Ultraviolet, blue light and phototoxicity

Ultraviolet rays, belonging to non-visible light, and blue light, belonging to the visible spectrum, present risks for the human eye that should be well known in order to better protect against them. This article explains the mechanisms of phototoxicity of this radiation and describes the various ocular disorders and pathologies that they can induce.

As early as Antiquity, Socrates describes the deleterious effect of direct or reflected observation of the Sun. There is a narrow border with age between the photo-transduction at the origin of the phenomena of vision and the pathology linked to the excess of photons, which can expose the eye to toxicity either acutely or cumulatively throughout life by overexposure factors, all the more so as life expectancy increases.

The retina, which is part of the posterior part of the eye, is exposed to residual radiation (little ultraviolet but essentially blue light with a risk of macular aging and the development of maculopathies, including age-related macular degeneration [AMD]).

THE RISKS OF UV RADIATION TO THE HUMAN EYE

This is the classic picture of "arc flash" or snow blindness causing tearing, redness, intense pain in the eyes, photophobia, that is to say a sensitivity to light and a sensation of grains of sand.

The subject will be visually disabled for 6 to 24 hours and recovery can be achieved in 48 hours. In the long term, the visual apparatus does not develop a tolerance to repeated UV exposure, unlike the skin.

Acute solar retinopathyThe alteration caused by UVA rays affects the photoreceptors. These accidents can occur when a person observes an eclipse or when welding without protective glasses.

On a smaller scale, it is possible that surgeons working under an operating microscope are also exposed. Currently, macular lesions can be observed and visualized in particular by fundus examination and macular OCT (optical coherence tomography).

Claude Speeg-Schatz Ophthalmologist, University Hospitals of Strasbourg. Download the full brochure here

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