How does occupational radiation exposure affect corneal endothelial cell density?

How does occupational radiation exposure affect corneal endothelial cell density?

Objectives: To evalute the corneal endothelium ofradiology technicians.Methods: The study included 35 radiology technicians (study group), and 34 healthy individuals as the controlgroup. Central corneal thickness (CCT), Endothelial cell density (ECD), the coefficient of variation (CoV),and the percentage of hexagonal cells (Hexa) were measured using specular microscopy (Konan Medical Inc.,Nishinomiya, Japan).Results: The mean age of the study participants was 35.82 ± 9.34 years in the study group, and 37.82 ± 8.40years in the control group (p = 0.332). The mean ECD was 2740.63 ± 249.92 cells/mm2 in the study group,and 2828.70 ± 287.40 in the control group (p > 0.05). The mean CoV was 44.34 ± 6.78 % in the study group,and 44.24 ± 4.99 % in the control group (p > 0.05). Hexa was determined as 44.97 ± 7.98% in the study group,and 45.97 ± 7.06% in the control group (p > 0.05). The mean CCT was 511.50 ± 42.52 in the study group, and514.18 ± 43.55 in the control group (p > 0.05). The mean ECD, CoV, Hexa, and CCTvalues were not statisticallysignificant (p > 0.05).Conclusion: This study revealed that endothelial cell density, the coefficient of variation, and percentage ofhexagonal cells (Hexa) were not statistically different between the radiology technicians and control group.Nevertheless, there is a need for more comprehensive, controlled studies with larger samples.

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  • [1] Manickavasagan A, Jayasuriya H. Imaging with Electromagnetic Spectrum: Applications in Food and Agriculture.Springer Berlin Heidelberg; 2014.
  • [2] Ramachandran T V. Background radiation, people and the environment. Int J Radiat Res2011;9:63-76.
  • [3] Mazrani W, McHugh K, Marsden PJ. The radiation burden of radiological investigations. Arch Dis Child 2007;92:1127-31.
  • [4] Reed AB. The history of radiation use in medicine. J Vasc Surg 2011;53:3-5.
  • [5] Rubin P, Casarett GW. Clinical radiation pathology as applied to curative radiotherapy. Cancer1968;22:767-78.
  • [6] DelMonte DW, Kim T. Anatomy and physiology of the cornea. J Cataract Refract Surg2011;37:588-98.
  • [7] Dua HS, Said DG. Clinical evidence of the pre-Descemets layer (Dua’s layer) in corneal pathology. Eye (Lond) 2016;30:1144-5.
  • [8] Delic NC, Lyons JG, Di Girolamo N, Halliday GM. Damaging Effects of Ultraviolet Radiation on the Cornea. Photochem Photobiol 2017;93:920-9.
  • [9] McCarey BE, Edelhauser HF, Lynn MJ. Review of corneal endothelial specular microscopy for FDA clinical trials of refractive procedures, surgical devices, and new intraocular drugs and solutions. Cornea 2008;27:1-16.
  • [10] Bourne WM. Biology of the corneal endothelium in health and disease. Eye 2003;17:912-8.
  • [11] Chalupecky H. Ueber die Wirkung der Rontgenstrahlen auf das Auge und die Haut. Zentralbl F Prakt Augenh 1897;21:886.
  • [12] Von Gassmann H, wurden nach Einwirkung F. Zur Wirkung der Röntgenstrahlen auf das menschliche Auge. Klin Monbl Augenheilkd. Verlag von Ferdinand Enke; 1908;46:129.
  • [13] Rohrschneider W. Experimentelle Untersuchungen über die Veränderungen normaler Augengewebe nach Röntgenbestrahlung. Albr von Graefes Arch für Ophthalmol 1929;122:282-98.
  • [14] Alberti WE, Richard G, Sagerman RH, editors. Age-Related Macular Degeneration Berlin, Heidelberg: Springer Berlin Heidelberg; 2001.
  • [15] The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103. Ann ICRP 2007;37:1-332.
  • [16] Van Kuijk FJ. Effects of ultraviolet light on the eye: role of protective glasses. Environ Health Perspect 1991;96:177-84.
  • [17] Gupta A, Dhawahir-Scala F, Smith A, Young L, Charles S. Radiation retinopathy: case report and review. BMC Ophthalmol 2007;7:6.
  • [18] Fish DE, Kim A, Ornelas C, Song S, Pangarkar S. The risk of radiation exposure to the eyes of the interventional pain physician. Radiol Res Pract 2011;2011:609537.
  • [19] Chodick G, Bekiroglu N, Hauptmann M, Alexander BH, Freedman DM, Doody MM, et al. Risk of cataract after exposure to low doses of ionizing radiation: a 20-year prospective cohort study among US radiologic technologists. Am J Epidemiol 2008;168:620-31.