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旅行者中紫外线辐射引起的光角膜炎:一个主要的健康问题。

Photokeratitis induced by ultraviolet radiation in travelers: A major health problem.

作者信息

Izadi M, Jonaidi-Jafari N, Pourazizi M, Alemzadeh-Ansari M H, Hoseinpourfard M J

机构信息

Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Cancer Research Center, Semnan University of Medical Sciences, Semnan; Department of Ophthalmology, Isfahan Eye Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Postgrad Med. 2018 Jan-Mar;64(1):40-46. doi: 10.4103/jpgm.JPGM_52_17.

Abstract

Ultraviolet (UV) irradiation is one of the several environmental hazards that may cause inflammatory reactions in ocular tissues, especially the cornea. One of the important factors that affect how much ultraviolet radiation (UVR) humans are exposed to is travel. Hence, traveling is considered to include a more acute UVR effect, and ophthalmologists frequently evaluate and manage the ocular manifestations of UV irradiation, including UV-induced keratitis. The purpose of this paper is to provide an evidence-based analysis of the clinical effect of UVR in ocular tissues. An extensive review of English literature was performed to gather all available articles from the National Library of Medicine PubMed database of the National Institute of Health, the Ovid MEDLINE database, Scopus, and ScienceDirect that had studied the effect of UVR on the eye and its complications, between January 1970 and June 2014. The results show that UVR at 300 nm causes apoptosis in all three layers of the cornea and induces keratitis. Apoptosis in all layers of the cornea occurs 5 h after exposure. The effect of UVR intensity on the eye can be linked to numerous factors, including solar elevation, time of day, season, hemisphere, clouds and haze, atmospheric scattering, atmospheric ozone, latitude, altitude, longitudinal changes, climate, ground reflection, and geographic directions. The most important factor affecting UVR reaching the earth's surface is solar elevation. Currently, people do not have great concern over eye protection. The methods of protection against UVR include avoiding direct sunlight exposure, using UVR-blocking eyewear (sunglasses or contact lenses), and wearing hats. Hence, by identifying UVR intensity factors, eye protection factors, and public education, especially in travelers, methods for safe traveling can be identified.

摘要

紫外线(UV)照射是可能导致眼组织,尤其是角膜发生炎症反应的几种环境危害之一。影响人类紫外线辐射(UVR)暴露量的重要因素之一是旅行。因此,旅行被认为会带来更急性的UVR效应,眼科医生经常评估和处理紫外线照射的眼部表现,包括紫外线引起的角膜炎。本文的目的是对UVR在眼组织中的临床效应进行循证分析。我们对英文文献进行了广泛回顾,以收集1970年1月至2014年6月期间美国国立卫生研究院国家医学图书馆PubMed数据库、Ovid MEDLINE数据库、Scopus和ScienceDirect中所有研究UVR对眼睛及其并发症影响的可用文章。结果表明,300纳米的UVR会导致角膜所有三层发生凋亡并诱发角膜炎。角膜各层的凋亡在暴露后5小时发生。UVR强度对眼睛的影响可能与众多因素有关,包括太阳高度、一天中的时间、季节、半球、云层和雾霾、大气散射、大气臭氧、纬度、海拔、经度变化、气候、地面反射和地理方向。影响到达地球表面的UVR的最重要因素是太阳高度。目前,人们对眼部保护没有给予足够重视。防止UVR的方法包括避免阳光直射、使用防紫外线眼镜(太阳镜或隐形眼镜)和戴帽子。因此,通过识别UVR强度因素、眼部保护因素并开展公众教育,尤其是对旅行者的教育,可以确定安全旅行的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3256/5820813/ba9585ccff94/JPGM-64-40-g001.jpg

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