Senile cataract. A comparative study between lens fibre stress and cuneiform opacity formation.
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Biomedical subjects
Publications and source records attributed to R F Fisher.
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1. A technique is described whereby the elasticity of the human lens capsule has been determined at birth and throughout life. This technique requires three separate determinations: (a) thickness; (b) stress and strain; (c) Poisson's ratio; (a) the capsule was clamped between accurately perforated ground glass plates and its thickness determined by noting the change in depth of focus between Latex spherules adhering to its upper and lower surfaces; (b) the undisturbed capsule was then placed in a specially designed glass distension apparatus and the relationship between volume and pressure recorded when it was distended with isotonic saline. The permeability of the capsule was also measured; (c) in some cases Poisson's ratio was determined by measuring the change of thickness of the capsule and the height to which it rose when distended with isotonic saline at different pressures. An apparatus was designed for this purpose.2. The average thickness of the anterior capsule increases from birth until about the 60th year but thereafter it decreases slightly.3. Poisson's ratio was about 0.47 for both cat and human capsule, and no significant variations with age in human capsule could be detected.4. Corrected volume pressure curves obeyed Hook's law almost to the point of capsule rupture.5. In childhood Young's Modulus of elasticity is about 6 x 10(7) dyn/cm(2) and decreases to 3 x 10(7) dyn/cm(2) at 60 and 1.5 x 10(7) dyn/cm(2) in extreme old age.6. The ultimate tensile stress was 2.3 x 10(7) dyn/cm(2) in young capsules and 0.7 x 10(7) dyn/cm(2) in old ones. The maximum percentage elongation was 29 per cent and independent of age.7. The implications of these findings are discussed in relation to(a) the mechanical properties of the lens capsule;(b) the ageing of the lens capsule and basement membranes; and(c) the decrease in elasticity of the lens capsule as a cause of presbyopia.
1. A method for the estimation of the energy released by the anterior part of the lens capsule during accommodation is described. This includes(i) A determination of the pressure required to distend the capsule by a standard volume.(ii) The calculation from the photographed lens profiles of the degree of capsular contraction which occurs when the lens changes from the unaccommodated to the accommodated form.(iii) Capsular volume changes in vitro are then related to the surface area changes calculated for the lens in vivo.2. A correlation exists between the stored capsular energy per unit area or surface tension and the accommodation power of different species. The human lens capsule releases 1170 ergs/cm(2) while the more spherical lenses of the cat and rabbit release 520 and 485 ergs/cm(2) respectively for a 10% change in lens diameter. The amount of energy which can be stored depends on the degree of flatness of the lens and the volume of the anterior segment. The flatter the lens and the smaller the volume of the anterior segment, the greater the capsular surface tension.3. The anterior surface of the human lens remains ellipsoidal throughout life. The changes of accommodation which occur in presbyopia may therefore be related to the lens profiles at various ages. It is found that a coefficient obtained by dividing the anterior volume of the lens by the 5th power of the equatorial radius of the lens modifies the degree of accommodation for a given change of lens diameter.4. The loss of accommodation is proportional to the effective capsular surface energy until about the age of 45. The effective capsular surface energy can be defined as the energy which gives the same change in lens dioptric power per erg regardless of the lenticular profile changes which occur with age. It is obtained by multiplying capsular surface tension at a given age by a ratio. This is obtained by dividing the profile coefficient mentioned in paragraph 3 of the given lens, by the profile coefficient of the reference lens aged 15 (0.068). The effective surface energy of the entire lens falls from 110 ergs at the age of 15 to 50 ergs at 60. Assuming that ciliary power remains unaltered 55% of the loss of accommodation is accounted for solely by the fall in Young's Modulus of elasticity of the capsule and the changing shape of the lens with age.
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