Temporal and spatial growth patterns in the normal and cataractous human lens

This study presents a computational model of the growth of the normal human lens and the induction of spoke-like cortical cataract in the aging lens. The anterior lens is modelled as a 2-D disk with a circumferential germinative zone. Lens cortical fibre cells in the same generation cover the surface in three identical 120 deg growth wedge-shaped sectors, with centre cardinal fibres at the 90, 210 and 330 deg meridians. In the foetal lens all primary fibre cells begin to elongate simultaneously. Anterior migration is spatially asynchronous, where the centre fibre begins to move towards the anterior pole first. The fibres at the end of the sector move last in the anterior direction. Fibre elongation advanced at constant speed until the boundary of the sector is reached. Spatio-temporal asynchrony and random fluctuations were increased for the adult lens. The model foetal lens evolved Y-shaped sutures anteriorly, and an inverted Y-shaped posteriorly. Fibre length varied periodically with meridional angle. The adult lens displayed irregular growth. If clusters of germinative cells are caused to opacify the resultant opacities are predominantly spoke-shaped. The model mimics crystalline lens fibre growth to the extent of successfully evolving lens sutures. Fluctuations in lens mass are consistent with an ordered pattern of growth. Lens senescence includes a progressive loss of spatio-temporal synchrony in fibre migration from the germinative zone. Peripheral light focusing by the anterior eye is a possible explanation for the nasal predilection and cuneiform shape of age-related cortical cataract.