and Treating Arc Eye: A Guide for Welders - Ophthalmology

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Treatment of photokeratitis?


Hello Doctor: My father has been working in the welding profession for many years, and over time, his eyes have suffered damage from the welding arc.
At night, he has difficulty opening his eyes or experiences tearing.
He believes this is a work-related injury and feels helpless.
After researching, I would like to ask the doctor a few questions.

1.
Can a general ophthalmology clinic treat this type of eye inflammation, or should he go to a hospital?
2.
Is it possible to purchase over-the-counter antibiotic eye drops to treat photokeratitis? Additionally, is there a chance for photokeratitis to heal completely?
Thank you, Doctor, for taking the time to read my numerous questions! 🙏 I appreciate your response in advance!

Ms. Zheng, 20~29 year old female. Ask Date: 2022/01/29

Dr. Gao Pilin reply Ophthalmology


Hello Ms.
Cheng: 1.
Most general ophthalmology clinics can provide treatment.
2.
It is advisable for the doctor to prescribe medication for your father; sometimes, keeping the eye bandaged for a day allows the corneal epithelium to regenerate, which can alleviate the symptoms.

Reply Date: 2022/01/29

More Info


Arc eye, also known as photokeratitis or welder's flash, is a painful condition caused by exposure to ultraviolet (UV) light emitted during welding. This condition can lead to symptoms such as redness, tearing, and a sensation of having sand in the eyes. It is crucial for individuals in the welding profession to understand the risks associated with their work and the appropriate measures for treatment and prevention.

1. Treatment Options:
Most general ophthalmology clinics can treat arc eye, but if the symptoms are severe or persistent, it may be advisable to visit a hospital or a specialized eye care center. These facilities often have more advanced diagnostic tools and treatment options. In cases of severe pain, vision changes, or if the symptoms do not improve with initial treatment, a more comprehensive evaluation may be necessary.

2. Over-the-Counter Medications:
While some over-the-counter eye drops may provide relief from symptoms, it is not advisable to self-treat with antibiotic eye drops without a prescription. Antibiotic drops are typically used for bacterial infections, and arc eye is primarily a result of UV exposure, not an infection. Instead, lubricating eye drops or artificial tears can help alleviate dryness and discomfort. If there is significant pain or if the symptoms worsen, it is essential to consult with an eye care professional for appropriate treatment.

3. Healing and Recovery:
The good news is that photokeratitis is usually a temporary condition. Most cases resolve within 24 to 48 hours with proper care. The eye has a remarkable ability to heal itself, but it is crucial to avoid further UV exposure during the recovery period. Wearing protective eyewear, such as goggles specifically designed for welding, can significantly reduce the risk of developing arc eye in the future.

4. Preventive Measures:
Prevention is key in managing arc eye. Welders should always wear appropriate protective eyewear that blocks UV rays. This includes helmets with proper filters and safety glasses that meet industry standards. Additionally, taking regular breaks during welding can help reduce eye strain and fatigue.

5. Long-Term Effects:
Chronic exposure to UV light can lead to long-term eye problems, including cataracts and macular degeneration. Therefore, it is essential for welders to take preventive measures seriously and to have regular eye examinations to monitor their eye health.

In summary, while arc eye can be a painful and uncomfortable condition, it is generally treatable and preventable. Welders should prioritize eye protection and seek professional care when experiencing symptoms. Regular check-ups with an eye care provider can help ensure that any potential long-term effects are addressed early. If your father is experiencing ongoing symptoms, it would be wise to encourage him to see an eye care professional for a thorough evaluation and appropriate treatment.

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