Cortical lenticular opacification: distribution and location in a longitudinal study

To examine the distribution of cortical opacification of the lens by lens quadrant in a longitudinal study. In 1990, a follow-up assessment of a cohort of Chesapeake Bay watermen, initially studied in 1985, was performed. Four hundred thirty-seven subjects (834 eyes) had gradable cortical photograph...

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Veröffentlicht in:Investigative ophthalmology & visual science 1994-02, Vol.35 (2), p.363-366
Hauptverfasser: Schein, OD, West, S, Munoz, B, Vitale, S, Maguire, M, Taylor, HR, Bressler, NM
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container_end_page 366
container_issue 2
container_start_page 363
container_title Investigative ophthalmology & visual science
container_volume 35
creator Schein, OD
West, S
Munoz, B
Vitale, S
Maguire, M
Taylor, HR
Bressler, NM
description To examine the distribution of cortical opacification of the lens by lens quadrant in a longitudinal study. In 1990, a follow-up assessment of a cohort of Chesapeake Bay watermen, initially studied in 1985, was performed. Four hundred thirty-seven subjects (834 eyes) had gradable cortical photographs for at least one eye in both 1985 and 1990. Cortical photographs were graded by both estimating total area and determining the quadrant with the greatest degree of cortical opacification. The prevalence and severity of cortical opacification increased with age with a high degree of concordance (84%) between eyes. For the 47 eyes with cortical opacification > or = 1/8 at baseline, the principal locations of opacification were: inferonasal 63.8%, inferotemporal 17.0%, superonasal 6.4%, and superotemporal 12.8% (P < 0.001, compared with equal distribution by quadrant). Five-year development of new cortical opacification and five-year progression of existing cortical opacification showed even greater preferential occurrence in the inferonasal quadrant of the lens. In this population, the inferonasal quadrant of the lens is the principal site of cortical opacification in both cross-sectional and longitudinal assessment. This finding is consistent with the hypothesis that sunlight exposure is a significant risk factor for cortical opacification.
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In this population, the inferonasal quadrant of the lens is the principal site of cortical opacification in both cross-sectional and longitudinal assessment. 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In 1990, a follow-up assessment of a cohort of Chesapeake Bay watermen, initially studied in 1985, was performed. Four hundred thirty-seven subjects (834 eyes) had gradable cortical photographs for at least one eye in both 1985 and 1990. Cortical photographs were graded by both estimating total area and determining the quadrant with the greatest degree of cortical opacification. The prevalence and severity of cortical opacification increased with age with a high degree of concordance (84%) between eyes. For the 47 eyes with cortical opacification &gt; or = 1/8 at baseline, the principal locations of opacification were: inferonasal 63.8%, inferotemporal 17.0%, superonasal 6.4%, and superotemporal 12.8% (P &lt; 0.001, compared with equal distribution by quadrant). Five-year development of new cortical opacification and five-year progression of existing cortical opacification showed even greater preferential occurrence in the inferonasal quadrant of the lens. In this population, the inferonasal quadrant of the lens is the principal site of cortical opacification in both cross-sectional and longitudinal assessment. This finding is consistent with the hypothesis that sunlight exposure is a significant risk factor for cortical opacification.</abstract><cop>Rockville, MD</cop><pub>ARVO</pub><pmid>8112982</pmid><tpages>4</tpages></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cataract - epidemiology
Cataract - etiology
Cataract - pathology
Cohort Studies
Follow-Up Studies
Humans
Lens Cortex, Crystalline - pathology
Lens Cortex, Crystalline - radiation effects
Lens diseases
Longitudinal Studies
Male
Maryland - epidemiology
Medical sciences
Middle Aged
Ophthalmology
Photography
Prevalence
Radiation Injuries - epidemiology
Radiation Injuries - etiology
Radiation Injuries - pathology
Risk Factors
Ultraviolet Rays - adverse effects
title Cortical lenticular opacification: distribution and location in a longitudinal study
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