical Aldose Reductase Inhibitor Formulations for Effective Lens Drug Delivery in a Rat Model for Sugar Cataracts

In the topical delivery of drugs to the lens, drug retention on the eye surface is considered to be important because increased retention on the ocular surface should lead to increased ocular absorption of a drug through the cornea into the aqueous humor and subsequently the lens. The aim of this study was to investigate whether increasing the viscosity of a topical aldose reductase inhibitor suspension increases the lenticular bioavailability of the inhibitor and whether such a formulation can arrest sugar cataract formation. Five topical suspensions of 3% 2-methylsorbinil (2-MS) were prepared using (1) hydroxypropyl methylcellulose (HPMC, 0.5% w/v), (2) xanthan gum (0.5% w/v), (3) gellan gum (0.5% w/v), (4) carbopol (0.25% w/v), and (5) carbopol (0.25% w/v)--hydroxypropyl methylcellulose (HPMC) (0.25% w/v). Viscosity measurements were conducted with a viscometer. Lenticular levels of 2-MS were determined in the lenses from young Sprague Dawley rats receiving 1 drop of selected topical suspension twice-daily for 7 days. The efficacy of the suspensions to arrest sugar cataract formation was evaluated by administering the suspensions for 21 days to similar rats fed a diet containing 50% galactose. Lens changes were examined by portable slit lamp following mydriasis. Lenticular levels of 2-MS was highest in rats administered suspensions containing 0.25% carbopol + 0.25% HPMC as vehicles followed by 0.5% gellan gum, 0.5% HPMC, 0.25% carbopol, and 0.5% xanthan gum. All untreated rats fed a 50% galactose diet developed hypermature cataracts within 15 days; however, none of the topical treated rats demonstrated cortical vacuole formation after 21 days of galactose feeding. In the suspensions examined, no direct relationship between the lenticular drug levels of 2-MS and either viscosity or pH of the vehicles were observed. The observed arrest of sugar cataract formation indicated that therapeutically adequate lenticular levels of 2-MS were provided by all topical suspensions.

Efficacy of α-Lipoic Acid Against Diabetic Cataract in Rat

alpha-Lipoic acid (LA) is well known as a powerful antioxidant. The efficacy of dihydrolipoate-LA for oral administration against streptozotocin (STZ)-induced diabetic cataract in rat was investigated. Rats were divided into three groups, control, diabetes mellitus (DM), and DM treated with LA (DM+LA). Diabetes was induced by intravenous injection of 50 mg/kg STZ. DM+LA rats were fed 30 mg/rat per day LA in their diet. Lens changes were assessed using Scheimpflug images (EAS-1000) and by measuring light-scattering intensity. Increase in lens light scattering was less (P < 0.05) in DM+LA rats than in DM rats 5 weeks after induction of diabetes. DM rats had the highest and control rats the lowest blood glucose levels at every measurement point up to 111 days (P < 0.05). LA treatment delayed development and progression of cataract in rats with streptozotocin-induced diabetes.

Quantitative Analysis of Posterior Capsule Opacification of Hydrophobic Acrylic Intraocular Lenses

Posterior capsule opacification (PCO) remains a common complication of modern cataract surgery, although both modification of materials used and changes in the intraocular lens (IOL) optic edge design have helped to decrease its incidence slightly. Recently, various kinds of quantitative methods have been developed for measuring PCO. The purpose of this study was to compare the quantitative analysis of PCO between different types of IOL designs. Patients enrolled in the study had age-related cataract and underwent uneventful cataract surgery and implantation of either the AcrySof MA30BA (Alcon) or the Sensor AR40e (AMO), which are differently designed hydrophobic acrylic IOLs with a sharp-edged optic design. Postoperative examination was performed at 6 months. Retroillumination photographs of each eye were obtained, and the degree of PCO was assessed using the Evaluation of Posterior Capsule Opacification (EPCO) system. Grade 1 PCO was noted in both the MA30BA and the AR40e groups. There was no significant difference in the mean PCO score between the MA30BA and AR40e groups. Although the sharp-edged optic designs of both IOLs might similarly inhibit PCO at 6 months, a long-term follow-up period is needed to determine if any PCO differences occur between these 2 hydrophobic acrylic IOLs.

Moir&amp;#xE9; Analysis for Assessment of Line Registration Quality

This paper introduces objective macro and micro line registration quality metrics based on Moir&#xE9; interference patterns generated by superposing a lenticular lens grating over a hardcopy test page consisting of high-frequency Ronchi rulings. Metrics for macro and micro line registration are defined and a measurement procedure is described to enhance the robustness of the metric computation over reasonable variations in the measurement process. The method analyzes low frequency interference patterns, which can be scanned at low resolutions. Experimental measurements on several printers are presented to demonstrate a comparative quality analysis. The metrics demonstrate robustness to small changes in the lenticular lens and grating superposition angle. For superposition angles varying between 2&#xB0; and 5&#xB0;, the coefficients of variance for the two metrics are less than 5%, which is small enough for delineating between test patterns of different print quality.

