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Skin conditions The treatments involve exposing the skin to. The exposures can be to small area of the or over the whole body surface, like in a. The most common treatment is with UVB NB-UVB with a wavelength of 311—313 nanometer. It was found that this is the safest treatment. Full body phototherapy can be delivered at a doctor's office or at home using a large high power UVB booth. Atopic dermatitis Light therapy is considered one of the best monotherapy treatments for atopic dermatitis AD , when applied to patients who have not responded to traditional topical treatments. The therapy offers a wide range of options: UVA1 for acute AD, NB-UVB for chronic AD, and balneophototherapy have proven their efficacy over the recent past. Patients tolerate the therapy safely but, as in any therapy, there are adverse effects and care should be taken in its application, particularly to children. Psoriasis See also: For , UVB phototherapy has been shown to be effective. A feature of psoriasis is localized mediated by the. Light therapy for skin conditions like psoriasis usually use NB-UVB 311 nm wavelength though it may use 315—400 nm wavelength or 280—315 nm wavelength light waves. UV-A, combined with , a drug taken orally, is known as treatment. In UVB phototherapy the exposure time is very short, seconds to minutes depending on intensity of lamps and the person's skin pigment and sensitivity. The time is controlled with a timer that turns off the lamps after the treatment time ends. Vitiligo One percent of the population suffer from , and narrowband UVB phototherapy is an effective treatment. Evidence for light therapy and in as of 2012 is not sufficient to recommend them. There is moderate evidence for the efficacy of blue and blue-red light therapies in treating mild acne, but most studies are of low quality. While light therapy appears to provide short term benefit, there is a lack of long term outcome data or data in those with severe acne. Cancer According to the , there is some evidence that ultraviolet light therapy may be effective in helping treat certain kinds of , and ultraviolet is established for this application. However, alternative uses of light for cancer treatment — light box therapy and — are not supported by evidence. Photodynamic therapy often with red light is used to treat certain superficial non-melanoma skin cancers. Other skin conditions Phototherapy can be effective in the treatment of , , , and. Narrowband UVB lamps, 311—313 nanometer is the most common treatment. Wound healing has been studied as a potential treatment for. Reviews of the scientific literature do not support the widespread use of this technique due to inconsistent results and low research quality. Higher power lasers have also been used to close acute wounds as an alternative to. Retinal conditions There is preliminary evidence that light therapy is an effective treatment for and. Mood and sleep related Seasonal affective disorder Main article: The effectiveness of light therapy for treating SAD may be linked to the fact that light therapy makes up for lost exposure and resets the body's internal clock. Studies show that light therapy helps reduce the debilitating and depressive behaviors of SAD, such as excessive sleepiness and fatigue, with results lasting for at least 1 month. Light therapy is preferred over antidepressants in the treatment of SAD because it is a relatively safe and easy therapy. It is possible that response to light therapy for SAD could be season dependent. Morning therapy has provided the best results because light in the early morning aids in regulating the circadian rhythm. A 2007 by the Swedish agency SBU found insufficient evidence that light therapy was able to alleviate symptoms of depression or seasonal affective disorder. Although treatment in light therapy rooms was well established in Sweden, no satisfactory, controlled studies had been published on the subject. This led to the closure of a number of clinics offering light therapy in Sweden. Non-seasonal depression Light therapy has also been suggested in the treatment of non-seasonal depression and other psychiatric mood disturbances, including , and. Circadian rhythm sleep disorders and jet lag Main article: Chronic circadian rhythm sleep disorders CRSD In the management of disorders such as DSPD , the timing of light exposure is critical. Light exposure administered to the eyes before or after the of the core body temperature rhythm can affect the. Use upon awakening may also be effective for. Some users have reported success with lights that turn on shortly before awakening. Evening use is recommended for people with. Some, but not all, totally blind people whose retinae are intact, may benefit from light therapy. Situational CRSD Light therapy has been tested for individuals with , and for. Sleep disorder in Parkinson's disease Light therapy has been trialed in treating sleep disorders experienced by patients with Parkinson's