Which action is appropriate during phototherapy to protect the newborn's eyes?

• A. Place an eyeshield over the eyes.
• B. Remove the eyeshield during treatment.
• C. Cover the eyes with a cloth.
• D. Leave the eyes uncovered.

Answer: (A)

Protecting the newborn’s eyes during phototherapy is essential because bright blue-light treatment can injure the retina and cornea if the eyes are exposed. An eyeshield placed over the closed eyes provides a barrier that blocks direct light from reaching the eyes while the therapy light shines on the skin to convert bilirubin into a form that’s easier to excrete. The shield should fit securely but not press on the eyeballs, and it should stay in place for the entire session so the eyes are consistently protected. Removing the shield during treatment, covering the eyes with a cloth, or leaving the eyes uncovered would expose the eyes to strong light and increase the risk of eye injury.