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Risk of cataract among interventional cardiologists and catheterization lab staff: A systematic review and meta‐analysis
Author(s) -
Elmaraezy Ahmed,
Ebraheem Morra Mostafa,
Tarek Mohammed Abdelrhman,
AlHabbaa Ahmed,
Elgebaly Ahmed,
Abdelmotaleb Ghazy Ahmed,
Khalil Adham M.,
Tien Huy Nguyen,
Hirayama Kenji
Publication year - 2017
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27114
Subject(s) - medicine , cardiac catheterization , meta analysis , relative risk , systematic review , interventional cardiology , ophthalmology , radiology , medline , confidence interval , political science , law
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.