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Sunglasses are essential during Inflammation Therapy (IT) because most patients have or develop some degree of visual photosensitivity. See Light Sensitivity.
 
Patients should purchase them before beginning Benicar because photosensitivity can develop rapidly when Benicar is initiated. There are several options for indoor and outdoor use.

 
 
 
Specifications

Most standard sunglasses will block out all ultraviolet rays and varying degrees of visible light, but ultraviolet protection alone is not sufficient. Patients must use sunglasses that also block virtually all infrared and blue light, which are a part of the natural light spectrum. Specifications for sunglasses used only indoors away from any natural light are less restrictive

NoIR brand
 
NoIR (No InfraRed) sunglasses are made by NoIR Medical Technologies. NoIR sunglasses have a patented protective coating that protects eyes from infrared, ultraviolet, and blue light, as well as bright visible light.
 
NoIR sunglasses block out the longer, invisible electro-magnetic infrared waves which ordinary sunglasses cannot block out. They offer this essential protection in several different styles to be worn with or without prescription glasses. The correct sunglasses are important because the pupil dilates in low light to let in more light.
 
Patients should have at least two types of NoIR glasses, e.g., a pair with 2% amber lenses and a pair with 10% amber lenses, unless they are purchasing prescription sunglasses or one of the other recommended sunglasses.
 
NoIR frames
 
The following NoIR frames are suitable.
 
 
 
 
 
 
Spectra-shields, Fit-Overs
  • 900 series is 6 1/4” (large adult head)
  • 700 series is 6 1/8” (medium adult head)
  • 100 series is 5 1/4” (small adult head or child)
Spectra-shield frames are generally recommended and they’re best at keeping light off of the face. They come in small (#31), medium (#36), large (#39) and adjustable (#38) frames.
 
35 Wrap-Around
 
One size; adjustable arm length and orientation; adjustment of orientation requires clicking the arm into place The 35 is a non-fitover, wraparound style frame; arguably the most fashionable. It does a reasonable job of keeping out light, but not as a good job as the Spectra-shields fitovers.
 
Spectra-shields, Non-Fitovers
  • 900 series is 6 1/4” (large adult head)
    700 series is 6 1/8” (medium adult head)
                                  100 series is 5 1/4” (small adult head or child)
The Non-fitover Spectra-shield frames are not very good at keeping light out from overhead and to the side.
 
200 Series
 
The 200 series frames look like regular sunglasses.
The 200 series may not block out as much light as necessary around the edges.
 
 
 
 
Basic fitovers
 

The basic fit-over frame is least expensive but unfashionable. Spectra-shields (above) are a better option.
 
400 series, clip-ons
 
Primary demand for hook-ins comes from those who must use a microscope in their line of work.
400 series clip-ons are ineffective at blocking overhead light or light from the sides. Patients who use clip-ons can protect themselves from overhead light with a baseball cap.
 
Lens types
 
Lenses tinted amber are required because they block blue light, attenuate visible light the best and therefore block more energy.

Each of the following types of amber lenses from NoIR is appropriate for use with the recommended sunglass frames:
2% amber (“darks”) is suitable for outdoor lighting conditions.
 
2% ambler blocks:
 
  • 98% visible light
  • 100% UV light
  • 100% blue light
  • 100% infrared light
10% amber (“mediums”) is okay for indoor lighting conditions.
 
10% amber blocks:
 
  • 90% visible light
  • 100% UV light
  • 100% blue light
  • 100% infrared light
  •  
40% amber (“lights”) is suitable for patients in the later stages of recovery when light sensitivity is no longer a problem.
 
40% amber blocks:
 
  • 60% visible light
  • 100% UV light
  • 100% blue light
  • 100% infrared light
Lens blanks from NoIR
 
NoIR have lens blanks available in a base 8 curve (the curve degree of most wrap-around style sunglasses). An optical lab can insert these lenses into frames of the patient's choosing.
 
Frames to hold prescription lenses and/or NoIRs lens

These special frames can be found at this link.

Ordering NoIR sunglasses

Order NoIR sunglasses direct by calling:
• 1-800-521-9746 (in the USA)
• 1-734-769-5565 (outside the USA
 
NoIR representatives are familiar with the needs of patients on Inflammation Therapy and can assist in selecting the correct style and lenses. Be sure to mention the “low vision discount.”
 
