- Broadband UVB light therapy (280–320 nanometer wavelengths)
- Narrow band UVB light treatments (311 nanometer wavelength only)
- UVA light therapy (320–400 nanometer wavelengths of light)
- PUVA (320–400 nanometer wavelengths of light). This is UVA light therapy combined with an oral light-sensitizing medication known as psoralen.
Skin disorders that can be treated with phototherapy include the following:
- Cutaneous T-cell lymphoma
- Allergy to sunlight
- History of skin conditions that worsen with UV light exposure (eg, lupus, types of porphyria)
- History of skin cancers
- Exposure in the past to substances or procedures that would increase the risk of skin cancers (eg, arsenic or radiation therapy)
- Liver disease (for patients taking psoralen)
- Eye conditions that may be worsened by phototoxicity
- Inability to stand
Phototherapy treatments are usually performed at a doctor's office or a psoriasis center. With the patient undressed to expose the affected areas and spare unaffected areas from the side effects of UV light, special goggles are used to prevent the risk of UV-induced cataracts. Additionally, genitalia are protected to minimize the risk of skin cancer, which is more problematic in that area. The patient stands in front of a light box lined with vertically oriented fluorescent UV lamps.
Each therapy session is supervised by a physician experienced in phototherapy treatments. The first few therapy sessions are brief in duration and are gradually increased once the patient's response to therapy is assessed. Patients with lighter skin start with shorter times of exposure compared to people with darker skin.
Patients with chronic skin conditions who become more experienced with the procedure and who are comfortable in self-administering light therapy can be prescribed a light-therapy unit appropriate for its use at home, following their physicians' recommendations to keep their skin condition under control.
After having treatment, patients should wear protective clothing and sunscreen on a daily basis. Those treated with PUVA therapy should also wear sunglasses to prevent eye damage as a result of the psoralen-induced light sensitivity.
- Increased risk of skin cancer development with long-term therapy
- Redness of the skin
- Skin aging changes