Red light therapy: Should your eyes be open or closed? (Updated guidelines for 2025)

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Red light therapy: Should your eyes be open or closed? (Updated guidelines for 2025)

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Red light therapy (RLT) is widely used for skin rejuvenation, pain relief, and even vision improvement. But one common question remains: Should you keep your eyes open or closed during treatment? The latest research and expert recommendations provide clarity.


1. The Short Answer

✔  Closed eyes are safest for most red light therapy sessions.
✔  Special protective goggles are recommended if eyes are exposed to high-intensity near-infrared (NIR) light.
✔ Eyes-open therapy is only safe under strict conditions (low-intensity, red-only wavelengths).


2. Risks of Exposing Eyes to Red & Near-Infrared Light

A. Potential Benefits (Under Controlled Conditions)

  • Low-level red light (630-660nm) may support retinal health in some cases (studies show promise for age-related vision decline).
  • Controlled medical devices (like those used in optometry clinics) can deliver safe, targeted eye therapy.

B. Risks of Unprotected Exposure

  • Near-infrared (810-850nm) can penetrate deeply, potentially causing thermal damage or lens opacity over time.
  • High-intensity red/NIR light may lead to temporary photophobia (light sensitivity) or discomfort.
  • Lack of FDA approval for most consumer RLT devices for direct eye treatment.

 Never stare directly into high-power LED panels without protection.


3. Updated 2025 Guidelines for Eye Safety

A. When to Keep Eyes CLOSED

✔ Using full-body RLT beds or high-power panels (50+ mW/cm²).
✔ Near-infrared (NIR) wavelengths are present (810-850nm).
✔ No FDA-cleared eye protection is available.

B. When Eyes-Open Therapy May Be Safe

✔ Using low-intensity red light (630-660nm only) under professional supervision.
✔ FDA-cleared devices specifically designed for ocular therapy (e.g., some optometry-grade tools).
✔ Wearing medical-grade protective goggles if NIR is involved.


4. Best Practices for Eye Protection

  • Use blackout goggles (preferably FDA-cleared) for high-power RLT.
  • Keep eyes closed if unsure about the device’s safety profile.
  • Avoid DIY eye treatments—only use ophthalmologist-approved devices for vision therapy.

5. Special Case: Can Red Light Therapy Improve Vision?

  • Emerging research suggests low-level red light (670nm) may help with age-related macular degeneration (AMD) and retinal health.
  • However, these studies use carefully calibrated medical devices—not standard RLT panels.
  • Do NOT self-treat eye conditions without a doctor’s guidance.

Final Verdict (2025 Guidelines)

ScenarioRecommended Action
High-power RLT (with NIR)Keep eyes closed or wear protective goggles
Red light-only (low intensity)Eyes open may be safe, but consult a professional
Ocular therapy devicesFollow doctor’s instructions strictly

Bottom Line: When in doubt, keep your eyes closed or use protection. Only expose eyes to red light under medical supervision.

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