Did you know that your eyes could get sunburned? Photokeratitis, also known as ultraviolet keratitis, is a painful, but thankfully temporary, eye condition brought about by exposure to ultraviolet rays, the source of which is usually the sun. Just as sunburn affects the skin, photokeratitis affects the thin top layer of the cornea and the conjunctiva, which is the cell layer that covers the whites of the eye and the inside of the eyelids.
What Causes Photokeratitis?
The sun emits UV-A, UV-B and UV-C rays. UV-C is absorbed by the ozone layer so it does not harm us; however, the other two pass through and can cause both short and long-term damage to the eyes.1 While the cornea of the eye blocks quite a bit of UV-B radiation, UV-A radiation can go really deep, easily penetrating the full thickness of the cornea. The damage can be either because of direct sunlight or because of sunlight reflected by ice, snow,
3 If you enjoy the outdoors and activities such as hiking, swimming, or mountain climbing, your risk of photokeratitis increases. And light-colored eyes tend to be more photosensitive.4
Ultraviolet Radiation Can Hit Even On Cloudy Days
When the sun’s rays hit your eyes, your body’s natural reaction is to resist penetration. Your pupils constrict, your eyelids close, and you may even squint. However, these mechanisms are activated by bright, visible light and not by UV radiation. And, unfortunately, UV radiation may be quite high even on a cloudy day. So if you are outdoors skiing, snowmobiling, or mountain climbing,
Snow Blindness: A Common Type Of Photokeratitis
Snow blindness or arc eye is an extreme but common type of photokeratitis and is caused by UV rays reflected off snow and ice. The condition is common near the South and North Poles and in mountain regions where the air is thinner, thus offering less protection from UV rays. Snow blindness may have other symptoms such as freezing of the cornea’s surface and severe drying of the corneal surface because of extremely dry air.6
Man-Made Sources Of UV Light Can Cause Photokeratitis
Extended exposure to man-made sources of UV light such as lasers, lamps used for tanning, welding equipment, mercury vapor lamps, photographic flood lamps, lightning, halogen desk lamps, metal halide bulbs, and carbon arcs can cause photokeratitis.7 8 Using a photocopy machine for long hours with the lid open has also been known to cause photokeratitis.9 Even UV lamps used in nightclubs have been associated with it.10
Symptoms Of Photokeratitis
If you suffer from photokeratitis, you may have:
- Pain or redness in the eyes
- A gritty feeling in the eyes
- A burning sensation
- Blurred vision
- Swelling in the eyes and/or lids
- Sensitivity to light
- Twitching of the eyelids
- Temporary loss of vision
- Halos and glares around lights
The symptoms may last 6 to 24 hours. They usually disappear within 48 hours.11
If your eyes
Here are some tips to protect your eyes from UV rays when you go outdoors.
Stay In The Shade
If possible, stay in the shade when you are outdoors. Of course, in addition to that, you need to wear sunglasses, a hat, and protective clothes too.13
Use A Hat
Wear a wide-brimmed hat or visor when you go outdoors. The brim should preferably shade your face, ears, as well as the back of your neck. Straw hats are not the best
Use Eye-Protective Equipment At Work
Use proper eye protective equipment if you are exposed to UV radiation on the job. Anti-reflective coatings do what they are supposed to do but tests show that they do not protect your eyes from UV rays. In fact, even if the source of UV radiation is behind you, it can reflect off your glasses and impact your eyes. Only eyewear with a high wrap frame and high base curve lenses can prevent UV radiation from reaching the eye.15
Wear Effective Sunglasses
Just as you use sunblock for your skin before
Choose sunglasses or goggles which absorb or absorb 99–100 percent of UV rays for optimal protection. Use wrap-around sunglasses or glasses with side panels if you plan to be outdoors for long. Sunglasses also protect the tender skin around your eyes.16
Buying The Right Kind Of Sunglasses
Before you splurge on a pair of fancy sunglasses, here are a few tips to keep in mind.
