Characterization of Dysfunctional Lens Index and Opacity Grade in a Healthy Population

• Published in: Diagnostics (Basel) 2022-05, Vol.12 (5), p.1167
• Main Authors: Martínez-Plaza, Elena, Ruiz-Fortes, Pedro, Soto-Negro, Roberto, Hernández-Rodríguez, Carlos J, Molina-Martín, Ainhoa, Arias-Puente, Alfonso, Piñero, David P
• Format: Article
• Language: English
• Subjects: Age; cataract; Cataracts; Coma; Cornea; dysfunctional lens index; dysfunctional lens syndrome; high-order aberrations; Software; Statistical analysis
• ISSN: 2075-4418; 2075-4418
• DOI: 10.3390/diagnostics12051167

This study enrolled 61 volunteers (102 eyes) classified into subjects < 50 years (group 1) and subjects ≥ 50 years (group 2). Dysfunctional Lens Index (DLI); opacity grade; pupil diameter; and corneal, internal, and ocular higher order aberrations (HOAs) were measured with the i-Trace system (Tracey Technologies). Mean DLI was 8.89 ± 2.00 and 6.71 ± 2.97 in groups 1 and 2, respectively, being significantly higher in group 1 in all and right eyes (both p < 0.001). DLI correlated significantly with age (Rho = −0.41, p < 0.001) and pupil diameter (Rho = 0.20, p = 0.043) for all eyes, and numerous internal and ocular root-mean square HOAs for right, left, and all eyes (Rho ≤ −0.25, p ≤ 0.001). Mean opacity grade was 1.21 ± 0.63 and 1.48 ± 1.15 in groups 1 and 2, respectively, with no significant differences between groups (p ≥ 0.29). Opacity grade significantly correlated with pupil diameter for right and all eyes (Rho ≤ 0.33, p ≤ 0.013), and with some ocular root-mean square HOAs for right and all eyes (Rho ≥ 0.23, p ≤ 0.020). DLI correlates with age and might be used complementary to other diagnostic measurements for assessing the dysfunctional lens syndrome. Both DLI and opacity grade maintain a relationship with pupil diameter and internal and ocular HOAs, supporting that the algorithms used by the device may be based, in part, on these parameters.