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Ophthalmology ; 106(12): 2248-52; discussion 2252-3, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10599653

RESUMO

OBJECTIVE: To examine the association between previous radiation exposure and idiopathic perifoveal telangiectasis (IPT). DESIGN: A multicentered, individually matched, case-control study design was used. PARTICIPANTS/CONTROLS: Sixty-five case subjects were matched with 175 control subjects. Individuals with unequivocal evidence of angiographically confirmed IPT were included as cases. Control subjects were matched for center, age, and gender. MAIN OUTCOME MEASURE: The main exposures of interest were a history of therapeutic head or neck irradiation and environmental radiation exposure. METHODS: A standardized questionnaire was administered to case and control subjects. Data were collected for the main exposures of interest as well as pertinent covariates. Conditional logistic regression was used to evaluate therapeutic and environmental radiation as risks for IPT. RESULTS: On univariate analysis, head or neck irradiation was associated with IPT (odds ratios [OR] = 4.15, 95% confidence interval [CI] = 1.30-13.24). While controlling for diabetes and family history of diabetes, IPT was found to be associated with both head or neck irradiation (OR = 4.06, 95% CI = 1.20-13.76) and with environmental irradiation (OR = 6.73, 95% CI = 1.06-42.74). CONCLUSIONS: This study presents a previously unreported association between prior radiation exposure and IPT.


Assuntos
Fóvea Central/efeitos da radiação , Lesões por Radiação/etiologia , Radioterapia/efeitos adversos , Vasos Retinianos/efeitos da radiação , Telangiectasia/etiologia , Idoso , Estudos de Casos e Controles , Feminino , Fóvea Central/irrigação sanguínea , Cabeça/efeitos da radiação , Neoplasias de Cabeça e Pescoço/radioterapia , Humanos , Masculino , Pescoço/efeitos da radiação , Exposição Ocupacional , Lesões por Radiação/patologia , Vasos Retinianos/patologia , Estudos Retrospectivos , Fatores de Risco , Sinusite/radioterapia , Dermatopatias/radioterapia , Inquéritos e Questionários , Telangiectasia/patologia
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