Evidence map›Paper›PMID 42157187›Full record

ArticleBMC nursing2026

Occupational radiation exposure and crystalline lens density in perioperative nurses: a short communication.

Zahra Masumi, Masoud Bagheri, Reza Feizi, Ehsan Khodamoradi

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Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Zahra MasumiStudent Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Masoud BagheriClinical Research Development Center, Imam Khomeini, Mohammad Kermanshahi, and Farabi Hospitals, Imam Khomeini, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Reza FeiziDepartment of Operating Room Technology, School of Paramedical Sciences, Arak University of Medical Sciences, Arak, Iran.
Ehsan KhodamoradiDepartment of Radiology and Nuclear Medicine, School of Paramedical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran. ehkh.2000@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rising use of C-arm fluoroscopy in operating rooms raises occupational safety concerns for perioperative nurses. They may face scattered ionizing radiation despite not being classified as radiation workers. This study compared posterior Crystalline Lens Density a key indicator of radiation-induced cataract among perioperative nurses working with C-arm fluoroscopy, interventional radiology staff, and a non-exposed control group to determine whether intermittent occupational exposure is associated with measurable lens changes.

methodsIn this Cross-sectional comparative study, 150 participants (50 perioperative nurses with C-arm exposure, 50 non-exposed or staff, and 50 interventional radiology personnel) underwent standardized ophthalmic examination. Pentacam Nucleus Staging quantified posterior lens density; the worse eye was analyzed. Groups were compared using chi-square tests and ANCOVA with Bonferroni correction.

resultsInterventional radiology personnel exhibited significantly higher crystalline lens density (8.99 ± 1.50) compared with both perioperative nurses (8.40 ± 0.69; mean difference: 0.53, p = 0.001) and the control group (8.20 ± 0.27; mean difference: 0.70, p < 0.001). No significant difference was observed between perioperative nurses and controls (mean difference: 0.17, p = 0.539). The frequency of posterior subcapsular opacities (6.1% vs. 3.0% vs. 2.0%, p = 0.001), PNS grade ≥ 1 (17.1% vs. 8.0% vs. 3.9%, p = 0.002), and overall cataract prevalence (19.5% vs. 6.0% vs. 4.0%, p = 0.001) were all significantly higher in the interventional radiology group, with no significant differences between perioperative nurses and controls.

conclusionPerioperative nurses showed no significant difference compared with unexposed controls. These findings suggest that intermittent C-arm exposure under typical distancing conditions poses minimal measurable risk. Specifically, such exposure does not appear to increase radiation-related lens changes.

trial registrationClinical trial number not applicable.

Indexed as

C-arm fluoroscopyCrystalline lens densityEye lens safetyOccupational radiation exposurePerioperative nursing

Identifiers

PMID42157187
PMCPMC13362054

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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.