RESUMEN
PURPOSE: To access retinal straylight in a Brazilian sample and to compare it with European norms. METHODS: Absolute Straylight was assessed using C-Quant that uses an adaptive staircase based on a 2-Alternated Forced Choice task. A young (22.2 ± 2.4 yrs, n = 20) and an old group (53.8 ± 7.4 yrs, n = 21) of subjects were tested. All refractive errors were corrected in the C-Quant device, and no subjects had ocular diseases or vision-threatening conditions (e.g., diabetes, unregulated blood pressure, high intraocular pressure, visible cataract). Eighty-five percent of all subjects in each age group had dark-pigmented eyes. Each eye was tested 3 times, yielding 6 straylight values (s). Only data fulfilling C-Quant reliability criteria were included. RESULTS: There were no statistical differences between the three attempts on each eye (ANOVA, F = 0.993, p > 0.936) and between the two groups (ANOVA, F = 0.893, p > 0.725). Straylight values (s) were fit with an empirical equation to compare to European norms. There were no statistical differences between Brazilian straylight values and European norms for either young or old age groups (ANOVA, F = 5.114, p > 0.993). However, there was a tendency for our s values to be higher than the European norms, consistent with young Brazilian eyes having more light-scattering than age-matched European eyes. CONCLUSIONS: Consistent with European norms, light-scattering increases with age in the Brazilian sample. This increase is thought to be due, in large part, to age-related changes in lens structure and density. Although the differences between the populations are not significant, the tendency for Brazilian data to have higher s values than European values, especially at young subjects, is in the opposite direction from that expected from a dark-eyed population. This suggests the hypothesis that latitude-dependent (Sao Paulo, latitude 23° S, European latitudes between 40° N to 55° N) differences in the light environment could be associated with differences in s values.
RESUMEN
This work studies ethnic and geographical differences in the age-related straylight increase by means of a stochastic model and unpublished lens opacity data of 559 residents of Villa Maria (Argentina), as well as data of 912 Indonesian subjects published previously by Husain et al. For both cohorts the prevalence of each type and grade of lens opacity was determined as a function of age, from which a stochastic model was derived capable of simulating the lens opacity prevalence for both populations. These simulated lens opacity data were then converted to estimated straylight by means of an equation derived from previously recorded data of 107 eyes with varying degrees of cataract. Based on these opacity templates 2500 random sets of subject age and lens opacity data were generated by the stochastic model for each dataset, from which estimated straylight could be calculated. For the Argentinian data the estimated straylight was found to closely resemble the published models for age-related straylight increase. For younger eyes the straylight variation of the model was the same as what was previously published (in both cases ±0.200logunits), which doubled in size for older eyes. For the Indonesian data, however, this age-related straylight increase was found to be fundamentally different from the published age model. This suggests that current normative curves for age-related straylight increase may not always be appropriate for non-European populations, and that the inter-individual straylight variations in young, healthy eyes may possibly be due to variations in lens opacities.