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Mirzaie M, Bahremani E, Taheri N, Khamnian Z, Kharrazi Ghadim B. Cataract Grading in Pure Senile Cataracts: Pentacam versus LOCS III. JOVR [Internet]. 2022Aug.9 [cited 2024Apr.20];17(3):337–343. Available from: https://knepublishing.com/index.php/JOVR/article/view/11570

https://doi.org/10.18502/jovr.v17i3.11570

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authors

  • Mohammad Mirzaie

    Mohammad Mirzaie

    Nikoukari Eye Hospital, Department of Ophthalmology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
  • Erfan Bahremani

    Erfan Bahremani

    Nikoukari Eye Hospital, Department of Ophthalmology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
    https://orcid.org/0000-0002-5104-8667
  • Nazli Taheri

    Nazli Taheri

    Nikoukari Eye Hospital, Department of Ophthalmology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
  • Zhila Khamnian

    Zhila Khamnian

    Department of Community Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
  • Banafshe Kharrazi Ghadim

    Banafshe Kharrazi Ghadim

    Nikoukari Eye Hospital, Department of Ophthalmology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

Published Date

  • Aug 9, 2022
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Cataract Grading in Pure Senile Cataracts: Pentacam versus LOCS III

Journal of Ophthalmic and Vision Research (JOVR) / July–Sep 2022, Volume 17, Issue 3 / Pages 337–343

Abstract

Purpose: To determine the diagnostic accuracy of Pentacam Cataract Grading Scale (PCGS) versus the Lens Opacities Classification System (LOCS III) in scaling pure age-related cataract.


Methods: Between April 2016 and May 2017, eyes of 281 patients were evaluated for grading of lens opacity. We used LOCS III and PCGS. Patients with pure age-related cataract with no previous history of eye surgery, eye trauma, or chronic systemic disease between 50 and 95 years of age were included. The examination of the patients was done, using slit lamp and LOCS III grading chart. The second examination was done a week later, using Oculus Pentacam. Next, we graded them using a PNS grading score. Spearman’s rank correlation and a Bland-Altman Plot were implemented for analysis using MedCalc 14. 8.1. P < O.05 was considered as statistically significant.


Results: Three hundred eyes were examined. Of them, 189 patients were male, and patients between 70 to 80 years old were the most common group. The correlation between grades of two methods was 0.47 (P < 0.001). Results of the Bland-Altman plot showed a moderate alignment between the two methods.


Conclusion: The association between LOCSIII and PCGS is not so favorable, however, it is an economical and effective method to assess lens opacities is LOCSIII. PCGS can be used in early diagnosis. For a definitive diagnosis and appropriate therapeutic intervention, an ophthalmological examination is needed.

Keywords:

Cataract, Lens Nucleus Densitometry, Lens Opacities Classification System III, Scheimpflug Lens Density, Pentacam

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