[Keratitis due to Acanthamoeba]

Julio Pérez-Irezábal1, Inés Martínez, Patricia Isasa

  • 1Servicio de Microbiología y Parasitología, Hospital de Cruces, Baracaldo, Vizcaya, España. jperez-irezabal@hcru.osakidetza.net

Insights

Free-living amebae like Acanthamoeba cause serious eye infections, particularly amebic keratitis, in contact lens wearers. This review covers Acanthamoeba

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Ophthalmology

Context:

  • Acanthamoeba, Naegleria, and Balamuthia are common environmental protozoa with global distribution.
  • While generally harmless, Acanthamoeba can cause severe diseases like granulomatous amebic encephalitis and amebic keratitis.
  • Amebic keratitis is a painful eye infection often linked to contact lens use and poor hygiene.

Purpose:

  • To provide a comprehensive overview of Acanthamoeba.
  • To detail the morphology, life-cycle, and epidemiology of Acanthamoeba.
  • To discuss diagnostic methods, treatments, and prevention strategies for Acanthamoeba infections.

Summary:

  • Acanthamoeba species are identified as the primary cause of amebic keratitis, an increasingly prevalent eye condition.
  • The rise in cases is strongly associated with contact lens wear, especially hydrogel lenses, and inadequate lens care.
  • This review synthesizes current knowledge on Acanthamoeba, including its characteristics, disease causation, and management.

Impact:

  • Highlights the link between contact lens practices and Acanthamoeba keratitis incidence.
  • Informs healthcare professionals and the public about risks and prevention measures.
  • Aims to reduce the burden of this painful and potentially sight-threatening infection.

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