Ophthalmic manifestations of ionising radiation among interventionalists
Background: Ionising radiation (IR) is an occupational hazard for interventionalists. Dry eye syndrome may develop. There may be damage to the corneal epithelium, causing irritation and ulceration. Radiation-induced cataracts commonly develop in the posterior sub-capsular (PSC) region of the lens an...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2019-11-01
|
| Series: | African Vision and Eye Health |
| Subjects: | |
| Online Access: | https://avehjournal.org/index.php/aveh/article/view/480 |
| _version_ | 1818411156404961280 |
|---|---|
| author | Lumko Ngetu Wayne Marais André Rose William I.D. Rae |
| author_facet | Lumko Ngetu Wayne Marais André Rose William I.D. Rae |
| author_sort | Lumko Ngetu |
| collection | DOAJ |
| description | Background: Ionising radiation (IR) is an occupational hazard for interventionalists. Dry eye syndrome may develop. There may be damage to the corneal epithelium, causing irritation and ulceration. Radiation-induced cataracts commonly develop in the posterior sub-capsular (PSC) region of the lens and are more common in the left eye.
Aim: The aim of this study was to describe the ophthalmological findings in South African interventionalists occupationally exposed to IR.
Setting: This study was conducted in South Africa.
Methods: A prospective cross-sectional study was conducted. Interventional radiologists (25), adult cardiologists (42) and paediatric cardiologists (31) were recruited at conferences and included in the study. Convenience sampling was used. Participants completed a survey that collected data on their demographics, their cataract risk factors and co-morbid diseases, their occupational history, their radiation safety practices and their training in occupational history. Participants’ eyes were examined using a slit lamp after dilation of the eyes. Ethics clearance was obtained and each participant gave informed consent. A descriptive analysis was done.
Results: The median age of the 98 interventionalists screened was 43.5 years. They worked with radiation for a median of 7.5 years. Cataracts occurred in the left eye of 17 (17.3%) participants and in the right eye of nine (9.2%). There were five (5.1%) PSC cataracts in the left eye and one (1%) in the right eye. The vitreous was abnormal in 19.4% of participants. The tear break-up time was abnormal in 48% of participants.
Conclusion: Ionising radiation is an occupational hazard posing a risk to interventionalists’ eyes. They are at increased risk of cataracts and dry eye syndrome, which can affect their occupational performance and quality of life. Education can positively influence the radiation safety practices of interventionalists that could reduce the detrimental effects of IR on their eyes. |
| first_indexed | 2024-12-14T10:26:56Z |
| format | Article |
| id | doaj.art-7377a457c4ec441d90c863858e45448e |
| institution | Directory Open Access Journal |
| issn | 2413-3183 2410-1516 |
| language | English |
| last_indexed | 2024-12-14T10:26:56Z |
| publishDate | 2019-11-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Vision and Eye Health |
| spelling | doaj.art-7377a457c4ec441d90c863858e45448e2022-12-21T23:06:17ZengAOSISAfrican Vision and Eye Health2413-31832410-15162019-11-01781e1e610.4102/aveh.v78i1.480404Ophthalmic manifestations of ionising radiation among interventionalistsLumko Ngetu0Wayne Marais1André Rose2William I.D. Rae3Department of Ophthalmology, University of the Free State, BloemfonteinDepartment of Ophthalmology, University of the Free State, BloemfonteinDepartment of Community Health, University of the Free State, BloemfonteinSchool of Health Sciences, University of Sydney, New South Wales, SydneyBackground: Ionising radiation (IR) is an occupational hazard for interventionalists. Dry eye syndrome may develop. There may be damage to the corneal epithelium, causing irritation and ulceration. Radiation-induced cataracts commonly develop in the posterior sub-capsular (PSC) region of the lens and are more common in the left eye. Aim: The aim of this study was to describe the ophthalmological findings in South African interventionalists occupationally exposed to IR. Setting: This study was conducted in South Africa. Methods: A prospective cross-sectional study was conducted. Interventional radiologists (25), adult cardiologists (42) and paediatric cardiologists (31) were recruited at conferences and included in the study. Convenience sampling was used. Participants completed a survey that collected data on their demographics, their cataract risk factors and co-morbid diseases, their occupational history, their radiation safety practices and their training in occupational history. Participants’ eyes were examined using a slit lamp after dilation of the eyes. Ethics clearance was obtained and each participant gave informed consent. A descriptive analysis was done. Results: The median age of the 98 interventionalists screened was 43.5 years. They worked with radiation for a median of 7.5 years. Cataracts occurred in the left eye of 17 (17.3%) participants and in the right eye of nine (9.2%). There were five (5.1%) PSC cataracts in the left eye and one (1%) in the right eye. The vitreous was abnormal in 19.4% of participants. The tear break-up time was abnormal in 48% of participants. Conclusion: Ionising radiation is an occupational hazard posing a risk to interventionalists’ eyes. They are at increased risk of cataracts and dry eye syndrome, which can affect their occupational performance and quality of life. Education can positively influence the radiation safety practices of interventionalists that could reduce the detrimental effects of IR on their eyes.https://avehjournal.org/index.php/aveh/article/view/480ophthalmological changesionising radiationoccupational radiation exposureradiation cataractsinterventionalistssouth africa |
| spellingShingle | Lumko Ngetu Wayne Marais André Rose William I.D. Rae Ophthalmic manifestations of ionising radiation among interventionalists African Vision and Eye Health ophthalmological changes ionising radiation occupational radiation exposure radiation cataracts interventionalists south africa |
| title | Ophthalmic manifestations of ionising radiation among interventionalists |
| title_full | Ophthalmic manifestations of ionising radiation among interventionalists |
| title_fullStr | Ophthalmic manifestations of ionising radiation among interventionalists |
| title_full_unstemmed | Ophthalmic manifestations of ionising radiation among interventionalists |
| title_short | Ophthalmic manifestations of ionising radiation among interventionalists |
| title_sort | ophthalmic manifestations of ionising radiation among interventionalists |
| topic | ophthalmological changes ionising radiation occupational radiation exposure radiation cataracts interventionalists south africa |
| url | https://avehjournal.org/index.php/aveh/article/view/480 |
| work_keys_str_mv | AT lumkongetu ophthalmicmanifestationsofionisingradiationamonginterventionalists AT waynemarais ophthalmicmanifestationsofionisingradiationamonginterventionalists AT andrerose ophthalmicmanifestationsofionisingradiationamonginterventionalists AT williamidrae ophthalmicmanifestationsofionisingradiationamonginterventionalists |