Table 3 RR of primary glaucoma and POAG incidence by dose from external γ-rays, neutron dose and γ + neutron dose.

From: Glaucoma incidence risk in a cohort of Mayak PA workers occupationally exposed to ionizing radiation

Cumulative dose (Gy), range

Mean cumulative dose (Gy)

Total primary glaucoma

POAG

PYR

Number of cases

RR (95% CI)

p value

PYR

Number of cases

RR (95% CI)

p value

Baseline analysis (5 year lag) a : RR of primary glaucoma and POAG incidence by brain absorbed dose from external γ-rays

0–0.25

0.06

345,381

237

1 (reference)

345,512

228

1 (reference)

0.25–0.5

0.36

61,697

71

0.87 (0.65–1.15)

0.332

61,699

70

0.88 (0.66–1.17)

0.391

0.5–0.75

0.62

32,775

33

0.76 (0.50–1.10)

0.158

32,794

31

0.73 (0.48–1.07)

0.121

0.75–1.0

0.87

23,771

35

0.90 (0.59–1.32)

>0.50

23,800

35

0.94 (0.62–1.39)

>0.50

1.0–1.25

1.12

16,275

24

0.95 (0.58–1.48)

>0.50

16,275

24

0.99 (0.60–1.56)

>0.50

1.25–1.5

1.37

12,744

19

0.90 (0.51–1.47)

>0.50

12,765

18

0.91 (0.51–1.50)

>0.50

1.5–2.0

1.72

17,407

33

1.22 (0.80–1.81)

0.344

17,409

32

1.22 (0.79–1.82)

0.360

≥2.0

2.57

15,777

24

0.89 (0.54–1.39)

>0.50

15,778

23

0.87 (0.53–1.38)

>0.50

Sensitivity analysis (5 year lag) b : RR of primary glaucoma and POAG incidence by brain absorbed dose from neutrons

0–0.001

0.0004

50,538

57

1 (reference)

50,554

56

1 (reference)

0.001–0.0025

0.0016

17,990

21

0.78 (0.41, 1.42)

0.438

17,990

21

0.83 (0.43, 1.51)

>0.50

0.0025–0.005

0.0034

9,112

22

1.29 (0.65, 2.51)

0.462

9,130

21

1.20 (0.60, 2.36)

>0.50

0.005–0.01

0.0068

2,884

3

0.34 (0.05, 1.23)

0.158

2,884

3

0.34 (0.05, 1.22)

0.157

≥0.01

0.0224

1,178

3

2.06 (0.42, 7.37)

0.310

1,178

3

2.13 (0.43, 7.73)

0.292

Sensitivity analysis (5 year lag) a : RR of primary glaucoma and POAG incidence by the unweighted sum of brain absorbed γ + neutron dose

0–0.25

0.06

345,321

237

1 (reference)

345,441

228

1 (reference)

0.25–0.5

0.36

61,694

71

0.86 (0.65, 1.14)

0.317

61,700

70

0.88 (0.67, 1.17)

0.394

0.5–0.75

0.62

32,727

33

0.74 (0.50, 1.07)

0.119

32,748

31

0.72 (0.48, 1.04)

0.099

0.75–1.0

0.87

23,787

35

0.99 (0.67, 1.41)

>0.50

23,817

35

1.02 (0.69, 1.47)

>0.50

1.0–1.25

1.12

16,343

24

1.02 (0.64, 1.56)

>0.50

16,345

24

1.06 (0.67, 1.61)

>0.50

1.25–1.5

1.37

12,744

19

0.99 (0.59, 1.57)

>0.50

12,765

18

0.97 (0.57, 1.56)

>0.50

1.5–2.0

1.72

17,428

33

1.14 (0.76, 1.67)

>0.50

17,430

32

1.15 (0.75, 1.69)

>0.50

≥2.0

2.57

15,783

24

0.86 (0.53, 1.34)

>0.50

15,786

23

0.84 (0.51, 1.32)

0.476

  1. Notes: stratified by sex, attained age, birth cohort, diagnosed with hypertension, body mass index, diagnosed with diabetes mellitus and neutron dose for external exposure association analysis and vice versa. CI, confidence interval estimated using the profile likelihood. PYR, person-years at risk. RR, relative risk. POAG, primary open-angle glaucoma. p values are given, assessed via the Wald statistics.
  2. aFor all workers.
  3. bFor workers with neutron exposure.