24

(visual acuity, arcus senilis, accommodation, retinal arteriosclerosis} have been recorded.8-13.32

1. General Findings
Some general observations on the eyesof the
Marshallese have indicated differences from the
eyes of U-S. Caucasians which may be related to
ethnic background and possibly to environmental
factors. The major eye findings for the past 3 years
are listed in Table [4.
The high incidence of pingueculae and pterygia
is the most notable findinglisted in the table. This

has been found by others to be characteristic of
people living on lowcoral atolls in the Pacific and
is thought to berelated to irritation of the eyes by
coral dust, salt water, and bright sunlight. The

other major findings listed were related to general
aging effects (loss of visual acuity, cataract forma-

uon, loss of accommodation, loss of ocular muscle

balance, etc.) and these appeared to occur to a
lesser degree in the Marshallese than in Americans, although the incidenceof arcus senilis and
cataracts seemed higher. The Marshallese hadless
myopia, aberrations of color vision, and ambly-

Table 14

Ophthalmological Findings, 1970-1974
Rongelap and
Ailingnae exposed

(70*)

Rongelap unexposed

(133*)

Uuirik exposed

(100*)

Ocular condition

No.

%

No.

%

No.

70

Anisocoria
Arcus senilis
Argyll-Robertson pupil
Chalazion

i
22
1
3

1.4
31.5
1.4
4.3

0
34
0
1

0
25.5
0
0.75

0
21
0
0

‘0
21
0
0

Congenita! defects
Conjunctivitis
Corneal pigment
Corneal scar

2
0
0
2

3.0
0
0
3.0

0
2
0
5

0
1.50
0
3.75

0
0
0
1

0
0
0
I

Enophthalmos
Enucleation
Glaucoma, primary
Glaucoma,secondary

0
1
0
0

0
0
0
0.75

1
0
0
0

1
0
0
0

19.5
10.5

20
17

20
17

0.75
0
1.5
0
4.5
0
0.75
31.0
0
14.0
0
LS
0
15
0
0.75
0

1
0
0
0
7
0
0
29
0
1
0
3
2
3
0
1
0

1
0
0
0
7
0
0
29
0
i
0
3
2
3
0
1
0

Choroiditis

Driisen

2

3.0

2

0

0

0
1.4
0
0

0
0
0
1

Cataracts
Lenticular opacities

12
9

17.0
13.0

26
14

Macular degeneration
Night vision impairment
Nystagmus
Phthisis bulbi
Pinguecula
Positive Romberg
Proptosis
Prerygium
Prosis
Retinal arteriosclerosis
Retinal hemorrhages
Retinal scars
Retinopathy, diabetic
Strabismus
Uveitis
Vitreous opacities
Xanthoma

2
0
1
1
7
1
1
17
2
11
2
2
0
2
1
2
1

3.0
0
1.4
1.4
10.0
1.4
1.4
24.0
3.0
15.7
3.0
3.0
0
3.0
1.4
3.0
1.4

1
0
2
0
6
0
I
41
0
19
0
2
0
2
0
I
0

Lens:

Polychromatic sheen

*Numberof people examined.

7

10.0

2

13

1.50

1.50

10.0

1

0

17

I

0

17

Select target paragraph3