Classifying Skin Type for Intense Pulsed Light Therapy

Skin Type and IPL

The Fitzpatrick skin type classification is a widely used system that categorizes skin based on its response to ultraviolet (UV) radiation and tendency to tan or burn. It ranges from Type I, which always burns and never tans, to Type VI, which never burns and always tans. This classification is essential when considering the use of Intense Pulsed Light (IPL) therapy for treating dry eye disease, particularly Meibomian Gland Dysfunction (MGD). IPL uses broad-spectrum light to reduce inflammation, improve gland function, and alleviate symptoms of dry eye. However, the effectiveness and safety of IPL can vary depending on the patient's skin type. For instance, darker skin types (Types IV to VI) have higher melanin levels, which can absorb more light energy and increase the risk of hyperpigmentation or burns. Therefore, understanding a patient's Fitzpatrick skin type helps eye care professionals tailor IPL treatment settings to minimize risks and optimize outcomes, ensuring safe and effective management of dry eye symptoms across diverse patient populations.

Fitzpatrick Skin Types

ILight, pale white, freckledExtremely sensitive skin, always burns, never tansLight blonde/red hair
IIWhite, peach, fairVery sensitive skin, burns easily, tans minimallyFair haired Caucasians, northern Asians
IIIWhite to light brown, oliveSensitive skin, sometimes burns, slowly tans to light brownDarker Caucasians, some Asians
IVOlive, light to moderate brownMildly sensitive, rarely burns, tans easily Mediterranean and Middle Eastern Caucasians, southern Asians
VBrown to dark brownResistant skin, rarely burns, tans wellSome Hispanics, some Africans
VIDark brown to blackVery resistant skin, never burns, deeply pigmentedDarker Africans, Indigenous Australians