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Acanthamoeba keratitis.

A D Nicholson1, S Motwane, A Gogate

  • 1Department of Ophthalmology, LTM Medical College, Sion, Mumbai.

Journal of Postgraduate Medicine
|July 1, 1995
PubMed
Summary
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Acanthamoeba keratitis is a rare but serious eye infection in soft contact lens wearers. This case highlights successful medical treatment for this challenging corneal ulcer.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Infectious Diseases

Background:

  • Acanthamoeba keratitis (AK) is an infection of the cornea caused by Acanthamoeba, a ubiquitous protozoan.
  • AK is a significant cause of visual impairment, particularly among soft contact lens (SCL) users.
  • Reports of AK in Indian literature are infrequent, underscoring the need for increased awareness.

Observation:

  • A medical student using SCLs presented with symptoms suggestive of a corneal ulcer.
  • The initial diagnosis was bacterial keratitis, followed by a presumptive viral etiology.
  • Despite misdiagnosis, the patient's condition showed a remarkable response to medical therapy.

Findings:

  • The case underscores the diagnostic challenges associated with Acanthamoeba keratitis.

Related Experiment Videos

  • Early and appropriate medical management can lead to favorable outcomes in AK.
  • This case adds to the limited documented instances of AK in the Indian subcontinent.

    • Implications:

    • Increased clinical suspicion for AK in SCL users presenting with non-responsive corneal ulcers is warranted.
    • Enhanced diagnostic protocols may be necessary to identify AK promptly.
    • Further research into the epidemiology and management of AK in India is recommended.