Abstract
According to the anatomical features of different stages of cataract or the degree of damage to visual function, lens opacity can be classified and graded, which is conducive to the standardization of cataract-related research. Currently, the evaluation methods of lens opacity used in clinic and research are mainly divided into two categories: subjective methods and objective methods. The former includes morphological and anatomical classification methods, such as Lens Opacities Classification System III (LOCS III) [1], Oxford clinical cataract classification and grading system (OCCCGS) [2, 3], and the Visual Function Index-14 (VF-14) questionnaire [4, 5] for evaluating the patient’s quality of life. These methods are often time-consuming and may suffer from the response or inter-rater bias owing to their subjective nature.
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References
Chylack LT Jr, Wolfe JK, Singer DM, et al. The lens opacities classification system III. The longitudinal study of cataract study group. Arch Ophthalmol. 1993;111(6):831–6.
Sparrow JM, Bron AJ, Brown NA, et al. The Oxford clinical cataract classification and grading system. Int Ophthalmol. 1986;9(4):207–25.
Hall AB, Thompson JR, Deane JS, et al. LOCS III versus the Oxford Clinical Cataract Classification and Grading System for the assessment of nuclear, cortical and posterior subcapsular cataract. Ophthalmic Epidemiol. 1997;4(4):179–94.
Alonso J, Espallargues M, Andersen TF, et al. International applicability of the VF-14. An index of visual function in patients with cataracts. Ophthalmology. 1997;104(5):799–807.
Cassard SD, Patrick DL, Damiano AM, et al. Reproducibility and responsiveness of the VF-14. An index of functional impairment in patients with cataracts. Arch Ophthalmol. 1995;113(12):1508–13.
Grewal DS, Brar GS, Grewal SP. Correlation of nuclear cataract lens density using Scheimpflug images with Lens Opacities Classification System III and visual function. Ophthalmology. 2009;116(8):1436–43.
Pei X, Bao Y, Chen Y, Li X. Correlation of lens density measured using the Pentacam Scheimpflug system with the Lens Opacities Classification System III grading score and visual acuity in age-related nuclear cataract. Br J Ophthalmol. 2008;92(11):1471–5.
Ortiz D, Alio JL, Ruiz-Colecha J, et al. Grading nuclear cataract opacity by densitometry and objective optical analysis. J Cataract Refract Surg. 2008;34(8):1345–52.
Artal P, Benito A, Perez GM, et al. An objective scatter index based on double-pass retinal images of a point source to classify cataracts. PLoS One. 2011;6(2):e16823.
Cabot F, Saad A, McAlinden C, et al. Objective assessment of crystalline lens opacity level by measuring ocular light scattering with a double-pass system. Am J Ophthalmol. 2013;155(4):629–35.
Lim SA, Hwang J, Hwang KY, et al. Objective assessment of nuclear cataract: comparison of double-pass and Scheimpflug systems. J Cataract Refract Surg. 2014;40(5):716–21.
Vilaseca M, Romero MJ, Arjona M, et al. Grading nuclear, cortical and posterior subcapsular cataracts using an objective scatter index measured with a double-pass system. Br J Ophthalmol. 2012;96(9):1204–10.
Pan AP, Wang QM, Huang F, et al. Correlation among lens opacities classification system III grading, visual function index-14, pentacam nucleus staging, and objective scatter index for cataract assessment. Am J Ophthalmol. 2015;159(2):241–247 e2.
Fujikado T, Kuroda T, Maeda N, et al. Light scattering and optical aberrations as objective parameters to predict visual deterioration in eyes with cataracts. J Cataract Refract Surg. 2004;30(6):1198–208.
de Waard PW, JK IJ, van den Berg TJ, et al. Intraocular light scattering in age-related cataracts. Invest Ophthalmol Vis Sci. 1992;33(3):618–25.
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Yu, AY. (2021). Objective Grading of Cataract. In: Yu, AY. (eds) Double-pass Optical Quality Analysis for the Clinical Practice of Cataract. Springer, Singapore. https://doi.org/10.1007/978-981-16-0435-5_6
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DOI: https://doi.org/10.1007/978-981-16-0435-5_6
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