Evidence map›Paper›PMID 42509020›Full record

ArticleClinical & experimental ophthalmology

Are Ocular Markers of Sun Exposure Associated With Skin Cancer? A Cross-Sectional Analysis of the Busselton Healthy Ageing Study.

Gareth Lingham, Vinay Kumar Nilagiri, Holly Brown, Chrianna Bharat, Samantha S Y Lee, Maria Franchina, Michael Hunter, Kevin Murray, David Alonso-Caneiro, Catherine M Olsen and 2 more

Abstract read
In one paragraph

Article in Clinical & experimental ophthalmology. 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Gareth LinghamCentre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), University of Western Australia, Perth, Australia.
Vinay Kumar NilagiriCentre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), University of Western Australia, Perth, Australia.
Holly BrownCentre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), University of Western Australia, Perth, Australia.
Chrianna BharatSchool of Population and Global Health, University of Western Australia, Perth, Australia.
Samantha S Y LeeCentre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), University of Western Australia, Perth, Australia.
Maria FranchinaCentre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0003-3984-3016
Michael HunterSchool of Population and Global Health, University of Western Australia, Perth, Australia.
Kevin MurraySchool of Population and Global Health, University of Western Australia, Perth, Australia.
David Alonso-CaneiroSchool of Science, Technology, and Engineering, University of the Sunshine Coast, Petrie, Australia.
Catherine M OlsenCancer Control Group, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
David C WhitemanCancer Control Group, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
David A MackeyCentre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), University of Western Australia, Perth, Australia.

Funding

Australian GovernmentBusselton Population Medical Research InstituteCity of BusseltonGovernment of Western AustraliaNational Health and Medical Research Council of Australia 2026567Stan Perron Charitable FoundationWestern Australia Future Health and Research Innovation Emerging Leaders Fellowship
6 · The paper itself

Abstract

backgroundHigher past sun or ultraviolet radiation exposure increases the risk of skin cancer and three common ocular findings: pterygium, conjunctival ultraviolet autofluorescence (CUVAF) and myopia. We investigated whether ocular markers of past sun exposure are associated with a history of skin cancer.

methodsA cross-sectional study of participants who attended the Phase 2 examination of the Busselton Healthy Ageing Study in Western Australia (2016-2022). Myopia was determined from autorefraction and pterygium and CUVAF from photographs of the anterior eye. Past diagnosis of a skin cancer was obtained from linked hospitalisation and cancer registry data (melanoma) or combining linked and self-reported data (keratinocyte cancer). Multivariable logistic regression with multiple imputation was used for analysis.

resultsOf 3888 participants who attended, 3829 (98.5%) had skin cancer history data (mean [standard deviation] age 64.2 [5.4] years). A history of keratinocyte cancer was present in 795 (20.8%) participants and cutaneous melanoma in 59 (1.5%) participants. After adjustments, keratinocyte skin cancer was associated with a current pterygium (odds ratio [OR] = 1.33, 95% confidence interval [CI]: 1.05, 1.69) and a previous self-reported pterygium excision (OR = 1.85, 95% CI: 1.21, 2.82). Neither CUVAF or myopia was associated with keratinocyte cancer or melanoma diagnoses.

conclusionsHaving a current pterygium or previous pterygium excision is associated with a diagnosis of keratinocyte skin cancer. While causality cannot be determined, the association may reflect shared risk factors such as chronic ultraviolet radiation exposure, and people with a pterygium should be advised that they are at higher risk of skin cancer.

Indexed as

ConjunctivaMelanomaMyopiaNeoplasms, Radiation-InducedPterygiumSkin NeoplasmsSunlightAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNon-Melanoma Skin NeoplasmsRisk FactorsUltraviolet RaysAustraliaeyemyopiapterygiumskin cancer

Identifiers

PMID42509020
PMCPMC13643609

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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.