Risk of cataract among interventional cardiologists and catheterization lab staff: A systematic review and meta‐analysis

• Published in: Catheterization and cardiovascular interventions Vol. 90; no. 1; pp. 1 - 9
• Main Authors: Elmaraezy, Ahmed, Ebraheem Morra, Mostafa, Tarek Mohammed, Abdelrhman, Al‐Habaa, Ahmed, Elgebaly, Ahmed, Abdelmotaleb Ghazy, Ahmed, Khalil, Adham M., Tien Huy, Nguyen, Hirayama, Kenji
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01.07.2017
• Subjects: Adult; Cardiac Catheterization - adverse effects; Cardiologists; Cardiology; cataract; Cataract - diagnosis; Cataract - etiology; Cataracts; Catheterization; Chi-Square Distribution; Cortex; Data processing; Eye lens; Heart diseases; Humans; interventional cardiologists; Intubation; Meta-analysis; Middle Aged; Nurses; Occupational Diseases - diagnosis; Occupational Diseases - etiology; Occupational Exposure - adverse effects; Occupational Health; Odds Ratio; radiation; Radiation Dosage; Radiation Exposure - adverse effects; Radiation Injuries - diagnosis; Radiation Injuries - etiology; Radiography, Interventional - adverse effects; Reviews; Risk Assessment; Risk Factors; meta-analysis; cataract; radiation; interventional cardiologists
• ISSN: 1522-1946; 1522-726X; 1522-726X
• DOI: 10.1002/ccd.27114

Objectives We performed a systematic review and meta‐analysis to assess the risk of developing a radiation‐induced cataract in interventional cardiologists (ICs). Background ICs are forced to radiation exposure during cardiac catheterization procedures. Since the eye lens is one of the most radiosensitive organs in the body, ICs are highly susceptible to develop a radiation‐induced cataract. Method We performed a systematic literature search of nine electronic databases to retrieve studies that report cataract among interventional cardiologists. Records were screened for eligibility and data were extracted and analyzed using review manager (RevMan) for windows. Results Eight studies involving 2559 subjects (exposed ICs = 1224) were included. Posterior lens opacity was significantly higher in ICs relative to the control group (RR= 3.21, 95% CI [2.14, 4.83], P < 0.00001). In contrast, there was no significant difference between both groups in cortical lens opacity (RR= 0.69, 95% CI [0.46, 1.06], P = 0.09) and nuclear opacity (RR= 0.85, 95% CI [0.71, 1.02], P = 0.08). Conclusion Interventional cardiologists are at high risk of developing radiation‐induced cataract; therefore, protective measures with high safety rates should be implied. © 2017 Wiley Periodicals, Inc.