A Novel Congenital Cataract Category System Based on Lens Opacity Locations and Relevant Anterior Segment Characteristics
We compared the anterior segment characteristics of congenital cataract (CC) patients with lens opacities in different locations and proposed a modified, simple CC category system. Cataractous eyes of CC patients were classified into four groups based on the locations of lens opacities shown in slit...
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Veröffentlicht in: | Investigative ophthalmology & visual science 2016-11, Vol.57 (14), p.6389-6395 |
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creator | Lin, Haotian Lin, Duoru Liu, Zhenzhen Long, Erping Wu, Xiaohang Cao, Qianzhong Chen, Jingjing Lin, Zhuoling Li, Xiaoyan Zhang, Li Chen, Hui Zhang, Xiayin Li, Jing Chen, Weirong Liu, Yizhi |
description | We compared the anterior segment characteristics of congenital cataract (CC) patients with lens opacities in different locations and proposed a modified, simple CC category system.
Cataractous eyes of CC patients were classified into four groups based on the locations of lens opacities shown in slit-lamp examinations and by a 3-dimensional anterior segment imaging system as follows: total, anterior, interior, and posterior cataracts. The mean keratometry value, corneal astigmatism (CA), central corneal thickness (CCT), and anterior chamber depth (ACD) of eyes in different groups were compared.
We included a total of 428 CC patients. Half of the patients with an anterior cataract had the complication of a pupillary residual membrane. Among the patients with posterior lentiglobus cataracts, 90.38% had unilateral involvement. Patients with total, anterior, or interior cataracts had larger keratometry values than those with either posterior cataracts or clear lens. Congenital cataract patients had greater CA and CCT values than those with a clear lens. The largest CA was presented in patients with anterior cataracts, and the value decreased gradually with more posterior locations of lens opacities. Eyes with total and anterior cataracts had smaller ACDs, and eyes with interior and posterior cataracts had greater ACDs than eyes with a clear lens.
Cataractous eyes in CC patients with lens opacities in different locations presented distinct anterior segment characteristics. The modified CC category system, based on the relationships among the locations of lens opacities and anterior segment characteristics, may be beneficial for CC diagnosis and treatment. |
doi_str_mv | 10.1167/iovs.16-20280 |
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Cataractous eyes of CC patients were classified into four groups based on the locations of lens opacities shown in slit-lamp examinations and by a 3-dimensional anterior segment imaging system as follows: total, anterior, interior, and posterior cataracts. The mean keratometry value, corneal astigmatism (CA), central corneal thickness (CCT), and anterior chamber depth (ACD) of eyes in different groups were compared.
We included a total of 428 CC patients. Half of the patients with an anterior cataract had the complication of a pupillary residual membrane. Among the patients with posterior lentiglobus cataracts, 90.38% had unilateral involvement. Patients with total, anterior, or interior cataracts had larger keratometry values than those with either posterior cataracts or clear lens. Congenital cataract patients had greater CA and CCT values than those with a clear lens. The largest CA was presented in patients with anterior cataracts, and the value decreased gradually with more posterior locations of lens opacities. Eyes with total and anterior cataracts had smaller ACDs, and eyes with interior and posterior cataracts had greater ACDs than eyes with a clear lens.
Cataractous eyes in CC patients with lens opacities in different locations presented distinct anterior segment characteristics. The modified CC category system, based on the relationships among the locations of lens opacities and anterior segment characteristics, may be beneficial for CC diagnosis and treatment.</description><identifier>ISSN: 1552-5783</identifier><identifier>EISSN: 1552-5783</identifier><identifier>DOI: 10.1167/iovs.16-20280</identifier><identifier>PMID: 27898985</identifier><language>eng</language><publisher>United States</publisher><subject>Anterior Eye Segment - diagnostic imaging ; Biometry - methods ; Cataract - classification ; Cataract - congenital ; Cataract - diagnosis ; Cornea - diagnostic imaging ; Diagnostic Techniques, Ophthalmological - instrumentation ; Equipment Design ; Female ; Humans ; Imaging, Three-Dimensional - methods ; Lens, Crystalline - diagnostic imaging ; Male ; Middle Aged ; Prospective Studies</subject><ispartof>Investigative ophthalmology & visual science, 2016-11, Vol.57 (14), p.6389-6395</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c332t-d2c334c95942ee3f90268db9ac2a638d4bb8b07f34bfb0e3a3cc726fbb86238f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,861,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27898985$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Haotian</creatorcontrib><creatorcontrib>Lin, Duoru</creatorcontrib><creatorcontrib>Liu, Zhenzhen</creatorcontrib><creatorcontrib>Long, Erping</creatorcontrib><creatorcontrib>Wu, Xiaohang</creatorcontrib><creatorcontrib>Cao, Qianzhong</creatorcontrib><creatorcontrib>Chen, Jingjing</creatorcontrib><creatorcontrib>Lin, Zhuoling</creatorcontrib><creatorcontrib>Li, Xiaoyan</creatorcontrib><creatorcontrib>Zhang, Li</creatorcontrib><creatorcontrib>Chen, Hui</creatorcontrib><creatorcontrib>Zhang, Xiayin</creatorcontrib><creatorcontrib>Li, Jing</creatorcontrib><creatorcontrib>Chen, Weirong</creatorcontrib><creatorcontrib>Liu, Yizhi</creatorcontrib><title>A Novel Congenital Cataract Category System Based on Lens Opacity Locations and Relevant Anterior Segment Characteristics</title><title>Investigative ophthalmology & visual science</title><addtitle>Invest Ophthalmol Vis Sci</addtitle><description>We compared the anterior segment characteristics of congenital cataract (CC) patients with lens opacities in different locations and proposed a modified, simple CC category system.
