This add-on to the standard imaging software allows rapid and objective assessment of the corneal densitometry. We provide normative data that may be used as a reference facilitating research and complementing clinical examination.

PURPOSE.To observe the age-related changes in crystalline lens power in vivo in a noncataractous European population.METHODS. Data were obtained though Project Gullstrand, a multicenter population study with data from healthy phakic subjects between 20 and 85 years old. One randomly selected eye per subject was used. Lens power was calculated using the modified Bennett-Rabbetts method, using biometry data from an autorefractometer, Oculus Pentacam, and Haag-Streit Lenstar.RESULTS. The study included 1069 Caucasian subjects (490 men, 579 women) with a mean age of 44.2 6 14.2 years and mean lens power of 24.96 6 2.18 diopters (D). The average lens power showed a statistically significant decrease as a function of age, with a steeper rate of decrease after the age of 55. The highest crystalline lens power was found in emmetropic eyes and eyes with a short axial length. The correlation of lens power with different refractive components was statistically significant for axial length (r ¼ À0.523, P < 0.01) and anterior chamber depth (r ¼ À0.161, P < 0.01), but not for spherical equivalent and corneal power (P > 0.05).CONCLUSIONS. This in vivo study showed a monotonous decrease in crystalline lens power with age, with a steeper decline after 55 years. While this finding fundamentally concurs with previous in vivo studies, it is at odds with studies performed on donor eyes that reported lens power increases after the age of 55.

. Purpose:  Our purpose was to evaluate the surgical outcome after intra‐ocular lens exchange in patients who presented impairing visual complaints after primary multifocal intra‐ocular lens (MIOL) implantation. In particular, the study was undertaken to look at the number of eyes that could be equipped with the bag‐in‐the‐lens (BIL) IOL after MIOL exchange. Methods:  This series consisted of 30 eyes of 21 consecutive patients scheduled for MIOL exchange. In 15 out of the 30 eyes, IOL misalignment was measured on slit lamp anterior segment photo’s after defining the mathematical centres of the IOL optic, pupil and limbus. Results:  Diffractive MIOL was more frequently explanted (25; 83%) when compared with refractive MIOL (4; 13%) and progressive optic IOL (1; 4%). In 21 out of the 30 eyes (70%) a bag‐in‐the‐lens could be implanted. In 7 out of the 30 eyes (23%), the capsule was not considered sufficiently stable to accommodate an IOL. An iris‐fixated IOL or a sulcus‐fixated IOL was then implanted. In 2 out of the 30 eyes (6%) the remaining capsular bag could accommodate a traditional lens‐in‐the‐bag only. Eyes that underwent Nd:YAG laser capsulotomy prior to the MIOL exchange needed anterior vitrectomy peroperatively (11 eyes; 37%). Visual acuity improved postoperatively in 13 out of the 30 eyes and remained stable in 17 out of the 30 eyes. Conclusions:  Since the BIL technique requires a very well‐preserved capsular bag for the purpose of the IOL implantation, the success rate of BIL implantation after MIOL is a good indicator to evaluate the degree of difficulty to exchange MIOL.

In healthy human eyes, retinal straylight values measured with the compensation comparison technique are not significantly correlated with macular pigment optical density.

Current analysis does not confirm the previously suggested association between keratoconus and higher amounts of axial myopia, which may have been the result of selection bias by using emmetropic eyes as a healthy control group.