- Check whether the sunglasses are certified as 100 percent UV-blocking.
- Opt for oversized/wrap around styles – bigger is better where UV protection is concerned.
- Darker lenses
- Pricey sunglasses are not necessarily UV-protective. Check for certification before you buy.17
First Aid For Photokeratitis
Once you are affected by photokeratitis,
- Go indoors immediately and stay for a while in a darkened room.
- Remove contact lenses, if any.
- Do not rub your eyes.
- Place a cold compress over your closed eyes.
- Keep your eyes moistened with artificial tears.
- Wear sunglasses indoors as well since your eyes may be extra sensitive to sunlight for a while.
- Talk to your ophthalmologist and take an over-the-counter non-steroidal anti-inflammatory pain reliever if necessary.
- You could also use a recommended antibiotic eye drops or try a reliable home remedy.
If you experience loss of vision or your discomfort lasts longer than 2 days, seek medical help.18
Soothing Home Remedies For Photokeratitis
Place thin slices of raw potato over your eyes to reduce inflammation and soothe the eyes. A poultice made of scraped potato may also be equally effective.19
Place fresh, green plantain leaves on the eyelids to relieve soreness and reduce inflammation. Fresh plantain leaves have antibiotic properties.20
Place a cool compress of lavender or hyssop tea on top of each closed eyelid for relief from pain.21
|↑1||Delic, Naomi C., J. Guy Lyons, Nick Di Girolamo, and Gary M. Halliday. “Damaging Effects of Ultraviolet Radiation on the Cornea.” Photochemistry and photobiology (2017).|
|↑2||What is Photokeratitis — Including Snow Blindness?. American Academy of Ophthalmology.|
|↑3||Delic, Naomi C., J. Guy Lyons, Nick Di Girolamo, and Gary M. Halliday. “Damaging Effects of Ultraviolet Radiation on the Cornea.” Photochemistry and photobiology (2017).|
|↑4||Sun Smart UV Safety Infographic. American Academy of Ophthalmology.|
|↑5||The known health effects of UV. World Health Organization.|
|↑6, ↑16, ↑18||What is Photokeratitis — Including Snow Blindness?. American Academy of Ophthalmology.|
|↑7||Mangan, Mehmet Serhat, Ceyhun Arıcı, Eray Atalay, Burak Tanyıldız, and Faik Oruçoğlu. “Four cases
|↑8||Finn, Lauren E. “Photokeratitis Linked to Metal Halide Bulbs in Two Gymnasiums—Philadelphia, Pennsylvania, 2011 and 2013.” MMWR. Morbidity and mortality weekly report 65 (2016).|
|↑9||Tillotson, Julie; Whittingham, Emma; Field, Dorothy. Eye Emergencies: a practitioner’s guide – 2/ed. M&K Update Ltd, 2015.|
|↑10||Ting, Michelle AJ, Kamran Saha, and Scott Robbie. “Mass photokeratitis following ultraviolet light exposure at a nightclub.” Contact Lens and Anterior Eye 39, no. 4 (2016): 316-317.|
|↑11||Can you get sunburned eyes. The Discovery Eye Foundation|
|↑12||Yılmaz, Safıye et al. “Pseudomonas Keratitis.” Ophthalmology , Volume 113 , Issue 5 , 883 – 884.|
|↑13, ↑14||Sun Safety. Centers for Disease Control and Prevention (CDC).|
|↑15||Citek, Karl. “Anti-reflective coatings reflect ultraviolet radiation.” Optometry-Journal of the American Optometric Association 79, no. 3 (2008): 143-148.|
|↑17||How to Choose the Best Sunglasses. American Academy of Ophthalmology.|
|↑19, ↑20||Tyler, Varro E. Hoosier home remedies. Purdue University Press,1985.|
|↑21||Heinerman, John. The Family Encyclopedia of Natural Healing Cedar Fort, 2000.|