Prevalence of Lens Opacities in Surgical and General Populations

doi:10.1001/archopht.1991.01080070105046

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Vol. 109 No. 7, July 1991

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EPIDEMIOLOGY AND BIOSTATISTICS

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Prevalence of Lens Opacities in Surgical and General Populations

Ingrid Adamsons, MD, MPH; Beatriz Muñoz, MS; Cheryl Enger, MS; Hugh R. Taylor, MD

Arch Ophthalmol. 1991;109(7):993-997.

Abstract

• The distribution and prevalence of lens opacities wereexamined and compared among three general population-based groupsand a group that underwent cataract surgery. The population-basedgroups comprised subjects from the Framingham Eye Survey, theNational Health and Nutrition Examination Survey, and the studyof watermen in Maryland. Comparison among these groups revealedsimilar frequencies of lens opacities among age groups, withslightly higher rates for older individuals in the watermenstudy population. Comparison between the watermen and the surgicalgroups revealed that, of lenses with opacities, posterior subcapsularcataracts were present in a far greater percentage of surgerycases (60.6%) than in general population cases (5.3%). Thesefindings confirm the generally held clinical belief that posteriorsubcapsular opacities are disproportionally represented in thesurgical population and suggest that they cause more significantvisual disability than do other types of cataracts.

Author Affiliations

From the Dana Center for Preventive Ophthalmology, The Wilmer Institute, The Johns Hopkins University, Baltimore, Md (Dr Adamsons and Mss Muñoz and Enger); and the Department of Ophthalmology, University of Melbourne (Australia) (Dr Taylor).

Footnotes

Accepted for publication April 9, 1991.

Reprint requests to The Johns Hopkins Hospital, 600 N WolfeSt, 116 Wilmer Bldg, Baltimore, MD 21205 (Dr Adamsons).

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