Evidence map›Paper›PMID 32869764›Full record

SynthesisLa Medicina del lavoro2020

Risk of cataract in health care workers exposed to ionizing radiation: a systematic review.

Elena Della Vecchia, Alberto Modenese, Tom Loney, Martina Muscatello, Marilia Silva Paulo, Giorgia Rossi, Fabriziomaria Gobba

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in La Medicina del lavoro, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Occupational Hazards in Cardiac Catheterization Laboratories: Radiation and Beyond-ANMCO Position Paper Update 2026.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  5. Intraoperative positioning system-guided antegrade in situ laser fenestration in an aortic model.Journal of vascular surgery cases and innovative techniques · 2026
    Article
  6. Review
  7. Article
  8. Equine Standing Multidetector Computed Tomography of the Distal Thoracic Limb and Tarsus Has a Lower Cumulative Radiation Dose than Digital Radiography.Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Occupational exposures and age-related cataract: A review.Archives of environmental & occupational health · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Organ-based estimation and minimization of clinician's X-ray dose.International journal of computer assisted radiology and surgery · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Occupational accidents in healthcare workers: a bibliometric analysis in Scopus database 2010-2019.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Elena Della VecchiaDipartimento di Scienze Biomediche, Metaboliche e Neuroscienze, Università di Modena e Reggio Emilia, Modena (IT) . ele.dellavecchia@gmail.com.
Alberto ModeneseDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy. alberto.modenese@unimore.it.
Tom LoneyCollege of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates. tom.loney@mbru.ac.ae.
Martina MuscatelloDipartimento di Scienze Biomediche, Metaboliche e Neuroscienze, Università di Modena e Reggio Emilia, Modena (IT) . martina.muscatello@gmail.com.
Marilia Silva PauloInstitute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates. mariliap@uaeu.ac.ae.
Giorgia RossiDipartimento di Scienze Biomediche, Metaboliche e Neuroscienze, Università di Modena e Reggio Emilia, Modena (IT) . rossi.giorgia14@gmail.com.
Fabriziomaria GobbaDipartimento di Scienze Biomediche, Metaboliche e Neuroscienze, Università di Modena e Reggio Emilia, Modena (IT) . fabriziomaria.gobba@unimore.it.
University of Modena and Reggio Emilia · ITMohammed Bin Rashid University of Medicine and Health Sciences · AEUnited Arab Emirates University · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe eye is an important sensory organ occupationally exposed to ionizing radiation (IR) in healthcare workers (HCWs) engaged in medical imaging (MI). New evidence highlights the possible induction of cataract at IR exposure levels to be much lower than expected in the past.

objectiveConduct an updated review on the current evidence on cataract risk in healthcare workers exposed to IR.

methodsPublished scientific studies on cataract risk in IR exposed healthcare workers were collected through a systematic search of two biomedical databases (MEDLINE and Scopus). Data from included studies was extracted and summarized. Study quality was also assessed.

resultsAll 21 eligible studies reported an increased prevalence of cataract, especially posterior subcapsular cataract, in IR exposed  HCWs with a higher prevalence in interventional cardiology staff. DISCUSSION: Our review synthesizes the latest evidence to support the hypothesis of a significantly increased risk of occupational cataract in healthcare workers operating MI and exposed to IR, especially in interventional cardiologists. Data also support a dose-response relationship between IR exposure and the prevalence of opacities, especially posterior subcapsular opacities.

conclusionsFindings highlight the need for effective control measures including appropriate training, adherence to protective procedures, and a constant use of shields and eye personal protective equipment in healthcare workers with optical exposure to IR. Periodic health surveillance programs, possibly including lens evaluation, are also important to monitor cataract risk in these MI operators.

Indexed as

CataractLens, CrystallineOccupational ExposureRadiation InjuriesRadiation, IonizingHealth PersonnelHumans

Identifiers

PMID32869764
PMCPMC7809955
OpenAlexW3082699156

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.