Journal of Ultrasound

, Volume 22, Issue 4, pp 447–452 | Cite as

A comparative evaluation of cataract classifications based on shear-wave elastography and B-mode ultrasound findings

  • Mesut OzgokceEmail author
  • Muhammed Batur
  • Muhammed Alpaslan
  • Alpaslan Yavuz
  • Abdussamet Batur
  • Erbil Seven
  • Harun Arslan
Original Paper


In this study, a comparison is made of the findings of B-mode ultrasound and ultrasound elastography with the Lens Opacities Classification (LOCS) grade in patients with senile cataracts. A total of 74 patients with cataracts and 32 age-matched healthy volunteers as the control group were evaluated in the departments of ophthalmology and radiology between 2016 and 2017. In the patient group, cataracts were graded according to LOCS, and B-mode sonographic appearance and elasticity measurements were recorded, after which the cataract grade and sonoelastography/B-mode ultrasound findings were compared using statistical methods. Among the 74 patients with cataracts, 38 were females (51.4%) and 36 were males (48.6%), and the mean age was 62.05 ± 7.95 (43–78) years. A Chi-square test revealed a significant relationship between ultrasound echogenicity of cataract and grade of cataract (p < 0.005). The ultrasound elastography revealed a mean shear-wave velocity of 2.90 m/s ± 0.371 (2.13–3.53) among patients with grade 3 cataracts, 3.1 m/s ± 0.45 (2.26–3.98) among patients with grade 4, 3 m/s ± 0.58 (2.35–4.60) among patients with grade 5 and 3 m/s ± 0.528 (2.31–4.50) among patients with grade 6 cataracts, and 3 m/s ± 0.258 (2.36–3.58) among the normal subjects. No statistically significant difference was noted in the analysis of variance (p > 0.005). While cataract grade and B mode echogenicity were directly proportional, there was no significant difference in lens elasticity.


Cataract Elastography Ultrasonography 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its amendments or comparable ethical standards.


No funding was received.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2019

Authors and Affiliations

  • Mesut Ozgokce
    • 1
    Email author
  • Muhammed Batur
    • 2
  • Muhammed Alpaslan
    • 3
  • Alpaslan Yavuz
    • 4
  • Abdussamet Batur
    • 5
  • Erbil Seven
    • 2
  • Harun Arslan
    • 1
  1. 1.Department of Radiology, Medical FacultyYuzuncu Yıl UniversityVanTurkey
  2. 2.Department of Ophthalmology, Medical FacultyYuzuncu Yıl UniversityVanTurkey
  3. 3.Department of Radiology, Medical FacultyAhi Evran UniversityKırsehirTurkey
  4. 4.Department of RadiologyAntalya Researching and Training HospitalAntalyaTurkey
  5. 5.Department of Radiology, Medical FacultySelcuk UniversityKonyaTurkey

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