眼部阳光暴露:各种太阳镜的预期紫外线防护效果。

Sun exposure to the eyes: predicted UV protection effectiveness of various sunglasses.

机构信息

Institute for Work and Health, University of Lausanne and Geneva, 1010, Lausanne, Switzerland.

Division of Chronic Diseases, University Institute of Social and Preventive Medicine, Lausanne University Hospital (CHUV), Lausanne, Switzerland.

出版信息

J Expo Sci Environ Epidemiol. 2019 Oct;29(6):753-764. doi: 10.1038/s41370-018-0087-0. Epub 2018 Oct 31.

Abstract

The aim of this study was to assess solar ultraviolet radiation (UVR) doses received by the eyes in different exposure situations, and to predict the sun protection effectiveness provided by various styles of sunglasses at facial, periorbital, and ocular skin zones including the cornea and accounting for different head positions. A 3D numeric model was optimized to predict direct, diffuse and reflected erythemally weighted UVR doses received at various skin zones. Precisely defined facial, periorbital, and ocular skin zones, sunglasses (goggles, medium-, and large-sized sunglasses) and three head positions were modeled to simulate daily (08:00-17:00) and midday (12:00-14:00) UVR doses. The shading from sunglasses' frame and lenses' UVR transmission were used to calculate a predictive protection factor (PPF [%]). Highest ocular daily UVR doses were estimated at the uncovered cornea (1718.4 J/m). Least sun protection was provided by middle-sized sunglasses with highest midday dose at the white lateral (290.8 J/m) and lateral periorbital zones (390.9 J/m). Goggles reached almost 100% protection at all skin zones. Large-sized sunglasses were highly effective in winter; however, their effectiveness depended on diffuse UVR doses received. In "looking-up" head positions highest midday UVR doses were received at the unprotected cornea (908.1 J/m), totally protected when large-sized sunglasses are used. All tested sunglass lenses fully blocked UVR. Sunglasses' protection effectiveness is strongly influenced by geometry, wearing position, head positions, and exposure conditions. Sunglasses do not totally block UVR and should be combined with additional protection means. 3D modeling allows estimating UVR exposure of highly sensitive small skin zones, chronically exposed and rarely assessed.

摘要

本研究旨在评估眼部在不同暴露情况下接收到的太阳紫外线辐射(UVR)剂量,并预测各种太阳镜款式在面部、眶周和眼部皮肤区域(包括角膜)提供的防晒效果,同时考虑到不同的头部位置。优化了一个 3D 数值模型,以预测不同皮肤区域接收到的直接、漫射和反射的红斑加权 UVR 剂量。精确定义了面部、眶周和眼部皮肤区域、太阳镜(护目镜、中号和大号太阳镜)以及三个头部位置,以模拟日常(08:00-17:00)和中午(12:00-14:00)的 UVR 剂量。利用太阳镜框架和镜片的 UVR 透过率的阴影来计算预测保护因子(PPF [%])。未覆盖的角膜处估计每日眼部 UVR 剂量最高(1718.4 J/m)。中号太阳镜提供的防晒效果最差,中午剂量最高的部位是白色外侧(290.8 J/m)和外侧眶周区域(390.9 J/m)。护目镜在所有皮肤区域几乎达到 100%的保护。在冬季,大号太阳镜的效果非常高;然而,其效果取决于接收到的漫射 UVR 剂量。在“抬头”的头部位置,未受保护的角膜处接收到的中午 UVR 剂量最高(908.1 J/m),而使用大号太阳镜时则完全受到保护。所有测试的太阳镜镜片均完全阻挡 UVR。太阳镜的保护效果受几何形状、佩戴位置、头部位置和暴露条件的强烈影响。太阳镜不能完全阻挡 UVR,应与其他保护手段结合使用。3D 建模允许评估高度敏感的小皮肤区域、慢性暴露且很少评估的 UVR 暴露情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/844e/6803516/41395b3d1a7c/41370_2018_87_Fig1_HTML.jpg

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