Taylor H R, West S K, Rosenthal F S, Munoz B, Newland H S, Emmett E A
Dana Center for Preventive Ophthalmology, Wilmer Institute, Johns Hopkins University, Baltimore, MD 21205.
Arch Ophthalmol. 1989 Oct;107(10):1481-4. doi: 10.1001/archopht.1989.01070020555039.
The association between exposure to UV radiation and corneal disease was investigated in 838 watermen who work on the Chesapeake Bay, Maryland. Individual ocular exposure was calculated by combining a detailed occupational history with laboratory and field measurements. Pterygium was found in 140, climatic droplet keratopathy in 162, and pinguecula in 642. Logistic regression analysis showed that pterygium and climatic droplet keratopathy were significantly associated with a broad band of UV radiation exposure (UV-B, 290 to 320 nm; A1, 320 to 340 nm; and A2, 340 to 400 nm), but the association with pinguecula was weaker. Simple measures such as wearing a hat or spectacles protect the eye and could potentially reduce the amount of pterygium and climatic droplet keratopathy attributable to UV radiation exposure.
对838名在马里兰州切萨皮克湾工作的渔民进行了紫外线辐射暴露与角膜疾病之间关联的调查。通过结合详细的职业史以及实验室和现场测量来计算个体眼部暴露情况。发现140人患有翼状胬肉，162人患有气候性小滴状角膜病变，642人患有睑裂斑。逻辑回归分析表明，翼状胬肉和气候性小滴状角膜病变与宽带紫外线辐射暴露（UV-B，290至320纳米；A1，320至340纳米；以及A2，340至400纳米）显著相关，但与睑裂斑的关联较弱。诸如戴帽子或眼镜等简单措施可保护眼睛，并有可能减少因紫外线辐射暴露所致的翼状胬肉和气候性小滴状角膜病变的数量。
