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La Recherchev2

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Interventional cardiologists and risk of radiation-induced cataract: Results of a French multicenter observational study


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International Journal of Cardiology / mai 2012

Type de document > *Article de revue

Mots clés >

Unité de recherche > IRSN/PRP-HOM/SRBE/LEPID

Auteurs > JACOB Sophie, BOVEDA Serge, BAR Olivier, BRÉZIN Antoine, MACCIA Carlo, LAURIER Dominique, BERNIER Marie-Odile

Date de publication > 18/05/2012

Résumé

Background


Interventional cardiologists (ICs) are exposed to X-rays and may be at risk to develop cataract earlier than common senile cataract. Excess risk of posterior subcapsular cataract, known as radiation-induced, was previously observed in samples of ICs from Malaysia, and Latin America. The O'CLOC study (Occupational Cataracts and Lens Opacities in interventional Cardiology) was performed to quantify the risk at the scale of France.

 

 

Methods


This cross-sectional multicenter study included an exposed group of ICs from different French centers and an unexposed control group of non-medical workers. Individual information was collected about cataract risk factors and past and present workload in catheterization laboratory. All participants had a clinical eye examination to classify the lens opacities (nuclear, cortical, or posterior subcapsular) with the international standard classification LOCS III.

 

 

Results


The study included 106 ICs (mean age = 51 ± 7 years) and 99 unexposed control subjects (mean age = 50 ± 7 years). The groups did not differ significantly in the prevalence of either nuclear or cortical lens opacities (61% vs. 69% and 23% vs. 29%, respectively). However, posterior subcapsular lens opacities, were significantly more frequent among ICs (17% vs. 5%, p = 0.006), for an OR = 3.9 [1.3–11.4]. The risk increased with duration of activity but no clear relationship with workload was observed. However, the risk appeared lower for regular users of protective lead glasses (OR = 2.2 [0.4–12.8]).

 

 

Conclusions


ICs, in France as elsewhere, are at high risk of posterior subcapsular cataracts. Use of protective equipment against X-rays, in particular lead glasses, is strongly recommended to limit this risk.