From Presbyopia to Cataracts: A Critical Review on Dysfunctional Lens Syndrome

Dysfunctional lens syndrome (DLS) is a term coined to describe the natural aging changes in the crystalline lens. Different alterations in the refractive properties and transparency of the lens are produced during the development of presbyopia and cataract, such as changes in internal high order abe...

Full description

Saved in:
Bibliographic Details
Main Authors: Joaquín Fernández, Manuel Rodríguez-Vallejo, Javier Martínez, Ana Tauste, David P. Piñero
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/4318405
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832563031271276544
author Joaquín Fernández
Manuel Rodríguez-Vallejo
Javier Martínez
Ana Tauste
David P. Piñero
author_facet Joaquín Fernández
Manuel Rodríguez-Vallejo
Javier Martínez
Ana Tauste
David P. Piñero
author_sort Joaquín Fernández
collection DOAJ
description Dysfunctional lens syndrome (DLS) is a term coined to describe the natural aging changes in the crystalline lens. Different alterations in the refractive properties and transparency of the lens are produced during the development of presbyopia and cataract, such as changes in internal high order aberrations or an increase in ocular forward scattering, with a potentially significant impact on clinical measures, including visual acuity and contrast sensitivity. Objective technologies have emerged to solve the limits of current methods for the grading of the lens aging, which have been linked to the DLS term. However, there is still not a gold standard or evidence-based clinical guidelines around these new technologies despite multiple research studies have correlated their results with conventional methods such as visual acuity or the lens opacification system (LOCS), with more scientific background around the ocular scattering index (OSI) and Scheimpflug densitometry. In either case, DLS is not a new evidence-based concept that leads to new knowledge about crystalline lens aging but it is a nomenclature change of two existing terms, presbyopia and cataracts. Therefore, this term should be used with caution in the scientific peer-reviewed literature.
format Article
id doaj-art-83aa6442225d4758b28ace7678de7691
institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-83aa6442225d4758b28ace7678de76912025-02-03T01:21:08ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/43184054318405From Presbyopia to Cataracts: A Critical Review on Dysfunctional Lens SyndromeJoaquín Fernández0Manuel Rodríguez-Vallejo1Javier Martínez2Ana Tauste3David P. Piñero4Department of Ophthalmology (Qvision), Vithas Virgen del Mar Hospital, 04120 Almería, SpainDepartment of Ophthalmology (Qvision), Vithas Virgen del Mar Hospital, 04120 Almería, SpainDepartment of Ophthalmology (Qvision), Vithas Virgen del Mar Hospital, 04120 Almería, SpainDepartment of Ophthalmology (Qvision), Vithas Virgen del Mar Hospital, 04120 Almería, SpainDepartment of Optics, Pharmacology and Anatomy, University of Alicante, Alicante, SpainDysfunctional lens syndrome (DLS) is a term coined to describe the natural aging changes in the crystalline lens. Different alterations in the refractive properties and transparency of the lens are produced during the development of presbyopia and cataract, such as changes in internal high order aberrations or an increase in ocular forward scattering, with a potentially significant impact on clinical measures, including visual acuity and contrast sensitivity. Objective technologies have emerged to solve the limits of current methods for the grading of the lens aging, which have been linked to the DLS term. However, there is still not a gold standard or evidence-based clinical guidelines around these new technologies despite multiple research studies have correlated their results with conventional methods such as visual acuity or the lens opacification system (LOCS), with more scientific background around the ocular scattering index (OSI) and Scheimpflug densitometry. In either case, DLS is not a new evidence-based concept that leads to new knowledge about crystalline lens aging but it is a nomenclature change of two existing terms, presbyopia and cataracts. Therefore, this term should be used with caution in the scientific peer-reviewed literature.http://dx.doi.org/10.1155/2018/4318405
spellingShingle Joaquín Fernández
Manuel Rodríguez-Vallejo
Javier Martínez
Ana Tauste
David P. Piñero
From Presbyopia to Cataracts: A Critical Review on Dysfunctional Lens Syndrome
Journal of Ophthalmology
title From Presbyopia to Cataracts: A Critical Review on Dysfunctional Lens Syndrome
title_full From Presbyopia to Cataracts: A Critical Review on Dysfunctional Lens Syndrome
title_fullStr From Presbyopia to Cataracts: A Critical Review on Dysfunctional Lens Syndrome
title_full_unstemmed From Presbyopia to Cataracts: A Critical Review on Dysfunctional Lens Syndrome
title_short From Presbyopia to Cataracts: A Critical Review on Dysfunctional Lens Syndrome
title_sort from presbyopia to cataracts a critical review on dysfunctional lens syndrome
url http://dx.doi.org/10.1155/2018/4318405
work_keys_str_mv AT joaquinfernandez frompresbyopiatocataractsacriticalreviewondysfunctionallenssyndrome
AT manuelrodriguezvallejo frompresbyopiatocataractsacriticalreviewondysfunctionallenssyndrome
AT javiermartinez frompresbyopiatocataractsacriticalreviewondysfunctionallenssyndrome
AT anatauste frompresbyopiatocataractsacriticalreviewondysfunctionallenssyndrome
AT davidppinero frompresbyopiatocataractsacriticalreviewondysfunctionallenssyndrome