PURPOSE: To report our initial experience in the treatment of Acanthamoeba keratitis with accelerated corneal collagen cross-linking. METHODS: Retrospective chart review of patients diagnosed with Acanthamoeba keratitis with progressive corneal melting who were treated with accelerated collagen cross-linking. RESULTS: A total of 6 eyes (5 patients) were reviewed. All the patients received adjuvant therapy with moxifloxacin and chlorhexidine. In 4 cases, the ulcer healed with a mean interval to epithelialization of 108.8 days (range 59-217). In 2 eyes, there was a persistent neurotrophic ulcer. The melting was not progressive in any case, nor did any eye required emergency penetrating keratoplasy. CONCLUSION: This study suggests a beneficial effect of accelerated collagen cross-linking in cases of Acanthamoeba keratitis with corneal melting. Thus, collagen cross-linking may be considered as adjuvant treatment for Acanthamoeba keratitis.
PURPOSE: To report our initial experience in the treatment of Acanthamoeba keratitis with accelerated corneal collagen cross-linking. METHODS: Retrospective chart review of patients diagnosed with Acanthamoeba keratitis with progressive corneal melting who were treated with accelerated collagen cross-linking. RESULTS: A total of 6 eyes (5 patients) were reviewed. All the patients received adjuvant therapy with moxifloxacin and chlorhexidine. In 4 cases, the ulcer healed with a mean interval to epithelialization of 108.8 days (range 59-217). In 2 eyes, there was a persistent neurotrophic ulcer. The melting was not progressive in any case, nor did any eye required emergency penetrating keratoplasy. CONCLUSION: This study suggests a beneficial effect of accelerated collagen cross-linking in cases of Acanthamoeba keratitis with corneal melting. Thus, collagen cross-linking may be considered as adjuvant treatment for Acanthamoeba keratitis.
Authors: Mohammad Mehdi Soltan Dallal; Farhad Nikkhahi; Seyed Mostafa Imeni; Saber Molaei; Seyed Kazem Hosseini; Zohreh Kalafi; Sara Sharifi Yazdi; Hedroosha Molla Agha Mirzaei Journal: J Ophthalmic Vis Res Date: 2021-10-25