A comparative assessment of the ultraviolet radiation transmission of sunglasses for patients receiving photochemotherapy.

The suitability of 75 sunglasses for use by patients receiving 8-methoxypsoralen photochemotherapy (PUVA) was assessed by measuring their ultraviolet radiation (UVR) transmission spectra and comparing the results with some published proposed spectral limits. The sunglasses were classified according to whether their lenses were polarised, photochromic, reflective, graduated tint or of a miscellaneous type. The UVR transmission of 39 of these sunglasses was also measured using a PUVA source and a UVA sensitive detector. There was a difference of a factor of x7 between the maximum PUVA source transmission of the sunglasses with satisfactory spectral transmission and the minimum PUVA source transmission of those with unsatisfactory spectral transmission. Values of PUVA source transmission values corresponding to hypothetical transmission spectra close to the spectral limits were derived by calculation. It was concluded that photochromic sunglasses could be rejected for patient use without recourse to measurement unless they were claimed to have low UVR transmission, and that the transmission of all other types had to be assessed individually. It was also concluded that the PUVA source method could be adopted for routine use with a maximum acceptable transmission of 0.2%.