They are often ineffective against ich. The exposure time required along with flow rates render most aquarium uv's ineffective in preventing/combatting ich.
Add to this the amount of live rock, substrate, and/or dead coral decorations means there are plenty hiding spots for ich.
UV's marginally improve water quality...that is about it.
UV's can be effective aginst ich, but it is larger units that are run on multiple systems with little to no in tank decor, live rock or substrates.