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[Three cases of bilateral Acanthamoeba keratitis]
1Department of Ophthalmology, Daini Hospital, Tokyo Women's Medical University, School of Medicine, Japan.
Nippon Ganka Gakkai Zasshi
|November 18, 2000
Summary
Bilateral Acanthamoeba keratitis occurred in soft contact lens (SCL) wearers. Hydrophobic SCL use is linked to poorer visual outcomes in these cases.
Area of Science:
- Ophthalmology
- Microbiology
Background:
- Acanthamoeba keratitis (AK) is a severe microbial infection of the cornea.
- Bilateral AK cases are rare and primarily associated with contact lens wear.
Observation:
- Three new cases of bilateral AK in Japan were identified.
- A review of six prior bilateral AK cases was conducted.
Findings:
- All observed bilateral AK cases involved soft contact lens (SCL) wearers.
- Hydrophobic SCL wearers demonstrated a higher incidence of poor visual prognosis compared to standard SCL wearers.
Implications:
- Contact lens type, specifically hydrophobic SCLs, may influence AK severity and visual outcomes.
- Early diagnosis and appropriate management are crucial for improving visual prognosis in bilateral AK.