It’s pretty painful to get a sunburn after missing a spot on your skin with sunscreen. Just imagine how a corneal sunburn would affect your quality of life during some of the best weather of the year. Also known as photokeratitis, this issue occurs during short-term exposure to high intensity UV-B rays. Photokeratitis is painful but temporary and is similar to a sunburn, but on your corneas (the clear portion of your eye in front of your pupil) instead of skin. It can look like a yellow, thickened area in the whites of your eyes. Too much exposure with ultraviolet rays can temporarily damage your conjunctiva, which is the clear layer of tissue covering the inside of your eyelid and whites of your eye.
Summertime activities that can put someone at increased risk for photokeratitis include mountain climbing, hiking, skiing, and swimming. It can also occur if you use sunlamps and tanning beds, or spend time in an environment with consistent UV light exposure.
There are two types of UV light proven to contribute to eye, skin, or health issues. UV-A rays can pass through your eye’s cornea to reach the lens and retina. UV-B rays can’t pass through glass but still can cause eye damage.
The symptoms of photokeratitis are pain and redness in the eyes, swelling, light sensitivity, headaches, temporary loss of vision, twitching eyelids, and seeing halos (like in the photo below). They can last from six to twenty-four hours but typically disappear after forty-eight hours.
Photokeratitis is most often formally diagnosed after an eye exam, and your doctor will place drops containing a special dye known as fluorescein in your eyes to reveal any superficial irregularities on the surface of your cornea. As for treatment, go indoors immediately after experiencing symptoms and avoid bright lights. Once in a darkened area, place a cold washcloth over your eyes and take ibuprofen. If you wear contact lenses, remove them and use artificial tears to reduce discomfort.
The longer you were exposed to UV lights, the more severe the symptoms. Long term exposure to even the tiniest amount of UV radiation can increase the risk of developing a cataract or macular degeneration (an eye disease that leads to vision loss in the center), or cause tissue elevations on the surface. These conditions are known as pinguecula and pterygium, but can be prevented by wearing sunglasses.
If you wear contacts, ask about ones that absorb UV rays when working or playing in a sunny environment. But even with these types of contacts it’s still important to wear protective sunglasses to shield your eyelids and conjunctiva from the suns’ rays.
The good news is that photokeratitis is preventable simply by wearing the proper eye protection when outside, like prescription sunglasses or snow goggles in the winter. Glare from snow, sand, or water can cause burns to your eyes even if it’s overcast. A wide brimmed hat can help filter out the sun’s rays as well.
When purchasing a pair of sunglasses, it’s worth noting that not all sunglasses are polarized. Polarized sunglasses are manufactured in a distinctive way that creates a different pattern in the lens to block out more light than a usual pair of sunglasses. When choosing a pair, look for one that provides one hundred percent UV protection or UV 400 protection. Prescription sunglasses help with overall light sensitivity, headaches caused by glare, and regular eye strain from squinting in bright sunlight.
For more information, check out our other blog post on prescription sunglasses here.
Be sure to visit your eye specialist once a year to stay up on your eye health and catch any issues early. It’s never been a better time to make an appointment with the team at Visionary Eye Center to get the perfect pair of prescription sunglasses for your summer adventures. Shop our collection from the comfort of your own home at our online store.
Our Reno eye care facility is one of the best in preventing photokeratitis in our patients.
For those that suffer from nearsightedness (myopia) or astigmatism, there may be a better solution out there for you than wearing corrective lenses daily or undergoing risky surgery. The latest method of myopia control in Reno is the use of orthokeratology, or ortho-k, which is accomplished through a retainer lens worn solely at night while you sleep. Not only is ortho-k a great treatment for patients seeking unique or custom eye care, it also offers freedom from the hassles of daily wear correction methods like soft contact lenses and glasses.
If you or someone you know is struggling with myopia or astigmatism and the traditional treatment methods aren’t meeting your active lifestyle needs, connect with Northern Nevada optometrist Dr. Bolenbaker to discuss the possibility of starting orthokeratology.
Orthokeratology, also called ortho-k, corneal refractive therapy, or gentle vision shaping, is a non-surgical method of reshaping the cornea for improved vision. Ortho-k is a custom eye care solution that uses fitted corneal molds and retainers to put gentle hydraulic pressure on the cornea that flattens its surface to correct the way your eye takes in light. It works similarly to LASIK with the risks of surgical complications and dry eye. And unlike contact lenses worn during the day, ortho-k treatments work overnight so you are free from correction while you are awake.
To fully understand how orthokeratology works, you first have to understand how our eyes take in light and transform it into an image that we’re able to see. When light rays are focused properly through the cornea and reach the retina, you see a clear image. When there is a mismatch between the curvatures in the cornea and the length of the eye, light cannot be focused properly thus resulting in blurred vision.
Ortho-k works to reshape the cornea so that incoming light bends accordingly, presenting a clearer image. Unlike everyday contact lenses that are worn to correct vision while awake, ortho-k lenses use gentle hydraulic forces to temporarily reshape the cornea for prolonged effects. Wearing the molds at night results in effects that last well into the next day which is why this has become a preferred method of myopia control in Reno for active children.
Good candidates for the ortho-k treatment include patients with mild to moderate myopia or nearsightedness, or those with minor astigmatism. Orthokeratology is FDA approved to correct nearsighted patients with prescriptions under -6.00D of myopia and less than -1.75D of astigmatism. Children make great candidates for this method of myopia control due to their typically mild symptoms and flexible corneas. Adults that would prefer a non-surgical correction option may also be a great candidate.
Myopia, more commonly known as nearsightedness, is a refractive error that causes blurred vision when looking at objects that are far away. This is typically due to axial elongation, making the eye longer than the cornea curvature can focus the light taken in by the eye. Ortho-k has been shown in multiple studies to slow the elongation of an of the eye. It is hypothesized that the peripheral myopic defocus along the horizontal and vertical meridians of the eye induced by wearing ortho-k molds tricks the eye into thinking it has grown too long, halting the signal for continued growth. If the eye does not continue to grow, myopia progression is decelerated, thus slowing the worsening of your nearsightedness.
As with any sort of corrective lens to improve vision, there may be some risks involved, however, the risk of adverse effects caused by ortho-k is extremely low. The symptoms you may experience while using orthokeratology are very similar to the risks associated with wearing traditional contact lenses. Essentially, the risks can easily be prevented and managed with good hygiene practices.
Ultimately, the benefits of ortho-k largely outweigh the risks associated with the treatment method. One of the most notable benefits of orthokeratology is its ability to effectively improve vision while the patient is asleep, thus not impeding their daily activities. The most common list of risks and benefits are as follows:
Here, at the Visionary Eye Center, we strive for customized eye care solutions for our Reno-Sparks patients. As each patients’ needs are unique, our treatment should be as unique as you.