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Solar exposure of the Eyes.

Generality/Definition

Epidemiology

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  • On a sunny day, approximately 40 percent of UVR exposure will occur between 11am-1pm.
  • Clouds have minimal effect on the amount of UVR exposure- complete cloud cover reduces UVR by only 50 percent, and heavy cloud cover rarely reduces UVR by more than 90 percent.
  • Altitude increases UVR exposure by 6 percent per kilometer of elevation.
  • UVR with wavelengths shorter than 320nm (UVB & UVC) is considered to be more photobiologically active than UVA.
  • Research suggests that UV damage may be cumulative.
  • It is notable that the crystalline lenses in children under 10 allow more than 75 percent of UVA and UVB light to reach the retina.

  • Source: Review of Optometry (revoptom.com)

Prevention

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  • Sunscreen : At least 15 SPF, Applied 20 minutes before sun exposure, Reapplied as needed, especially while swimming or sweating.
  • Hat: A 4-inch brimmed hat reduces sun exposure by 70% to your head, neck, and face
  • Sunglasses: Select sunglasses and eyewear that block 99% to 100% of UVA and UVB radiation.
  • Children need smaller versions of real, protective adult sunglasses.

  • Source: University Health Services Tang Center : Online Health Topics (uhs.berkeley.edu)
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Symptoms

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    Erythema: or sunburn is a common result of overexposure to UVR. Depending upon an individual's skin type and the daily UV index, erythema can occur within as little as 16 minutes.
    Photokeratitis: or snowblindness, occurs after over-exposure of the cornea to UVR. It is estimated that as little as 2 hours exposure to snow cover and 6-8 hours at a beach can trigger this painful condition.
    Basal cell carcinoma is the most commonly occurring cancer affecting the eyelids- with 75 percent of lesions occurring on the lower lid. Studies have shown that children who experience multiple sunburns are more likely to develop skin cancer as an adult.
    Pterygium are fleshy growths over an otherwise clear cornea. In 1989, a study revealed that outdoor workers are three times as likely to develop pterygium and six times as likely to develop climatic droplet keratopathy.
    Cataracts have been associated with UVB exposure in laboratory animals since 1974. In 1988, a study of 838 watermen working in the Chesapeake Bay (latitude 37 degrees north) revealed an increased risk of cortical cataracts when UVB exposure was doubled.
    Age-related Macular Degeneration is the leading cause of blindness in elderly Americans. Although definitive links have yet to be found, the Schepens Eye Institute and the American Macular Degeneration Foundation have reported that exposure to UVR and High Energy (blue) Visible Light may be linked to ARMD.
    Source: Review of Optometry (revoptom.com)

Treatment

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    What does UV Index mean?
    UV Index Category Sun Protection Actions
    0 - 2 Low Minimal protection for normal activity
    3 - 5 Moderate Cover up. Wear hat, sunglasses, sunscreen if outside for 30 min.
    6 - 7 High Protection required. Reduce time in sun between 11AM and 4PM
    8 - 10 Very High Take full precautions and avoid sun between 11AM and 4PM
    11+ Extreme Take full precautions and avoid sun between 11AM and 4PM

    Source: Stratospheric Ozone - The Health Impacts of Living With Ultraviolet Radiation (ec.gc.ca)
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Illustrations

Source: The Cancer Council New South Wales :: Sun Smart Dressing (cancercouncil.com.au)


Sun smart clothes

Source: Sunglasses & Health Effects of Solar UVR (arpansa.gov.au)


Association

Scientific articles: All recent articles for "Ultraviolet Rays"

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Last modified: Apr 2007
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