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A UV-related risk analysis in ophthalmic malignancies: Increased UV exposure may cause ocular malignancies
Xiaojun Ju1, Alexander C Rokohl1,2, Xueting Li1
1Department of Ophthalmology, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Ultraviolet radiation (UVR) is a significant risk factor for ocular malignancies like eyelid and conjunctival melanoma. While its role in uveal melanoma is debated, UVR impacts ocular surface squamous neoplasia development.
Area of Science:
- Ophthalmology
- Oncology
- Environmental Health
Background:
- Ocular malignancies represent a significant global health concern.
- Understanding environmental risk factors is crucial for prevention and treatment strategies.
- Ultraviolet radiation (UVR) is a known environmental exposure with potential links to various cancers.
Purpose of the Study:
- To investigate the association between ultraviolet radiation (UVR) and the incidence and development of ocular malignancies.
- To analyze epidemiological data on ocular tumors in relation to UVR exposure.
- To clarify the role of UVR in different types of eye cancers.
Main Methods:
- Ocular malignancy data were obtained from the Global Cancer Observatory (GCO).
- Correlation analysis was performed using the global UV index and sunshine duration.
- A systematic literature search was conducted across Embase, Pubmed, Cochrane Library, and Google Scholar databases.
Main Results:
- The link between UVR and eyelid malignancies is well-established, with similar findings for conjunctival melanoma.
- The relationship between UVR and uveal melanoma remains controversial, though a potential impact on prognosis exists.
- UVR contributes to ocular surface squamous neoplasia by activating HPV infection.
Conclusions:
- UVR is a critical risk factor for ocular malignancies, though other factors also influence tumor incidence.
- A thorough understanding of UVR's role in ocular tumor pathogenesis can inform targeted immune regulation strategies for patients.
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