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Radiation Exposure to Radiologists With Eye Pathology

Hugh M. Phelps
JAMA. 1979;242(22):2392. doi:10.1001/jama.1979.03300220012004.
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To the Editor.—  In the QUESTIONS AND ANSWERS section in The Journal there was a response by Milton M. Zaret, MD (242:372, 1979), to a question regarding the effect of radiation on a number of structures of the eye. The context of the question was whether the radiation exposure of a diagnostic radiologist from fluoroscopic examination would result in or exacerbate serious ocular pathology.Dr Zaret's response is inconsistent with common knowledge of radiation biology and the practical aspects of radiation exposure.He discusses a number of radiation-induced entities, such as uveitis, iridocyclitis, punctate keratitis, and retinal macular disease, and warns radiologists that they might receive radiation doses sufficient to cause or aggravate these conditions. These changes can, in fact, occur but only at extraordinarily high doses. Rubin and Casarett1 describe similar changes only after exposure to doses in the range of 8,000 to 10,000 rads received during courses

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