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Ophthalmic Images
June 11, 2015

Persistent Amine Keratopathy Secondary to Indirect Exposure to Spray Polyurethane Foam Insulation

Author Affiliations
  • 1W. K. Kellogg Eye Center, University of Michigan, Ann Arbor
  • 2currently affiliated with Beaumont Eye Institute, William Beaumont Hospital, Royal Oak, Michigan
JAMA Ophthalmol. 2015;133(6):e1584. doi:10.1001/jamaophthalmol.2015.84

A man in his 40s reported bilateral blurry vision and photophobia for the 2 days since he sprayed polyurethane foam insulation. He denied direct ocular exposure and had used a respirator with a face shield. An examination revealed numerous discrete intraepithelial corneal opacities without inflammatory signs, punctate staining, or elevated intraocular pressure (Figure). Symptoms and examination findings improved slightly during the next 24 hours and had resolved completely 2 weeks later without treatment.

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