Our long range goal is to delineate specific aspects of lens aging and
cataractogenesis at the molecular level, particularly the photobiologic
effects due to longwave ultraviolet (UVA) radiation. As well as utilizing
our spectroscopic analysis (ultraviolet (UV) absorption and transmission,
fluorescence, phosphorescence and EPR spectroscopy), we have expanded our
approach to include nuclear magnetic resonance (NMR) spectroscopy to study
the normal lens and the effects of UV radiation on human and animal lenses
and protein extracts. Our current aim is to further expand this approach
in order to develop surface scanning NMR capable of monitoring specific
parameters (e.g., organophosphate metabolism) in the living animal lens as
delineated by our in vitro studies (on human and animal lenses).
The foregoing in vitro studies will enable us to determine age related
changes with respect to biophysical aspects of lens transparency in aging
and senile cataractogenesis. Our photobiologic studies have enabled us to
develop an in vivo method (UV slit lamp densitography) to screen for and
measure direct and photosensitized lens damage. The projected surface
scanning NMR studies could result in the development of a second in vivo
screening method. The in vivo UV-visible slit lamp densitography will be
performed on patients prior to cataract surgery; the intact lens is then
photographed (with the CCRG method) immediately after extraction and then
subjected to the optical and NMR spectroscopic analyses. These studies
will permit a direct correlation between an in vitro and in vivo cataract
classification system as well as determining objective spectroscopic
parameters associated with various types of human cataract. Since aging is
accompanied by measureable changes in lens transparency and fluorescence,
the foregoing approach on fresh whole eye bank eyes (UV-visible slit lamp
densitography) followed by a second series of UV-visible photographs and
CCRG photographs on the excised lens will provide significant data on the
processes associated with the documented age realted changes in lens
fluorescence, phosphorescence and transparency. These data will be
correlated with directs spectroscopic analyses on the intact lens and
should provide new information on the age related changes resulting in the
development of localized scattering elements (opacities) which eventually
become manifest in the vast majority of aging "normal" lenses.
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