Most people are aware of the skin cancer risks associated with too much ultraviolet (UV) light exposure. It’s why we carefully apply sunscreen before heading out the door. But did you know that it’s just as important to protect your eyes? Research shows that more than one-third of adults have experienced symptoms due to prolonged UV exposure, such as eye irritation, trouble seeing and red or swollen eyes.1
The good news is that protecting your eyes is as easy as protecting your skin. Here’s what you need to know.
What Is UV?
The sun emits different types of UV rays—two of which are widely known to be a serious cause for concern. In particular, UVA and UVB are not fully absorbed or altered when they pass through the atmosphere, which means they pose a risk to eyes and skin. How much of a risk depends on lots of factors, including your geographic location (UV levels are greater in tropical areas near the earth's equator), altitude (UV levels are greater at higher altitudes) and time of day (UV levels are typically greater from 10 a.m. to 2 p.m.).
Other factors that influence risk include medications you take and your specific setting. For example, if you are in an environment with lots of highly reflective surfaces, such as sand and snow, UV exposure is much higher than it would be if you were standing in middle of a city, shaded by lots of tall buildings.
Surprisingly, seasonal changes have less of an impact than you might think. In fact, even though you feel the sun’s rays more in the summer, because snow is so reflective, winter can be twice as dangerous.1
Why Are Eyes at Risk?
Although UV comes from the sun, make no mistake: it has a dark side—particularly with regard to the health of your eyes. Several eye problems have been linked to UV exposure, including cataracts, macular degeneration, pingueculae, pterygia, photokeratitis, cancers of the eye and surrounding skin, and more.
• Cataracts. The World Health Organization (WHO) estimates that up to 20 percent of all cataract cases are attributable to UV radiation and are preventable.1
• Macular degeneration. Age-related macular degeneration (AMD) is the leading cause of blindness in adults 60 and older, but higher UV exposure at an earlier age has been significantly associated with early AMD. 1
• Pingueculae and pterygia. These visible growths on the eye's surface can cause corneal problems and distort your vision.
• Photokeratitis. Also known as snow blindness, photokeratitis is like a sunburn on your cornea. This painful inflammatory state causes temporary vision loss.1
• Cancer. According to the Skin Cancer Foundation, one-tenth of all skin cancers are found on the eyelid. 1 Exposure to UV radiation, especially UVB, is the most common cause for eyelid tumors. 1 In addition to cancer around the eye, nearly 3,000 intraocular cancer cases are diagnosed in the U.S. annually. 1
Many people had no idea how much damage they were sustaining in their younger years. Indeed, UV exposure is cumulative over your lifetime, meaning you can’t turn back time and undo skin or eye damage that’s already occurred. However, you can lessen your risk of making it worse. And, if you’re young or have little kids, take advantage of your good fortune and start to increase your protection from the sun now.
How to Stay Safe
Think of it this way: sunglasses are to eyes what sunscreen is to skin. Sunglasses are your eyes’ best defense against dangerous UV rays. That being said, not all sunglasses offer suitable protection, so check labels or bring them to your eye doctor to be checked out. You want to make sure your shades block 100 percent of UV rays.
With regard to the color of your sunglass lenses, you might be surprised to learn that this has virtually no effect on the amount of UV protection. Whether they are amber, grey, or brown matters less than the built-in UV protection each provides.
On the other hand, frame style does play a role. Close-fitting and wraparound styles offer better protection because fewer rays can peak in through the sides of the frames. Similarly, a wide-brimmed hat can offer additional shield and therefore another layer of protection.
It’s also important to recognize that you need to protect your eyes even when conditions are overcast. Remember, even in winter, reflected UV is dangerous. Likewise, in the summer, rays reflected from buildings, sand and lakes can be a hazard.
How Contact Lenses Can Help
Direct and reflected sunlight that shines through the sides, top and bottom of eyeglasses is known as the Peripheral Light Focusing Effect (PLF).2 Studies show that up to 45% of UV light is still reaching the eye from the top, bottom, and sides of sunglasses. 2
Because this UV is harmful, many people also wear contact lenses as an added layer of protection.
Studies have shown that UV-blocking contact lenses can help block the peripheral light that sunglasses can't block. 3,4 Indeed, certain contact lenses actually protect the eye from UV radiation and potentially prevent early cataracts and other UV-related diseases.5 Studies show that use of UV-blocking contact lenses reduces the PLF effect by 69% for UVA and 96% for UVB. 2
CooperVision offers a variety of contact lenses with UV protection6, including Avaira Vitality® lenses, which offer Class 1 UV protection that blocks more than 90% UVA and 99% UVB.
MyDay® is another UV-protecting contact lens option, designed for anyone who prefers the added benefits of a 1 day lens. MyDay® filters 85% of UVA and 96% of UVB rays—plus, it’s made of healthiest7 soft contact lens material (silicone hydrogel) and it’s a daily disposable, which means you use a fresh pair every day.
Of course, UV-absorbing contact lenses are not substitutes for protective UV-absorbing eyewear, so if you want to get the most protection possible, cover all your bases by combining UV-blocking sunglasses, UV-blocking contact lenses, and a wide-brimmed hat.
1. The Vision Council. 2016 UV Protection Report. Available at https://www.thevisioncouncil.org/sites/default/files/TVC_UV_Report2016.pdf.
2. Clinical Controversies: Point/Counterpoint. Contact Lens Spectrum, Volume: 32, Issue: January 2017. Available at http://www.clspectrum.com/issues/2017/january/clinical-controversies-point-counterpoint.
3. Kwok LS, Kuznetsov VA, Ho A, et al. Prevention of the adverse photic effects of peripheral light-focusing using UV-blocking contact lenses. Invest Ophthalmol Vis Sci.2003;44:1501-1507.
4. A Closer Look at UV-Blocking Contact Lenses. Contact Lens Spectrum. November 2007. Available at: http://www.clspectrum.com/supplements/2007/november-2007/raising-awareness-of-the-ocular-dangers-of-uv-radi/a-closer-look-at-uv-blocking-contact-lenses.
5. When a Contact Lens Is the Healthier Choice. Contact Lens Spectrum. May 2007.
6. Warning: UV-absorbing contact lenses are not substitutes for protective UV-absorbing eyewear, such as UV-absorbing goggles or sunglasses, because they do not completely cover the eye and surrounding area. Patients should continue to use UV-absorbing eyewear as directed.
7. With higher oxygen permeability than hydrogel materials, silicone hydrogel contact lenses minimize or eliminate hypoxia-related signs and symptoms during lens wear.