Abstract

The purpose of this study was to evaluate whether asthmatic reactions and changes in tear film quality could be provoked by exposing subjects to emissions from building materials in climate chambers. Twenty asthmatics and 5 healthy controls were exposed to (1) gypsum board hung with waterborne painted wallpaper; (2) rubber floor covering; (3) nylon carpet with rubber mat; (4) particle board coated with acid-curing paint; and (5) no test materials in climate chambers for 6 h. Participants recorded symptoms by filling in questionnaires, and clinical data were evaluated by lung function measurements at intervals of 30 min to 1h, and external eye examinations before and after exposure (appearance of foam at eyelid, semi-quantitative measurements of precorneal superficial lipid layer, break-up time and epithelial damage). There was agreement between a trained panel's evaluation of perceived air quality and the participants' opinion of indoor air quality. No correlation was found between lung function measurements and exposure to the materials. However, for all materials, statistically significant changes in tear film quality were observed to varying degrees. Lipophilic Volatile Organic Compounds (VOCs) may destabilize the lipid multilayer of the tear fluid, and this mechanism is suggested to be at least partly responsible for eye irritation.

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