K Hirano1, S Sai. 1. Department of Ophthalmology, Nagoya University School of Medicine, Japan. kojihira@med.nagoya-u.ac.jp
Abstract
PURPOSE: To report a case of severe Acanthamoeba sclerokeratitis. METHODS: A 70-year-old male non-contact lens wearer was examined for severe pain in the left eye which began about 40 days after cataract surgery. In spite of a careful search, it required 6 weeks to detect Acanthamoeba. Systemic and topical fluconazol and miconazol did not help and the keratitis progressed into necrotic sclerokeratitis with protrusion of uveal tissue through the thin sclera. RESULTS: Those findings slowly got worse before the Acanthamoeba sclerokeratitis resolved 6 months later with scar formation. CONCLUSION: We describe the terminal and cicatricial stages of Acanthamoeba keratitis, and report that the healing process can follow the terminal stage and the eye does not need to be enucleated.
PURPOSE: To report a case of severe Acanthamoeba sclerokeratitis. METHODS: A 70-year-old male non-contact lens wearer was examined for severe pain in the left eye which began about 40 days after cataract surgery. In spite of a careful search, it required 6 weeks to detect Acanthamoeba. Systemic and topical fluconazol and miconazol did not help and the keratitis progressed into necrotic sclerokeratitis with protrusion of uveal tissue through the thin sclera. RESULTS: Those findings slowly got worse before the Acanthamoeba sclerokeratitis resolved 6 months later with scar formation. CONCLUSION: We describe the terminal and cicatricial stages of Acanthamoeba keratitis, and report that the healing process can follow the terminal stage and the eye does not need to be enucleated.
Authors: Irene Heredero-Bermejo; Jose Luis Copa-Patiño; Juan Soliveri; Elena Fuentes-Paniagua; Francisco Javier de la Mata; Rafael Gomez; Jorge Perez-Serrano Journal: Parasitol Res Date: 2014-10-31 Impact factor: 2.289