Back to Basics: Ultraviolet Keratitis
- Injury to corneal epithelial cells
- Classically associated with arc welders, tanning beds and skiers
- Effects are cumulative
How does it present?
- Symptoms often delayed (6-12 hours) - pain, photophobia, prominent tearing, conjunctival infection, blepharospasm
How is it diagnosed?
- Proparacaine drops to provide anesthesia for detailed exam
- Slit lamp exam w/ fluorescein stain - punctate corneal abrasions and diffuse corneal edema
What is the treatment?
- Oral analgesics, cycloplegics (TID), lubricant drops
- Eye protection w/ side shields
- Healing typical occurs w/in 24-36 hours
Walker RA, Adhikari S. "Eye Emergencies." Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8eEds. Judith E. Tintinalli, et al. New York, NY: McGraw-Hill, 2016, pg 1563