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Formaldehyd und konjunktivale Irritationen
Eine Expositionsstudie mit naiven Probanden

Objectives: The objective of this study is to examine eye irritation in human volunteers exposed to formaldehyde concentrations between 0.15 and 1.0 ppm.

Methods: Testing is conducted in 21 nonsmoking volunteers (11 males, 10 females, aged 19 to 39 years) during six days. Each subject is exposed to formaldehyde concentrations of 0.15 ppm, 0.3 ppm and 0.5 ppm for 4 hours. To simulate discontinuous working situations, peak exposures of 0.6 ppm or 1.0 ppm, each for 15 minutes, are included. Study parameters are: conjunctival redness (slit-lamp photography) and blinking frequency (video recording). To record the subject’s physical and mental state, the validated SPES questionnaire is used. The PANAS questionnaire is used to investigate the influence of personality traits on subjective ratings.

Results: The subjective ratings indicate eye irritation at concentrations as low as 0.3 ppm. Blinking frequency which is the most sensitive objective parameter, is increased significantly by short-term peak exposures of 1.0 ppm during baseline exposure to 0.5 ppm formaldehyde. Conjunctival redness, ranging from slight to moderate on the CCLRU ranging scale (Cornea and Contact Lens Research Unit) increases significantly at concentrations of 0.5 ppm with short-term peaks of 1.0 ppm.
The analysis of personality traits as a covariate showed for volunteers who rate their personality as “anxious”, that a “negative affect” has a significant influence on the subjective rating of irritation. Objective parameters such as blinking frequency are not affected.

Conclusions: Blinking frequency is a sensitive physiological parameter of formaldehyde- induced conjunctival irritation. Significant changes in blinking frequency occur at concentrations of approximately 0.5 ppm with a peak of 1.0 ppm. This reflects the lowest observed effect level (LOEL). Personality traits have a great effect on subjective rating of irritation, the blinking frequency as an objective parameter is not affected.