Health Phys. 2020 May;118(5):549-561. doi: 10.1097/HP.0000000000001259.
Since the original ICNIRP Statement was published in 2000, there have been significant improvements in the efficiency and radiance (i.e., optical radiation emission) of LEDs. The most important improvement is the development of 'white' LEDs that can be used as general lighting sources, which are more efficient than traditional lighting sources. LEDs emitting in the ultraviolet wavelength region have also become available and have made their way into consumer products. All these changes have led to a rise in concern for the safety of the optical radiation emissions from LEDs. Several in vitro and animal studies have been conducted, which indicate that blue and white LEDs can potentially cause retinal cell damage under high irradiance and lengthy exposure conditions. However, these studies cannot be directly extrapolated to normal exposure conditions for humans, and equivalent effects can also be caused by the optical radiation from other light sources under extreme exposure conditions. Acute damage to the human retina from typical exposure to blue or white LEDs has not been demonstrated. Concern for potential long-term effects, e.g. age-related macular degeneration (AMD), remains based on epidemiological studies indicating a link between high levels of exposure to sunlight and AMD. When evaluating the optical radiation safety of LEDs, it has now been established that published safety standards for lamps, not lasers, should be applied. Thus far, the only clear, acute adverse health effects from LEDs are those due to temporal light modulation (including flicker). Glare can also create visual disturbances when LED light fixtures are not properly designed. Further research is needed on potential health effects from short- and long-term exposure to new and emerging lighting technologies.
自 2000 年发布原始 ICNIRP 声明以来,LED 的效率和辐射(即光辐射发射)有了显著提高。最重要的改进是开发了“白色”LED,可作为普通照明光源使用,其效率高于传统光源。能够发射紫外线波长区域的 LED 也已经问世,并已进入消费产品。所有这些变化都导致人们对 LED 光辐射发射的安全性的担忧增加。已经进行了一些体外和动物研究,这些研究表明,在高辐照度和长时间暴露条件下,蓝色和白色 LED 可能会潜在地引起视网膜细胞损伤。但是,这些研究不能直接外推到人类的正常暴露条件,并且在极端暴露条件下,其他光源的光辐射也可能会引起等效的影响。典型的暴露于蓝色或白色 LED 并未引起人类视网膜的急性损伤。对潜在长期影响(例如年龄相关性黄斑变性(AMD))的关注仍然基于表明高水平暴露于阳光与 AMD 之间存在关联的流行病学研究。在评估 LED 的光辐射安全性时,现已确定应适用针对灯而非激光器的已发布安全标准。到目前为止,唯一明确的 LED 急性不良健康影响是由于时间光调制(包括闪烁)引起的。如果 LED 灯具设计不当,眩光也会造成视觉干扰。需要对新出现的照明技术的短期和长期暴露的潜在健康影响进行进一步研究。