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Abstract ID 15-152
Title J_Foam Chemical Injury Resulting From The Exploding Head Of Oliver Cromwell
Oral, Poster or Video? I would accept only poster presentation
temp
Review result [518]
Purpose

We report a chemical injury resulting from J-Foam, a soft, flexible substance rarely encountered in ophthalmology. Its main application is in the casting of film or theatre props. Our patient worked as a model maker at a local film studio and at the time of the injury was working on a model mask of Oliver Cromwell.

Methods

A 33 year-old woman was referred to the eye clinic from the accident and emergency department following the unexpected explosion of a model mask made from J-Foam. The patient was in significant discomfort with excoriation and erythema of the facial skin. The eyelids were fused by the J-Foam adhering to the eyelashes, in a manner similar to cyanoacrylate injuries. The eyelashes were trimmed in order to remove the substance from the periocular area.

Results

The ocular examination revealed a significant keratoconjunctivitis with areas of corneal abrasion. Pieces of hardened J-Foam were peeled away from the conjunctiva. The patient was treated with Chloramphenicol ointment and made a full recovery

Conclusion

J-Foam 162 is a polyurethane substance, which reacts at room temperature to produce a soft flexible foam. Ingress of moisture into J-Foam can lead to pressure build up and subsequent explosion, as happened in the case described here. The management was similar to the treatment of cyanoacrylate injuries.

1, McLean, S, Ophthalmology, Frimley, 2, McLean, C, Ophthalmology, Guildford