Mapping age-related elasticity changes in porcine lenses using bubble-based acoustic radiation force

Bubble-based acoustic radiation force aims to measure highly localized tissue viscoelastic properties. In the current investigation, acoustic radiation force was applied to laser-induced bubbles to measure age-related changes in the spatial distribution of elastic properties within in vitro porcine lenses. A potential in vivo technique to map lens elasticity is crucial to understanding the onset of presbyopia and develop new treatment options. Bubble-based acoustic radiation force was investigated as a technique to measure the spatial elasticity distribution of the lens in its natural state without disrupting the lens capsule. Laser-induced optical breakdown (LIOB) generated microbubbles in a straight line across the equatorial plane of explanted porcine lenses with 1mm lateral spacing. Optical breakdown occurs when sufficiently high threshold fluence is attained at the focus of femtosecond pulsed lasers, inducing plasma formation and bubble generation. A two-element confocal ultrasonic transducer applied 6.5 ms acoustic radiation force-chirp bursts with the 1.5 MHz outer element while monitoring bubble position within the lens using pulse-echoes with the 7.44 MHz inner element. A cross-correlation method was used to measure bubble displacements and determine exponential time constants of the temporal responses. Maximum bubble displacements are inversely proportional to the local Young's modulus, while time constants are indicative of viscoelastic properties. The apparent spatial elasticity distributions in 41 porcine lenses, ranging from 4 months to 5 years in age, were measured using bubble-based acoustic radiation force. Bubble displacements decrease closer to the porcine lens center, suggesting that the nucleus is stiffer than the cortex. Bubble displacements decrease with increasing lens age, suggesting that porcine lenses become stiffer with age. Bubble-based acoustic radiation force may be well-suited as a potential in vivo technique to spatially map elastic properties of the lens and guide therapeutic procedures aimed at restoring accommodation.

„The aging lens“ – neue Konzepte zum Alterungsprozess der Linse

Epidemiological changes within the next decades will lead to an increase in the world population and to life expectancy. These changes will in turn lead to an increase in age correlated lens opacities and cataracts. Intensive research on cataract formation therefore becomes more and more important for socioeconomic reasons. In addition to the known risk factors, increased attention is currently being paid to oxidative processes. Typically, changes in the old lens are caused by the failure of protective systems and an accumulation of metabolic end-products and their influence on light transmission. Advanced glycation end-products and their potential inhibition seem to play a key role.

Chromium-picolinate induced ocular changes: Protective role of ascorbic acid

Chromium-picolinate (Cr-picolinate) is a popular nutritional supplement; however its safety has been questioned with regard to its ability to act as a clastogen. The aim of the present work was to evaluate the biochemical, histological and morphological changes in the cornea and lens following oral administration of Cr-picolinate and the possible protective effect of Vitamin C. Ninety male Sprague-Dawley rats were divided into five groups included the control group, the groups treated with Cr-picolinate (0.8 and 1.5 mg/100 g b.w.) alone or in combination with Vitamin C (0.5 mg/100 g b.w.) for 8 weeks. The results indicated that the high dose of Cr-picolinate induced a significant decrease in SOD, GSH, Na +-, K +-ATPase levels, and a significant increase in MDA level. Severe morphological and histological changes in the cornea and lens accompanied with a decrease in the total soluble protein of the lens homogenate and changes in the crystallines fractions in lens. Vitamin C supplementation succeeded to restore these changes to great extent. It could be concluded that consumption of Cr-picolinate for a long time induced several hazards to cornea and lens. Supplementation with extra amounts of Vitamin C may be useful to restrain the Cr-picolinate induced ocular changes.

Biochemical changes in selenite cataract model measured by high‐resolution MAS 1H NMR spectroscopy

To correlate certain levels of lens opacification with high-resolution magic-angle spinning proton nuclear magnetic resonance (HR-MAS (1)H NMR) spectroscopy analysis of the biochemical changes in rat lenses in a selenite cataract model. Selenite cataract was induced by injecting 13-day-old Sprague-Dawley rat pups with a single subcutaneous dose of sodium selenite (3.28 mg/kg in 0.9% sodium chloride solution). Lens opacification was observed using a photographic slit-lamp microscope at selected time-points 3, 6 and 9 days after selenite injection and was then graded (levels 0, 1 and 2). The animals were killed after the slit-lamp microscopy, lenses were removed and HR-MAS (1)H NMR spectra from intact lenses were obtained. Relative changes in metabolite concentrations were determined after comparison with matched lenses from untreated animals. Photographic slit-lamp microscopy revealed different stages of cataract in all animals treated with selenite. In the high quality HR-MAS (1)H NMR spectra of the lenses, more than 30 different metabolites were identified in each lens. With the exception of taurine, the concentrations of all amino acids showed a significant increase (p < 0.05) in the second level of cataract. By contrast, glutathione (GSH), succinate and phosphocholine concentrations were significantly reduced. For the first time, this study demonstrates the potential to correlate the level of lens opacification with the biochemical changes obtained with HR-MAS (1)H NMR spectroscopy analysis in a selenite cataract model.

