PURPOSE: To present four cases of Acanthamoeba keratitis as a complication of orthokeratology. DESIGN: Observational case report. METHODS: Four patients with Acanthamoeba keratitis had histories of overnight orthokeratology lens wear of 6 months to 2 years. RESULTS: Three cases were diagnosed with Acanthamoeba keratitis by corneal scraping and one by confocal microscopy examination. The patients were treated with chlorhexidine, metronidazole, and neomycin sulfate, resulting in a rapid resolution of ocular inflammation. CONCLUSION: Overnight wear of orthokeratology lenses may induce Acanthamoeba keratitis.
PURPOSE: To present four cases of Acanthamoeba keratitis as a complication of orthokeratology. DESIGN: Observational case report. METHODS: Four patients with Acanthamoeba keratitis had histories of overnight orthokeratology lens wear of 6 months to 2 years. RESULTS: Three cases were diagnosed with Acanthamoeba keratitis by corneal scraping and one by confocal microscopy examination. The patients were treated with chlorhexidine, metronidazole, and neomycin sulfate, resulting in a rapid resolution of ocular inflammation. CONCLUSION: Overnight wear of orthokeratology lenses may induce Acanthamoeba keratitis.
Authors: Sun Joo Lee; Hae Jin Jeong; Ji Eun Lee; Jong Soo Lee; Ying Hua Xuan; Hyun-Hee Kong; Dong-Il Chung; Mee-Sun Ock; Hak Sun Yu Journal: Korean J Parasitol Date: 2006-12 Impact factor: 1.341