J Korean Ophthalmol Soc.  2020 Jun;61(6):676-679. 10.3341/jkos.2020.61.6.676.

Bilateral Corneal Edema After Inhalation of Spray Paint

• Kim J
• Ji YS
• Yoon KC

• KMID: 2502975
• DOI: http://doi.org/10.3341/jkos.2020.61.6.676

Abstract

Purpose
To report a case of acute bilateral corneal edema after inhalation of spray paint.
Case summary
A 47-year-old male presented with blurred vision in both eyes 12 hours after inhalation of spray paint. He had no history of ocular surgery or chronic ocular disease. The corrected visual acuity was 20/100 in the right eye and 20/40 in the left eye. An ocular examination revealed diffuse bullous changes in the epithelium and mild stromal edema in the cornea of both eyes. At one week after treatment with topical hypertonic solutions and corticosteroids, the visual acuity had improved to 20/20 and slit-lamp examination showed clear corneas without edema.
Conclusions
Inhalation of a chemical substance can lead to acute bilateral corneal edema, even without direct contact, but the lesion may resolve rapidly.

Keyword

Chemical; Corneal edema; Corneal toxicity; Inhalation