Cataractous eyes of CC patients were classified into four groups based on the locations of lens opacities shown in slit-lamp examinations and by a 3-dimensional anterior segment imaging system as follows: total, anterior, interior, and posterior cataracts. The mean keratometry value, corneal astigmatism (CA), central corneal thickness (CCT), and anterior chamber depth (ACD) of eyes in different groups were compared.
We included a total of 428 CC patients. Half of the patients with an anterior cataract had the complication of a pupillary residual membrane. Among the patients with posterior lentiglobus cataracts, 90.38% had unilateral involvement. Patients with total, anterior, or interior cataracts had larger keratometry values than those with either posterior cataracts or clear lens. Congenital cataract patients had greater CA and CCT values than those with a clear lens. The largest CA was presented in patients with anterior cataracts, and the value decreased gradually with more posterior locations of lens opacities. Eyes with total and anterior cataracts had smaller ACDs, and eyes with interior and posterior cataracts had greater ACDs than eyes with a clear lens.
Cataractous eyes in CC patients with lens opacities in different locations presented distinct anterior segment characteristics. The modified CC category system, based on the relationships among the locations of lens opacities and anterior segment characteristics, may be beneficial for CC diagnosis and treatment.</description><subject>Anterior Eye Segment - diagnostic imaging</subject><subject>Biometry - methods</subject><subject>Cataract - classification</subject><subject>Cataract - congenital</subject><subject>Cataract - diagnosis</subject><subject>Cornea - diagnostic imaging</subject><subject>Diagnostic Techniques, Ophthalmological - instrumentation</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Lens, Crystalline - diagnostic imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><issn>1552-5783</issn><issn>1552-5783</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkDtPwzAUhS0EoqUwsiKPLCl-5OGMpeIlRVSiMFuOc1OCkrjYbqX8e9wHCN3hHn06OsOH0DUlU0rT7K4xWzelacQIE-QEjWmSsCjJBD_9l0fowrkvQhiljJyjEctEHi4Zo2GGX80WWjw3_Qr6xqsQlVdWab8LsDJ2wMvBeejwvXJQYdPjAnqHF2ulGz_gwmjlGxOI6iv8Bi1sVe_xrPdgG2PxElYdBDD_3K8G6Hyj3SU6q1Xr4Or4J-jj8eF9_hwVi6eX-ayINOfMRxULP9Z5kscMgNc5YamoylxpplIuqrgsRUmymsdlXRLgimudsbQOOGVc1HyCbg-7a2u-N-C87BqnoW1VD2bjJBVxwhKa8DxUo0NVW-OchVqubdMpO0hK5M623NmWNJV726F_c5zelB1Uf-1fvfwH7JN9RQ</recordid><startdate>20161101</startdate><enddate>20161101</enddate><creator>Lin, Haotian</creator><creator>Lin, Duoru</creator><creator>Liu, Zhenzhen</creator><creator>Long, Erping</creator><creator>Wu, Xiaohang</creator><creator>Cao, Qianzhong</creator><creator>Chen, Jingjing</creator><creator>Lin, Zhuoling</creator><creator>Li, Xiaoyan</creator><creator>Zhang, Li</creator><creator>Chen, Hui</creator><creator>Zhang, Xiayin</creator><creator>Li, Jing</creator><creator>Chen, Weirong</creator><creator>Liu, Yizhi</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161101</creationdate><title>A Novel Congenital Cataract Category System Based on Lens Opacity Locations and Relevant Anterior Segment Characteristics</title><author>Lin, Haotian ; Lin, Duoru ; Liu, Zhenzhen ; Long, Erping ; Wu, Xiaohang ; Cao, Qianzhong ; Chen, Jingjing ; Lin, Zhuoling ; Li, Xiaoyan ; Zhang, Li ; Chen, Hui ; Zhang, Xiayin ; Li, Jing ; Chen, Weirong ; Liu, Yizhi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-d2c334c95942ee3f90268db9ac2a638d4bb8b07f34bfb0e3a3cc726fbb86238f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Anterior Eye Segment - diagnostic imaging</topic><topic>Biometry - methods</topic><topic>Cataract - classification</topic><topic>Cataract - congenital</topic><topic>Cataract - diagnosis</topic><topic>Cornea - diagnostic imaging</topic><topic>Diagnostic Techniques, Ophthalmological - instrumentation</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Lens, Crystalline - diagnostic imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Haotian</creatorcontrib><creatorcontrib>Lin, Duoru</creatorcontrib><creatorcontrib>Liu, Zhenzhen</creatorcontrib><creatorcontrib>Long, Erping</creatorcontrib><creatorcontrib>Wu, Xiaohang</creatorcontrib><creatorcontrib>Cao, Qianzhong</creatorcontrib><creatorcontrib>Chen, Jingjing</creatorcontrib><creatorcontrib>Lin, Zhuoling</creatorcontrib><creatorcontrib>Li, Xiaoyan</creatorcontrib><creatorcontrib>Zhang, Li</creatorcontrib><creatorcontrib>Chen, Hui</creatorcontrib><creatorcontrib>Zhang, Xiayin</creatorcontrib><creatorcontrib>Li, Jing</creatorcontrib><creatorcontrib>Chen, Weirong</creatorcontrib><creatorcontrib>Liu, Yizhi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Investigative ophthalmology & visual science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Haotian</au><au>Lin, Duoru</au><au>Liu, Zhenzhen</au><au>Long, Erping</au><au>Wu, Xiaohang</au><au>Cao, Qianzhong</au><au>Chen, Jingjing</au><au>Lin, Zhuoling</au><au>Li, Xiaoyan</au><au>Zhang, Li</au><au>Chen, Hui</au><au>Zhang, Xiayin</au><au>Li, Jing</au><au>Chen, Weirong</au><au>Liu, Yizhi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Novel Congenital Cataract Category System Based on Lens Opacity Locations and Relevant Anterior Segment Characteristics</atitle><jtitle>Investigative ophthalmology & visual science</jtitle><addtitle>Invest Ophthalmol Vis Sci</addtitle><date>2016-11-01</date><risdate>2016</risdate><volume>57</volume><issue>14</issue><spage>6389</spage><epage>6395</epage><pages>6389-6395</pages><issn>1552-5783</issn><eissn>1552-5783</eissn><abstract>We compared the anterior segment characteristics of congenital cataract (CC) patients with lens opacities in different locations and proposed a modified, simple CC category system.
Cataractous eyes of CC patients were classified into four groups based on the locations of lens opacities shown in slit-lamp examinations and by a 3-dimensional anterior segment imaging system as follows: total, anterior, interior, and posterior cataracts. The mean keratometry value, corneal astigmatism (CA), central corneal thickness (CCT), and anterior chamber depth (ACD) of eyes in different groups were compared.
We included a total of 428 CC patients. Half of the patients with an anterior cataract had the complication of a pupillary residual membrane. Among the patients with posterior lentiglobus cataracts, 90.38% had unilateral involvement. Patients with total, anterior, or interior cataracts had larger keratometry values than those with either posterior cataracts or clear lens. Congenital cataract patients had greater CA and CCT values than those with a clear lens. The largest CA was presented in patients with anterior cataracts, and the value decreased gradually with more posterior locations of lens opacities. Eyes with total and anterior cataracts had smaller ACDs, and eyes with interior and posterior cataracts had greater ACDs than eyes with a clear lens.
Cataractous eyes in CC patients with lens opacities in different locations presented distinct anterior segment characteristics. The modified CC category system, based on the relationships among the locations of lens opacities and anterior segment characteristics, may be beneficial for CC diagnosis and treatment.</abstract><cop>United States</cop><pmid>27898985</pmid><doi>10.1167/iovs.16-20280</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Anterior Eye Segment - diagnostic imaging Biometry - methods Cataract - classification Cataract - congenital Cataract - diagnosis Cornea - diagnostic imaging Diagnostic Techniques, Ophthalmological - instrumentation Equipment Design Female Humans Imaging, Three-Dimensional - methods Lens, Crystalline - diagnostic imaging Male Middle Aged Prospective Studies |
title | A Novel Congenital Cataract Category System Based on Lens Opacity Locations and Relevant Anterior Segment Characteristics |
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