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Cataracts can be classified by using the lens opacities classification system LOCS III. In this system, cataracts are classified based on type as nuclear, cortical, or posterior. The cataracts are further classified based on severity on a scale from 1 to 5. The LOCS III system is highly reproducible. [46]
The anterior chamber drainage angle is then graded as a ratio between the peripheral anterior chamber depth and corneal thickness (AC : C ratio) [5] or expressed traditionally as a fraction [6] to provide the Van Herick's result. Grading can also be obtained by distinguishing the structures visible upon observation.
Near-sightedness is the most common disorder. [5] Rates among adults are between 15 and 49% while rates among children are between 1.2 and 42%. [6] Far-sightedness more commonly affects young children and the elderly. [7] [8] Presbyopia affects most people over the age of 35. [3]
Higher-quality optical-grade glass materials exist (e.g. Borosilicate crown glasses such as BK7 ( n d = 1.51680 , V d = 64.17 , D = 2.51 g/cm³ ), which is commonly used in telescopes and binoculars, and fluorite crown glasses such as the best optical quality low dispersion glass currently in production, N-FK58 made by the German company Schott ...
[5] [8] Management can occur with eyeglasses, contact lenses, or refractive corneal surgeries. [2] Glasses are easiest while contact lenses can provide a wider field of vision. [2] Surgery works by changing the shape of the cornea. [5] Far-sightedness primarily affects young children, with rates of 8% at 6 years old and 1% at 15 years old. [9]
The intraocular lens did not find widespread acceptance in cataract surgery until the 1970s, when further developments in lens design and surgical techniques had come about. As of 2021, approximately four million cataract procedures take place annually in the U.S. and nearly 28 million worldwide, a large proportion in India.
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