Quantitative evaluation of nuclear cataract using image analysis.

To quantitatively evaluate nuclear lens opacification, we applied image analysis techniques. Utilizing a newly developed anterior eye segment analysis system, Scheimpflug slit images were taken in 65 eyes with transparent lenses and 31 eyes with nuclear cataract. In transparent lenses, scattering light intensity of the anterior fetal nucleus (AFN) was equal to or less than that of the posterior fetal nucleus (PFN). In eyes with nuclear cataract, scattering light intensity of the AFN was higher than that of the PFN. Utilizing this phenomenon, nuclear opacification was evaluated by the difference of scattering light intensity between the AFN and PFN (delta i value). The methodology applied in this investigation provides precise grading of nuclear cataract and progression thereof.