title: Eye lens radiation exposure to interventional cardiologists: a retrospective assessment of cumulative doses.
abstract: Radiation dose to the eye lens is a crucial issue for interventional cardiologists (ICs) who are exposed during the procedures they perform. This paper presents a retrospective assessment of the cumulative eye lens doses of ICs enrolled in the O'CLOC study for Occupational Cataracts and Lens Opacities in interventional Cardiology. Information on the workload in the catheterisation laboratory, radiation protection equipment, eye lens dose per procedure and dose reduction factors associated with eye-protective equipment were considered. For the 129 ICs at an average age of 51 who had worked for an average period of 22 years, the estimated cumulative eye lens dose ranged from 25 mSv to more than 1600 mSv; the mean ± SD was 423 ± 359 mSv. After several years of practice, without eye protection, ICs may exceed the new ICRP lifetime eye dose threshold of 500 mSv and be at high risk of developing early radiation-induced cataracts. Radiation protection equipment can reduce these doses and should be used routinely.
authors: Institut de Radioprotection et de Sureté Nucléaire, PRP-HOM, SRBE, LEPID, Laboratoire d'Epidémiologie, BP17, Fontenay-aux-Roses cedex 92262, France. sophie.jacob@irsn.fr
authors: Sophie
authors: S
authors: Jacob
authors: Laurent
authors: L
authors: Donadille
authors: Carlo
authors: C
authors: Maccia
authors: Olivier
authors: O
authors: Bar
authors: Serge
authors: S
authors: Boveda
authors: Dominique
authors: D
authors: Laurier
authors: Marie-Odile
authors: MO
authors: Bernier
mesh_terms: D000328:Adult; D000368:Aged; D002309:Cardiology / Q000379:methods; D002386:Cataract / Q000209:etiology*; D005260:Female; D005602:France; D006801:Humans; D007908:Lens, Crystalline / Q000528:radiation effects*; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D016273:Occupational Exposure; D016272:Occupational Health; D010820:Physicians; D011482:Protective Devices; D011829:Radiation Dosage; D011832:Radiation Injuries / Q000517:prevention & control*; D011835:Radiation Protection / Q000379:methods*; D015642:Radiology, Interventional / Q000379:methods; D011874:Radiometry; D012189:Retrospective Studies; D011795:Surveys and Questionnaires