Overlooking the Importance of UV Protection: Only 40 Percent of Americans Wear Sunglasses to Safeguard Vision

New survey shows awareness about eye and vision-related UV damage is low

Despite the health risks and repeated warnings about the dangers of exposure to harmful ultraviolet (UV) rays, a new survey from the American Optometric Association (AOA) indicates that only 40 percent of consumers cite protection of their eyes from sun damage as the primary reason they wear sunglasses. An additional 32 percent cited using sun wear for comfort and reduction of glare; while that reason is also important, prolonged sun exposure without proper protection may cause eye conditions that can lead to a variety of vision disorders.

"UV rays can damage the skin of the eyelid as well as the cornea, lens and other parts of the eye," said Dr. Teresa Seim, practicing optometrist and Michigan Optometric Association (MOA) member. "Since UV damage to the eyes can be painful and not easily healed, it is extremely important to make sure that sunglasses provide an adequate amount of UV protection."

Unfortunately, according to the 2013 American Eye-Q® survey, only 28 percent said UV protection is the most important factor when purchasing sunglasses.

In the short term, if the eyes are exposed to excessive amounts of UV radiation, such as during a day at the beach, a "sunburn" of the cornea, called photokeratitis, can occur. This painful condition includes symptoms such as red eyes, foreign body sensation or gritty feeling in the eyes, extreme sensitivity to light and excessive tearing. Photokeratitis, which can occur in both summer and winter months, is usually temporary and rarely causes permanent damage.

Over time, continued exposure to UV radiation can cause serious harm to the eyes and age them prematurely. Research has shown that exposure to UV radiation over a period of months to years increases the chance of developing cataracts, pterygium (an abnormal growth of the covering of the white of the eye onto the cornea) and eye cancer. Long-term exposure may also cause damage to the retina, which can lead to macular degeneration-the leading cause of blindness in adults in the US.

Keep in mind that while most UV radiation comes directly from the sun, you can also be exposed to UV rays reflecting from surfaces such as water, beach sand, snow, and white cement. At higher elevations, such as when skiing or hiking in the mountains, the danger is even greater, since there is less atmosphere that normally would filter most UV radiation.

To help reduce the risks of UV exposure on the eyes, it's important for safety to start as early as possible. The American Eye-Q® survey found only 21 percent of parents purchased their child's first pair of sunglasses before the infant's first birthday.

"The importance of sun protection for children is often overlooked. The lenses of their eyes are more transparent than those of adults, allowing shorter wavelength light to reach the retina," said Dr. Seim. "Because the effects of solar radiation are cumulative, it's important to develop good protection habits early and have infants and children wear proper sunglasses whenever outdoors."

For optimal eye sun-safety, the MOA recommends wearing sunglasses or contact lenses that offer appropriate UV protection, applying UV-blocking sunscreen around the eye area and wearing a hat to keep direct sunlight off of the face and eyes.

When choosing sunglasses or protective contact lenses the MOA suggests making sure that they block more than 95 percent of UV-A and more than 99 percent of UV-B radiation. In addition, the MOA recommends that sunglasses should:

• Screen out 75 to 90 percent of visible light

• Be perfectly matched in color and free of distortion and imperfections

• Have lenses that are gray for proper color recognition of critical objects, such as traffic signals

• Have a frame that fits close to the eyes and is contoured to the shape of the head, in order to prevent exposure to UV radiation from all sides, even behind.

Also, keep in mind prescription glasses can be made with tints and full UV protection. An optometrist can provide guidance on the best style and materials to meet the needs and lifestyle of the wearer. In addition, the best way to monitor eye health, maintain good vision, and keep up-to-date on the latest in UV protection is by scheduling yearly comprehensive eye exams. To find an optometrist in your area, or for additional information on how best to protect your eyes from UV radiation, please visit michigan.aoa.org/x4735.xml or www.aoa.org/uv-protection.xml.

About the survey:
The eighth annual American Eye-Q® survey was created and commissioned in conjunction with Penn, Schoen & Berland Associates (PSB). From March 15-18, 2013 using an online methodology, PSB interviewed 1,000 Americans 18 years and older who embodied a nationally representative sample of U.S. general population. (Margin of error at 95 percent confidence level)

About the Michigan Optometric Association
The Michigan Optometric Association represents over 1,000 doctors of optometry, optometry students and paraoptometric assistants and technicians throughout Michigan. MOA's mission is to advance and support optometry in serving Michigan's eye care needs. The association provides education, information and other member services to assist optometrists in practicing successfully in accordance with the highest standards of patient care; works to advance the quality and accessibility of optometric services throughout the state and seeks to ensure the recognition of independent optometrists as the primary providers of vision and related eye health care. For more information, visit www.themoa.org.