Hockwin O
Fortschr Ophthalmol. 1989;86(4):304-11.
The introduction of Scheimpflug photography of the anterior eye segment, the construction of appropriate equipment, and the development of procedures for image analysis have decisively influenced clinical and experimental research on the anterior eye segment. The most important field of application is measurement of the light-scatter in the lens from which conclusions on lens transparency can be drawn. Information on the different transparency properties in the individual lens layers was obtained for the first time by means of investigations on lens transparency in relation to age. These data permit early recognition of pathological changes in lens transparency as the data were obtained from rather large groups of patients, the classification characteristics for the localization of certain opacifications could be determined objectively and thus provide the fundamental conditions for epidemiological investigations into a possible relationship between certain risk factors and types of opacification. Due to the high reproducibility of the photographic techniques, the method was speedily accepted for long-term investigations on lens transparency, some of which were sometimes performed over a period of several years. Application of the method within the scope of drug testing is already being requested today by the authorities concerned. The procedure has also been accepted for experimental cataract research. The possibility of early detection of the processes of opacification and their respective locations in the lens can now be biochemically analyzed.
眼前节的Scheimpflug摄影技术的引入、合适设备的构建以及图像分析程序的开发,对眼前节的临床和实验研究产生了决定性影响。最重要的应用领域是测量晶状体中的光散射,由此可以得出关于晶状体透明度的结论。通过对晶状体透明度与年龄关系的研究,首次获得了关于晶状体各层不同透明度特性的信息。这些数据来自相当大的患者群体,因此能够早期识别晶状体透明度的病理变化,还能客观地确定某些混浊定位的分类特征,从而为流行病学调查某些风险因素与混浊类型之间可能的关系提供了基本条件。由于摄影技术具有高度可重复性,该方法很快被用于晶状体透明度的长期研究,其中一些研究有时会持续数年。如今,相关当局已要求在药物测试范围内应用该方法。该程序也已被用于实验性白内障研究。现在可以对混浊过程及其在晶状体中的各自位置进行早期检测,并进行生化分析。