Pakhomova N A, Borisenko T E, Roshchin S V, Bursov A I, Kravchik M V, Novikov I A, Avetisov S E
Krasnov Research Institute of Eye Diseases, Moscow, Russia.
Ivannikov Institute for System Programming, Moscow, Russia.
Vestn Oftalmol. 2023;139(1):35-45. doi: 10.17116/oftalma202313901135.
This study provides a detailed analysis of the bioinorganic chemical composition of lens substance in patients with senile cataract using classical and spatial statistics methods.
The study included 30 isolated human lenses. The light scattering ability (LSA) of the lens substance was evaluated using an original method. Additionally, distribution of chemical elements in the lens substance was analyzed using a scanning electron microscope with energy dispersive spectrometer (SEM/EDS). Measurements by all methods were carried out in a single coordinate space, which made it possible to compare the spatial correlation of different parameters.
Small-angle light scattering of the lens substance has been quantitatively characterized for the first time. In contrast to the conventional norm, in senile cataract the accumulation fields of the majority of ion-forming elements (including Na, P, K, Cl) are distributed along the lines repeating the geometry of the lens capsule. At the same time, the light scattering ability of certain areas of the lens is significantly correlated with changes in the concentrations of Na, P, K, Ca in these areas. In particular, one ion-forming element can be distinguished - Na: spatial change of its concentration in senile cataract is strongly associated with a local change in LSA of the lens with opacities clustering of any degree. Thus, a change in the nature of the Na accumulation in the lens volume can be considered the main marker of senile cataract formation.
The distribution pattern of ion-forming elements indicates that the loss of barrier properties in the capsule plays a significant role in the development of senile cataract.
本研究采用经典统计学方法和空间统计学方法,对老年性白内障患者晶状体物质的生物无机化学成分进行详细分析。
本研究纳入30枚离体人晶状体。采用原创方法评估晶状体物质的光散射能力(LSA)。此外,使用配备能谱仪的扫描电子显微镜(SEM/EDS)分析晶状体物质中化学元素的分布。所有方法的测量均在单一坐标空间中进行,这使得比较不同参数的空间相关性成为可能。
首次对晶状体物质的小角度光散射进行了定量表征。与传统标准不同,在老年性白内障中,大多数离子形成元素(包括Na、P、K、Cl)的积聚区域沿重复晶状体囊几何形状的线分布。同时,晶状体某些区域的光散射能力与这些区域中Na、P、K、Ca浓度的变化显著相关。特别是,可以区分出一种离子形成元素——Na:其在老年性白内障中浓度的空间变化与晶状体局部光散射能力的变化密切相关,且与任何程度的混浊聚集有关。因此,晶状体体积中Na积聚性质的改变可被视为老年性白内障形成的主要标志。
离子形成元素的分布模式表明,晶状体囊屏障特性的丧失在老年性白内障的发展中起重要作用。