Ophthalmic Manifestations of Danon Disease

To describe the ophthalmic findings in patients with Danon disease, an X-linked condition causing cardiomyopathy in males and females. Retrospective case series. Patients with genetically proven Danon disease. Retrospective chart review of complete eye examinations including electroretinogram, visual fields, and fluorescein angiography. Five females (4 affected) and 2 affected males were examined. The 4 affected females demonstrated a peripheral pigmentary retinopathy. Lens changes, myopia, abnormal electroretinogram and visual fields were also found. The males demonstrated a near-complete loss of pigment in the retinal pigment epithelium. We report the first description of a characteristic retinopathy in patients with Danon disease and the first extracardiac manifestations in affected females. Retinopathy potentially could be used to identify asymptomatic carriers.

Changes in the crystalline lens resulting from insertion of a phakic IOL (ICL) into the porcine eye

Insertion of a phakic IOL offers these advantages: the corneal optical zone is not dissected or resected; preservation of the crystalline lens results in preservation of the accommodation force; and since the phakic IOL is removable, any error or change in refraction can be countered by exchanging it. However, the cause of secondary cataracts has never been clarified or discussed to date. The following ICL lenses were inserted under general anaesthesia into 20 eyes of ten 3-month-old miniature pigs: a minus lens without holes into five eyes, a plus lens in two eyes, a minus lens with four holes around the lens haptics in three eyes, and a minus lens with a central hole in the optic in three eyes; and seven eyes were used as controls. The anterior segments were then photographed 1 week, 1 month and 3 months after surgery. At 3 months after surgery, Evans blue (EB) was infused into the vitreous under general anaesthesia, and after 30 min, the eyeball was enucleated, fixed and examined. In the case of the ICL without holes, the anterior subcapsular opacities were observed in all the eyes, and the anterior surfaces of the crystalline lenses were not stained with EB. Use of the ICL with four holes around the lens haptics resulted in light staining of the anterior surface of the crystalline lens, but the anterior subcapsular opacities observed were mild. As for the ICL with a hole in the centre of the optic, the anterior surface of the crystalline lens was stained and no anterior subcapsular opacities were observed. The results suggested that the insertion of an ICL brings about a change in the dynamics of the intraocular aqueous humour, reducing its circulation to the anterior surface of the crystalline lens. This is considered to cause a metabolic disturbance of the crystalline lens, resulting in anterior subcapsular opacification.

Upregulation of Glyoxalase I fails to Normalize Methylglyoxal Levels: A Possible Mechanism for Biochemical Changes in Diabetic Mouse Lenses

Glyoxalase I is the first enzyme in a two-enzyme glyoxalase system that metabolizes physiological methylglyoxal (MGO). MGO reacts with proteins to form irreversible adducts that may lead to crosslinking and aggregation of lens proteins in diabetes. This study examined the effect of hyperglycemia on glyoxalase I activity and its mRNA content in mouse lens epithelial cells (mLE cells) and in diabetic mouse lenses and investigated the relationship between GSH and MGO in organ cultured lenses. mLE cells cultured with 25 mM D-glucose (high glucose) showed an upregulation of glyoxalase I activity and a higher content of glyoxalase I mRNA when compared with either cells cultured with 5 mM glucose (control) or with 20 mM L-glucose + 5 mM D-glucose. MGO concentration was significantly elevated in cells cultured with high D-glucose, but not in L-glucose. GSH levels were lower in cells incubated with high glucose compared to control cells. Glyoxalase I activity and mRNA levels were elevated in diabetic lenses compared to non-diabetic control mouse lenses. MGO levels in diabetic lenses were higher than in control lenses. Incubation of lenses with buthionine sulfoximine (BSO) resulted in a dramatic decline in GSH but the MGO levels were similar to lenses incubated without BSO. Our data suggest that in mouse lenses MGO accumulation may occur independent of GSH concentration and in diabetes there is an upregulation of glyoxalase I, but this upregulation is inadequate to normalize MGO levels, which could lead to MGO retention and chemical modification of proteins.

The effect of simulated lens yellowing and opacification on blue-on-yellow acuity and contrast sensitivity

Short-wavelength-sensitive (SWS) resolution acuity has been reported to be limited by the density of the responding ganglion cells for people without appreciable age-related lenticular change. This study measured the robustness of SWS-cone acuity and contrast sensitivity (CS) to simulated lens yellowing and opacification. Resolution acuity at 8 deg eccentricity proved robust to significant amounts of yellowing and remained lower than detection acuity, indicating that the resolution continued to be limited by ganglion cell density. Both the detection and resolution CS functions were affected by simulated lens yellowing, except for resolution close to the CS cut-off. For simulated opacification, only dense opacity significantly affected performance. SWS resolution acuity and CS close to the resolution limit are resistant to moderate simulated age-related lens changes and continue to be mediated by the density of the responding ganglion cells, indicating important clinical potential to measure SWS neural losses of vision in older subjects.