Investigation of lens morphology and mechanical characteristics of lens capsule and lens nucleus in patients with agerelated and diabetic cataract

Purpose: To investigate the influence of carbohydrate metabolism on the structure and mechanical properties of the lens capsule and nucleus.Methods: Human lens pathology was studied in different forms of cataract. 220 patients with a cataract (220 eyes) were included in this study. Morphological, im...

Full description

Bibliographic Details
Main Authors: A. S. Tishkova, V. A. Galanzha, A. F. Cipyashyuk, A. B. Bucharskaya, G. N. Maslyakova, A. M. Burov, A. V. Skripal
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2014-07-01
Series:Oftalʹmologiâ
Subjects:
Online Access:https://www.ophthalmojournal.com/opht/article/view/104
_version_ 1827063291758772224
author A. S. Tishkova
V. A. Galanzha
A. F. Cipyashyuk
A. B. Bucharskaya
G. N. Maslyakova
A. M. Burov
A. V. Skripal
author_facet A. S. Tishkova
V. A. Galanzha
A. F. Cipyashyuk
A. B. Bucharskaya
G. N. Maslyakova
A. M. Burov
A. V. Skripal
author_sort A. S. Tishkova
collection DOAJ
description Purpose: To investigate the influence of carbohydrate metabolism on the structure and mechanical properties of the lens capsule and nucleus.Methods: Human lens pathology was studied in different forms of cataract. 220 patients with a cataract (220 eyes) were included in this study. Morphological, immunohystological and immunocytochemical investigations of lens substance (antibodies to a- (a-А and a-В), b-, g- crystallines), spectroscopic analyses of smears and morphometric analyses of slices, investigation of lens morphology and mechanical caracteristics of lens capsule and lens nucleus were performed.Results: The capsule of the lens in patients with senile cataract contains more Na+, Cl-. The capsule of the lens in patients with senile cataract contains more Ca2+, O. Mechanical strength of the capsule in the case of diabetes mellitus was lower comparatively with senile cataract in the same age groups. More significant expression of a-В and b-crystallines was found in patients with diabetes mellitus comparatively with patients with age-related cataract. Morphological features were founded in patients with cortical and nuclear forms of senile cataract and the diabetic cataract.Conclusion: During surgery (ultrasonic microcoaxial phacoemulsification) the equivalent of ultrasound was recorded. Lower density of the lens nucleus of patients with diabetes mellitus made it possible to use lower energy parameters. Using the torsion ultrasound in those cases allowed us to decrease the influence of ultrasound on eye tissues and reduce the time of achieving the maximum BCVA in the postsurgical period.
first_indexed 2024-04-10T01:49:17Z
format Article
id doaj.art-d6ce8d709ad04f929dcddf438ff51050
institution Directory Open Access Journal
issn 1816-5095
2500-0845
language Russian
last_indexed 2025-02-18T20:11:13Z
publishDate 2014-07-01
publisher Ophthalmology Publishing Group
record_format Article
series Oftalʹmologiâ
spelling doaj.art-d6ce8d709ad04f929dcddf438ff510502024-10-17T16:11:54ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452014-07-01103263210.18008/1816-5095-2013-3-26-32104Investigation of lens morphology and mechanical characteristics of lens capsule and lens nucleus in patients with agerelated and diabetic cataractA. S. Tishkova0V. A. Galanzha1A. F. Cipyashyuk2A. B. Bucharskaya3G. N. Maslyakova4A. M. Burov5A. V. Skripal6СГМУ им. В. И. РазумовскогоСГМУ им. В. И. РазумовскогоКлиника глазных болезней СГМУ им. В. И. РазумовскогоНОЦ «Фундаментальной медицины и нанотехнологий» СГМУ им. В. И. РазумовскогоСГМУ им. В. И. РазумовскогоИнститут Биохимии и Физиологии Растений и Микроорганизмов Российской Академии НаукСГУ им.Н. Г. ЧернышевскогоPurpose: To investigate the influence of carbohydrate metabolism on the structure and mechanical properties of the lens capsule and nucleus.Methods: Human lens pathology was studied in different forms of cataract. 