0000000000352427
AUTHOR
Carl-gustaf Laurell
Objective assessment of cataract: Comparison between the Lens Opacities Classification System III and a Scheimpflug camera
Purpose Develop an automatic system for cataract classification using the Sirius Scheimpflug for both nuclear and cortical cataract. Methods Scheimpflug images were taken using the Sirius system in 50 patients with nuclear and/or cortical cataract (mean age 69 ± 9.2 years). The nuclear opacity (NO) and cortical opacity was graded by an ophthalmologist according to the Lens Opacities Classification System (LOCSIII) by comparing the slit-lamp image with the LOCS's standard nuclear images. A custom-made MATLAB program was used to calculate the pixel intensity value within a region of interest (ROI) of the nucleus and to calculate the percentage of opaque pixels in the cortex. Results Eighty-ni…
Objective Assessment of Nuclear and Cortical Cataracts through Scheimpflug Images: Agreement with the LOCS III Scale.
Purpose To assess nuclear and cortical opacities through the objective analysis of Scheimpflug images, and to check the correlation with the Lens Opacity Classification System III (LOCS III). Methods Nuclear and cortical opacities were graded according to the LOCS III rules after pupil dilation. The maximum and average pixel intensity values along an elliptical mask within the lens nucleus were taken to analyse nuclear cataracts. A new metric based on the percentage of opaque pixels within a region of interest was used to analyse cortical cataracts. The percentage of opaque pixels was also calculated for half, third and quarter areas from the region of interest’s periphery. Results The maxi…