Radiation-induced eye lens changes and risk for cataract in interventional cardiology

Cardiology. 2012;123(3):168-71. doi: 10.1159/000342458. Epub 2012 Oct 31.

Abstract

Background: Recent studies have reported a significant increase in eye lens opacities among staff in the cardiac catheterization laboratory but indicated further studies are needed to confirm the findings.

Objective: To evaluate the prevalence of opacities in eyes of cardiologists, radiographers and nurses working in interventional cardiology.

Methods: The eyes of 52 staff in interventional cardiology facilities and 34 age- and sex-matched unexposed controls were screened in a cardiology conference held in Kuala Lumpur by dilated slit-lamp examination, and posterior lens changes were graded. Individual cumulative lens X-ray exposures were calculated from responses to a questionnaire in terms of workload and working practice.

Results: The prevalence of posterior lens opacities among interventional cardiologists was 53%, while in nurses and radiographers it was 45%. Corresponding relative risks were 2.6 (95% CI: 1.2-5.4) and 2.2 (95% CI: 0.98-4.9), for interventional cardiologists and support staff, respectively.

Conclusions: This study confirms a statistically significant increase in radiation-associated posterior lens changes in the eyes of interventional cardiology staff.

MeSH terms

  • Adult
  • Aged
  • Allied Health Personnel / statistics & numerical data
  • Cardiology / statistics & numerical data*
  • Cataract / etiology*
  • Dose-Response Relationship, Radiation
  • Female
  • Humans
  • Lens, Crystalline / radiation effects*
  • Male
  • Middle Aged
  • Occupational Diseases / etiology*
  • Occupational Exposure / adverse effects
  • Occupational Exposure / analysis
  • Radiation Injuries / etiology*
  • Radiology / statistics & numerical data*
  • Risk Factors