Another source for NoIR sunglasses in the United States is Independent Living Aids. Toll-free phone number: 877-886-0819
 
Obtaining NoIRs in other countries
 
United Kingdom
Optima Low Vision Service
Phone: 01803 864218
 
Canada
Some Canadians have encountered customs fees when getting NoIR glasses shipped from the U.S.
           
Netherlands
Ergra Low Vision
 
Helpful hints
 
NoIR Medical Technologies will replace broken or defective sunglasses.
 
Soreness behind the ears
 
This may be caused by inflammation. Sunglasses may press on swollen lymph nodes around the head and ears. Temporal and ear pain can be just another symptom of Th1/Th17 inflammation due to lymph nodes in the area. The cheaper basic fitovers are more ridid and are more likely to cause this problem. 
 
If NoIRs slip consider:
 
• Rubber tabs (ear stops) that keep glasses from sliding from Walter Drake
• Rubber stops that keep glasses from sliding from www.wedgees.com
 
If NoIRs pinch the nose
 
Try adhesive silicone nose pads available from Amazon.com or most drugstores.
 
If NoIRs don’t fit over reading glasses
 
Try “stick on reading lenses” such as the kind sold by Aircraft Spruce and available from Amazon.com. Also available from Hidalgo's.
 
Maintaining NoIR sunglasses
  • Check the Spectrashields' screw pin to be sure it’s tight.
  • Use the protective case to prevent scratching.
  • Don’t clean with an alcohol product. Use soap and water.
  • Air dry or dry the lenses carefully with a soft cloth, not a paper towel.
Emergency repair instructions
 
Purchase a small (ex. 55ml) bottle of methylene chloride from a plastics shop. Using an appropriate applicator (ex. small polyethelene squeeze bottle), wet both of the exposed broken surfaces and then place them together. Be sure to do this in a well ventilated area as the vapors are harmful.
 
Other sunglasses
 
Bolle
For those who don’t wear prescription glasses and would like a more stylish pair of sunglasses, Bolle 100 lenses are an option.
Bolle 100 lenses are an adequate substitute for the medium 10% NoIR sunglasses but are not as dark as the NoIR 2%, which patients may need initially for outdoor use. The Bolle 100 lens blocks 98% of the infrared allows only 9% of natural light in, and they can be put in a more stylish frame.
 
Julbo

Julbo sunglasses are another option. The entire Julbo line and current specifications can be viewed on their website.
 
Prescription sunglasses
 
Prescription sunglasses are another eye protection option available, however, prescription sunglasses must meet the specifications listed for NoIRs with respect to amount and types of light blocked.
 
The best prescription lenses are made by Carl Zeiss.
 
“I ordered pair of prescription Bucci Kamet sunglasses from opticus.com. They sent a pair of Julbo teardrops, and the Buccis to test. They suggested the Buccis as they have a better fit on the side pieces. I had my local optician measure them.
 
Hildago's can put mirror-coated and/or non-mirror-coat on prescription lenses into most frames that you supply (even bifocal now) that can darken them quit a bit. Their web site has a lens transmission data section and a place to get their catalog. Sadly they now are having problems finding colored glass lens material in Kontraster color, that worked well for blocking IR radiation. You can still check with them. Without the colored glass the IR protection is not good enough for outdoor use in early phases of treatment.
 
Opticus Inc. has a wide selection of glacier glasses to look at and they make prescription lenses as well.

Campmor has cheap glacier glasses that you can replace lenses elsewhere or wear indoors.
 
Alternative sunglasses for use in artificial light only
 
Eyes can be adequately protected from artificial light by regular sunglasses if they have all of the following characteristics:
 
• provides 8% to 12% total visible light transmission (or blocks 88-92% of the light)
• dark amber lenses
• close-fitting
 
The amber colored lens causes high contrast in vision because is also filters most blue light. The amber lens also distorts colors, but is essential to adequately block artificial light.
 
If style is a major concern for inside use, very dark amber sunglasses that wrap around to protect the sides can be used. Any light that seeps in from the top can be blocked with a cap if work/school dress code allows.
 

Covering up is Glamorous!!!
Sun-tans are so passe.
Celebrities wear dark glasses.