Figure 17. Persisting depigmented areas, 6 months
after exposure, in areas of most severe lesions.”

Figure 19. Section of skin from beta-burn area on back of
neck of 56-vear-old woman (No. 34) at 10 years after exposure (100). Note atrophy of epidermis with narrowing of stratum granulosum and fingerlike projections of
rete pegs. Slight atrophy of the sweat gland ductsis also
present.!!

Figure 18. Ear lesion healed, 6 months
after exposure, with considerable scarring.”

Figure 20. Pigmented nevuslike lesions in previous
beta-burn area of neck (subject No. 78).11

the neck regions that sustained severe beta burns
suggests that the developmentof benign lesions may

and unexposed populations. In addition,special
examinationsfor possible effects of radiation on
the eyes have been doneat intervals by ophthalmologists accompanying the medical team,first in

have been enhanced by the skin exposure (see Fig-

ure 20). Possible cocarcinogenic factors such as the
ultraviolet radiation in tropical sunlight and skin
irritation from coral, trauma, and infections may

render the developmentof malignant changes in the
skin morelikely, but the dark pigmentation should
offer some protection, as it has been shown that
skin canceris less prevalent among Negroes.
E. OPHTHALMOLOGICAL FINDINGS

Routine ophthalmological examinations(including funduscopic) have beenincluded in the
regular physical examinations of both the exposed

May 1954 (2 monthsafter the accident) and then

in 1955, 1956, 1957, 1958, 1959, 1962, 1964, 1967,
1971, and 1972. The routine examinations include

testing of vision, accommodation, muscle balance,
and pupillary reactions; external examination;

and funduscopy. Vision is tested with the Snellen

chart and the E-chart when necessary. Intraocular
tension has been measured when indicated, and

color vision has been tested on several occasions.
Special examinations have includedslit-lamp and
fundus photography. As partof the aging studies
quantitative changesin certain eye characteristics

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