A new method of measuring in vivo the lens transmittance, and study of lens scatter, fluorescence and transmittance

We propose a new method to measure in vivo nuclear transmittance using scanning photometry, thus complementing its present application in measuring lens scatter and fluorescence. We compared our method of measuring the transmittance with a previously reported in vivo method and found an adequate correlation. We then measured the fluorescence, scatter and transmittance of lenses without cataract and those with as much as a mild yellowing. The three phenomena correlated with age. In addition, this study allowed a correlation of the three phenomena with each other, indicating that the loss of transmittance of the nucleus cannot be explained by its thickening alone but that changes in its composition must take place. Finally, a preliminary study on diabetics showed early onset of the process responsible for the increase in lens fluorescence. This process did not seem to be accelerated in diabetics in comparison with normals. The nuclear scatter appeared to increase more rapidly with age in nondiabetics as compared to diabetics. This preliminary study suggests mainly that scanning photometry can be used to study aging and pathologic changes in the lens.