What is the treatment for photokeratitis (inflammation of the cornea) caused by ultraviolet (UV) radiation exposure from a tanning bed?

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Last updated: April 7, 2025View editorial policy

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From the Guidelines

If you're experiencing painful eyes after using a tanning bed, you should immediately flush your eyes with cool water for 15 minutes and apply lubricating eye drops such as artificial tears (like Systane or Refresh) every 2-3 hours to soothe irritation. Take over-the-counter pain relievers like ibuprofen (400-600mg) or acetaminophen (500-1000mg) every 6-8 hours as needed for pain. Apply a cold compress to closed eyes for 10-15 minutes several times daily to reduce inflammation. Stay in a dimly lit environment and avoid screens, bright lights, and further UV exposure for at least 48 hours. If symptoms persist beyond 24-48 hours, worsen, include vision changes, or severe pain, seek immediate medical attention as you may have photokeratitis (UV damage to the cornea) 1. This condition occurs because tanning beds emit intense UV radiation that can burn the cornea similar to sunburn on skin, and proper eye protection should always be worn during tanning sessions to prevent such injuries.

Some key considerations for managing painful eyes after tanning bed use include:

  • Using topical corticosteroids judiciously, as they may reduce morbidity but also carry risks such as cataract and glaucoma 1
  • Avoiding the use of corticosteroids in cases of fungal infection, as they may worsen outcomes 1
  • Considering the use of bandage contact lenses for patients with microcystic or bullous epithelial disease, but being aware of the increased risk of infectious keratitis 1
  • Monitoring intraocular pressure and watching for signs of infection or other complications when using topical corticosteroids or bandage contact lenses 1

It's essential to prioritize caution and seek medical attention if symptoms persist or worsen, as timely treatment can help prevent long-term damage and improve outcomes 1.

From the Research

Treatment for Painful Eyes after Tanning Bed Use

Painful eyes after being in a tanning bed can be a symptom of dry eye disease, which is characterized by insufficient production and/or instability of the tear film.

  • The use of artificial tears can help alleviate symptoms of dry eye disease, as they supplement or stabilize the tear film 2.
  • Topical antibiotics may also be used to reduce infective-conjunctivitis symptoms, and artificial tears can be used in conjunction with antibiotics to shorten the time to clinical cure 3.
  • Preservative-free artificial tears are preferred, as preservatives can compromise the corneal epithelium and tear film 4, 5.
  • The choice of artificial tear treatment may depend on the individual's specific symptoms and signs, such as tear volume and lipid layer thickness 6.
  • Some ingredients in artificial tears, such as viscosity-enhancing agents, electrolytes, and osmo-protectants, can help promote corneal wound healing and counteract inflammation 2.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

The effects of topical drugs and preservatives on the tears and corneal epithelium in dry eye.

Transactions of the ophthalmological societies of the United Kingdom, 1985

Research

Tear film, pharmacology of eye drops, and toxicity.

Current opinion in ophthalmology, 1995

Research

Can the optimum artificial tear treatment for dry eye disease be predicted from presenting signs and symptoms?

Contact lens & anterior eye : the journal of the British Contact Lens Association, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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