disease. For other uses, see. The production of the hormone , a sleep regulator, is inhibited by light and permitted by darkness as registered by in the. Hence, for the purpose of manipulating levels or timing, providing very specific types of artificial to the retina of the eye are effective. A 1995 study showed that green light therapy at doses of 350 lux produces melatonin suppression and phase shifts equivalent to 10,000 lux white light therapy, but another study published in May 2010 suggests that the blue light often used for SAD treatment should perhaps be replaced by green or white illumination, because of a possible involvement of the in melatonin suppression. In treatment, the patient's eyes are to be at a prescribed distance from the light source with the light striking the lower retina. This does not require looking directly into the light. Product specifications are often missing or unverified; illuminance can be controlled using a. UV rays are harmful to the eyes and skin. Light-induced thermogenesis A recent study proposes a theoretical model that may be used to treat obesity and diabetes, it uses light-induced thermogenesis. Ultraviolet light causes progressive damage to human skin and even from small doses. This is mediated by , damage, as well as destruction of and in the skin and generation. Ultraviolet radiation exposure is strongly linked to incidence of. Visible light of any kind with enough intensity can cause damage to the eyes and skin including photoconjunctivitis and. Researchers have questioned whether limiting blue light exposure could reduce the risk of. It is reported that bright light therapy may activate the production of reproductive , such as , , , and. Modern phototherapy lamps used in the treatment of seasonal affective disorder and either filter out or do not emit ultraviolet light and are considered safe and effective for the intended purpose, as long as drugs are not being taken at the same time and in the absence of any existing eye conditions. Light therapy is a mood altering treatment, and just as with drug treatments, there is a possibility of triggering a from a , causing and other. While these side effects are usually controllable, it is recommended that patients undertake light therapy under the supervision of an experienced clinician, rather than attempting to self-medicate. Patients with should avoid most forms of light therapy. Patients on certain drugs such as or should use caution with light therapy as there is a chance that these drugs could cause porphyria. Some non-depressive physical complaints, such as poor vision and skin rash or irritation, may improve with light therapy. Many ancient cultures practiced various forms of heliotherapy, including people of , , and. The , and early settlers also worshipped the sun as a health bringing. Indian medical literature dating to 1500 BCE describes a treatment combining with natural sunlight to treat non-pigmented skin areas. The is believed to be the father of modern phototherapy. He developed the first artificial light source for this purpose. He thought that the beneficial effect was due to ultraviolet light killing the , but recent studies showed that his lens and filter system did not allow such short wavelengths to pass through, leading instead to the conclusion that light of approximately 400 nanometers generated that would kill the bacteria. Finsen also used red light to treat lesions. He received the in 1903. Scientific evidence for some of his treatments is lacking, and later eradication of smallpox and development of for rendered light therapy obsolete for these diseases. From the late nineteenth century until the early 1930s, light therapy was considered an effective and mainstream medical therapy in the UK for conditions such as varicose ulcer, 'sickly children' and a wide range of other conditions. Controlled trials by the medical scientist supported by the Medical Research Council, indicated that light therapy was not effective for such a wide range of conditions. Since then a large array of treatments using controlled light have been developed. Clinical, Cosmetic and Investigational Dermatology. Retrieved 11 July 2012. Indian Dermatol Online J. Archived from on 2015-02-12. British Journal of Dermatology. International Journal of Dermatology. Lasers in Dermatology and Medicine. Retrieved 11 July 2012. Journal of the American Academy of Physician Assistants. Jun; 64 6 648-53. Cochrane Database of Systematic Reviews 2 : CD004050. Journal of Affective Disorders. Travel Med Infect Dis. Reviews in the Neurosciences. Bauer; Robert L Sack; Mary S. Miller; Gary Gray; Fred Buick; Sofi Blazeski; Josephine Arendt July 2007. Center for Environmental Therapeutics. Retrieved 25 May 2011. Toxicology and Applied Pharmacology. Retrieved 7 October 2014. New England Journal of Medicine. Annals of Clinical Psychiatry. Retrieved 7 February 2014. The James Lind Library. Royal College of Physicians of Edinburgh and Minervation Ltd. Retrieved 12 February 2017.