220 patients with a cataract (220 eyes) were included in this study. Morphological, immunohystological and immunocytochemical investigations of lens substance (antibodies to a- (a-А and a-В), b-, g- crystallines), spectroscopic analyses of smears and morphometric analyses of slices, investigation of lens morphology and mechanical caracteristics of lens capsule and lens nucleus were performed.Results: The capsule of the lens in patients with senile cataract contains more Na+, Cl-. The capsule of the lens in patients with senile cataract contains more Ca2+, O. Mechanical strength of the capsule in the case of diabetes mellitus was lower comparatively with senile cataract in the same age groups. More significant expression of a-В and b-crystallines was found in patients with diabetes mellitus comparatively with patients with age-related cataract. Morphological features were founded in patients with cortical and nuclear forms of senile cataract and the diabetic cataract.Conclusion: During surgery (ultrasonic microcoaxial phacoemulsification) the equivalent of ultrasound was recorded. Lower density of the lens nucleus of patients with diabetes mellitus made it possible to use lower energy parameters. Using the torsion ultrasound in those cases allowed us to decrease the influence of ultrasound on eye tissues and reduce the time of achieving the maximum BCVA in the postsurgical period.https://www.ophthalmojournal.com/opht/article/view/104cataractcrystallinephacoemulsificationdiabetes mellitus
spellingShingle A. S. Tishkova
V. A. Galanzha
A. F. Cipyashyuk
A. B. Bucharskaya
G. N. Maslyakova
A. M. Burov
A. V. Skripal
Investigation of lens morphology and mechanical characteristics of lens capsule and lens nucleus in patients with agerelated and diabetic cataract
Oftalʹmologiâ
cataract
crystalline
phacoemulsification
diabetes mellitus
title Investigation of lens morphology and mechanical characteristics of lens capsule and lens nucleus in patients with agerelated and diabetic cataract
title_full Investigation of lens morphology and mechanical characteristics of lens capsule and lens nucleus in patients with agerelated and diabetic cataract
title_fullStr Investigation of lens morphology and mechanical characteristics of lens capsule and lens nucleus in patients with agerelated and diabetic cataract
title_full_unstemmed Investigation of lens morphology and mechanical characteristics of lens capsule and lens nucleus in patients with agerelated and diabetic cataract
title_short Investigation of lens morphology and mechanical characteristics of lens capsule and lens nucleus in patients with agerelated and diabetic cataract
title_sort investigation of lens morphology and mechanical characteristics of lens capsule and lens nucleus in patients with agerelated and diabetic cataract
topic cataract
crystalline
phacoemulsification
diabetes mellitus
url https://www.ophthalmojournal.com/opht/article/view/104
work_keys_str_mv AT astishkova investigationoflensmorphologyandmechanicalcharacteristicsoflenscapsuleandlensnucleusinpatientswithagerelatedanddiabeticcataract
AT vagalanzha investigationoflensmorphologyandmechanicalcharacteristicsoflenscapsuleandlensnucleusinpatientswithagerelatedanddiabeticcataract
AT afcipyashyuk investigationoflensmorphologyandmechanicalcharacteristicsoflenscapsuleandlensnucleusinpatientswithagerelatedanddiabeticcataract
AT abbucharskaya investigationoflensmorphologyandmechanicalcharacteristicsoflenscapsuleandlensnucleusinpatientswithagerelatedanddiabeticcataract
AT gnmaslyakova investigationoflensmorphologyandmechanicalcharacteristicsoflenscapsuleandlensnucleusinpatientswithagerelatedanddiabeticcataract
AT amburov investigationoflensmorphologyandmechanicalcharacteristicsoflenscapsuleandlensnucleusinpatientswithagerelatedanddiabeticcataract
AT avskripal investigationoflensmorphologyandmechanicalcharacteristicsoflenscapsuleandlensnucleusinpatientswithagerelatedanddiabeticcataract