Are CT Scans Safe for Your Eyes? the Risks and Recommendations - Ophthalmology

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Is there any harm to the eyes from a computed tomography (CT) scan?


Dr.
Kao: I have developed a hard lump along my mandibular ridge, and I underwent a CT scan with contrast on March 26.
I asked the radiologic technologist, and he mentioned that the scan area should be from below the eyes to the neck.
I have two questions: 1.
During the CT scan, my upper body was entirely inside the scanner (with my eyes closed).
In this case, if the scan inadvertently included the eyes, could it cause any damage to them? 2.
I have an appointment for an optical coherence tomography (OCT) scan with an ophthalmologist on April 3.
Is it advisable to proceed with this appointment considering I just had a CT scan?

Xiao Ke, 50~59 year old female. Ask Date: 2024/03/26

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
The radiation dose from a CT scan is typically very low, so the risk of eye damage is minimal.
In your case, the radiologic technologist indicated that the area being irradiated should be below the eyes down to the neck, so the likelihood of exposure to the eyes is very low.
2.
Regarding the optical coherence tomography (OCT) scheduled for April 3, it is generally safe to proceed.
OCT is a non-invasive imaging technique that uses optical technology to examine the structures of the eye, unlike a CT scan, it does not involve radiation or contrast agents.
Therefore, even if you have undergone a CT scan, it is unlikely to affect the results or safety of the OCT examination.

Reply Date: 2024/03/26

More Info


CT scans, or computed tomography scans, are widely used diagnostic tools that provide detailed images of the body's internal structures. While they are invaluable in diagnosing various medical conditions, concerns about their safety, particularly regarding radiation exposure and potential effects on the eyes, are valid and warrant careful consideration.


Understanding the Risks of CT Scans
1. Radiation Exposure: CT scans involve exposure to ionizing radiation, which can increase the risk of cancer over a person's lifetime. The amount of radiation varies depending on the type of scan; for instance, a typical abdominal CT scan may expose a patient to about 7 mSv (millisieverts) of radiation. To put this into perspective, the average person is exposed to about 3 mSv of natural background radiation per year. While the risk of developing cancer from a single CT scan is relatively low, it is cumulative over time. For young patients, like yourself at age 22, the concern is heightened because they have a longer life expectancy during which potential radiation-induced effects could manifest.

2. Effects on the Eyes: The eyes are particularly sensitive to radiation. Studies have suggested a potential link between repeated exposure to radiation from CT scans and the development of cataracts. However, the risk is generally considered low for a single scan, especially if the scan is not directly targeting the eye area. In your case, since the scan was focused on the area below the eyes, the risk of direct harm to your eyes is minimal.
3. Contrast Agents: You mentioned receiving a contrast agent during your CT scan. While most patients tolerate these agents well, there is a small risk of allergic reactions, especially for those with a history of allergies. If you have concerns about potential allergic reactions, it is advisable to discuss this with your healthcare provider before any future imaging.


Recommendations Post-CT Scan
1. Follow-Up Imaging: You have a scheduled appointment for an Optical Coherence Tomography (OCT) scan. This is a non-invasive imaging test that uses light waves to take cross-section pictures of your retina. It is generally safe to undergo OCT after a CT scan, as the two procedures use different technologies and have different implications for eye health. However, always communicate with your healthcare provider about your recent CT scan and any concerns you may have.

2. Monitoring Symptoms: If you experience any unusual symptoms following your CT scan, such as persistent headaches or visual disturbances, it is crucial to report these to your healthcare provider. They can help determine if these symptoms are related to the scan or if they stem from another underlying condition.

3. Limit Unnecessary Scans: While CT scans are essential for diagnosing certain conditions, it is important to avoid unnecessary imaging. Always discuss the necessity of any imaging with your physician, considering both the diagnostic benefits and the potential risks.

4. Eye Health: If you have concerns about your eye health, especially following trauma or imaging, regular check-ups with an ophthalmologist are important. They can monitor for any changes in vision or eye structure and provide guidance on maintaining eye health.


Conclusion
In summary, while CT scans are generally safe and provide critical diagnostic information, it is essential to be aware of the associated risks, particularly regarding radiation exposure and potential effects on the eyes. Your upcoming OCT scan should not pose any additional risk following your CT scan, but maintaining open communication with your healthcare providers about your concerns and symptoms is key to ensuring your overall health and well-being. Always prioritize informed discussions about the necessity and frequency of imaging studies to mitigate risks while receiving appropriate care.

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