{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:50:11Z","timestamp":1791366611405,"version":"4.3.1"},"reference-count":40,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100015539","name":"Australian Government","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015539","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011025","name":"Government of Western Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100020265","name":"Stan Perron Charitable Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100020265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Higher past sun or ultraviolet radiation exposure increases the risk of skin cancer and three common ocular findings: pterygium, conjunctival ultraviolet autofluorescence (CUVAF) and myopia. We investigated whether ocular markers of past sun exposure are associated with a history of skin cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study of participants who attended the Phase 2 examination of the Busselton Healthy Ageing Study in Western Australia (2016\u20132022). Myopia was determined from autorefraction and pterygium and CUVAF from photographs of the anterior eye. Past diagnosis of a skin cancer was obtained from linked hospitalisation and cancer registry data (melanoma) or combining linked and self\u2010reported data (keratinocyte cancer). Multivariable logistic regression with multiple imputation was used for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 3888 participants who attended, 3829 (98.5%) had skin cancer history data (mean [standard deviation] age 64.2 [5.4] years). A history of keratinocyte cancer was present in 795 (20.8%) participants and cutaneous melanoma in 59 (1.5%) participants. After adjustments, keratinocyte skin cancer was associated with a current pterygium (odds ratio [OR]\u2009=\u20091.33, 95% confidence interval [CI]: 1.05, 1.69) and a previous self\u2010reported pterygium excision (OR\u2009=\u20091.85, 95% CI: 1.21, 2.82). Neither CUVAF or myopia was associated with keratinocyte cancer or melanoma diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Having a current pterygium or previous pterygium excision is associated with a diagnosis of keratinocyte skin cancer. While causality cannot be determined, the association may reflect shared risk factors such as chronic ultraviolet radiation exposure, and people with a pterygium should be advised that they are at higher risk of skin cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ceo.70148","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T01:16:30Z","timestamp":1785201390000},"page":"866-874","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Are Ocular Markers of Sun Exposure Associated With Skin Cancer? A Cross\u2010Sectional Analysis of the Busselton Healthy Ageing Study"],"prefix":"10.1111","volume":"54","author":[{"given":"Gareth","family":"Lingham","sequence":"first","affiliation":[{"name":"Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute) University of Western Australia  Perth Australia"},{"name":"Centre for Eye Research Ireland, Environment, Sustainability and Health Research Hub Technological University Dublin  Dublin Ireland"},{"name":"Centre for Eye Research Australia  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay Kumar","family":"Nilagiri","sequence":"additional","affiliation":[{"name":"Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute) University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Brown","sequence":"additional","affiliation":[{"name":"Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute) University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chrianna","family":"Bharat","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia  Perth Australia"},{"name":"National Drug and Alcohol Research Centre University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha S. Y.","family":"Lee","sequence":"additional","affiliation":[{"name":"Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute) University of Western Australia  Perth Australia"},{"name":"School of Optometry and Vision Science University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3984-3016","authenticated-orcid":false,"given":"Maria","family":"Franchina","sequence":"additional","affiliation":[{"name":"Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute) University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Hunter","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia  Perth Australia"},{"name":"Busselton Population Medical Research Institute  Busselton 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