Introduction. The immediate cause for the occurrence of cataract is unknown, but oxidative damage and effects of reactive oxygen species are considered important in its etiopathogenesis. Aim. The study was aimed at testing the products oxidative stress and antioxidant protection factors in serum and corticonuclear lenses blocks of patients with different types and different degrees of maturity of agerelated cataract. Material and Methods. Patients. Clinical and biochemical researches were carried out in 101 patients with age-related cataract, 46 women and 55 men. The average age of the group was 72.5 (SD ± 7.98). According to the cataract maturity degree the patients were classified into two groups as follows: cataract senilis incipiens (N=41) and cataract senilis matura (N=60). Serum samples and corticonuclear lenses blocks were obtained to detect the products of lipid peroxidation: conjugated diene, fluorescent lipid peroxidation products and malondialdehyde and activities antioxidative enzymes: superoxide dismutase, catalase, glutathione peroxidase, glutathione reductase and glutathione S-transferase. Results. Significantly higher concentration of diene conjugation in corticonuclear lenses blocks was measured in the patients with cataract senilis incipiens (p<0.001) as well as the intensity of fluorescent iminopropens (p<0.001). Significantly higher concentration of malondialdehyde in corticonuclear lenses blocks (p<0.001) was measured in the patients with cataracta senilis matura. Conclusion. Based on the found lipid peroxidation products measuring results in corticonuclear lenses blocks in the patients with cataract diagnosis, it can be concluded that the lens structure changes caused by lipid peroxidation can, with other risk factors present, influence occurrence and development of cataract. Some cataract types show different lipid peroxidation intensity with the most distinct changes in the cataract wich started as nuclear.
Кључне речиОксидациони стрес, катаракта, липидна пероксидација, антиоксидантни ензими.