Sixty-two patients with varying maturity cataract were examined to assess a new noninvasive method for determining the mechanical hardness of the nucleus of the lens. There was an inverse relation of the hardness of the nucleus to its relative acoustic density (delta). Comparison of the ultrasound density of the lens and the mechanical characteristics of its nucleus has provided the following classification: the lens hardness is high at delta of 0 to 0.2; average at 0.3 to 0.5, and low at 0.6 or higher. Determination of relative acoustic density by measuring the parameter delta substantially enhances the accuracy ofpreoperative prediction of the hardness of the nucleus of the lens when a surgical option for cataract removal is chosen.
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