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Updated: Jun 29, 2026

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Quantification of Acanthamoeba spp. Motility
Published on: September 20, 2024
Acanthamoeba sclerokeratitis.
Katayoon B Ebrahimi1, W Richard Green, Rhonda Grebe
1Eye Pathology Laboratory and Cornea/External Disease Service, Wilmer Eye Institute and Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Summary
Acanthamoeba scleritis, a severe complication of acanthamoeba keratitis, can involve scleral invasion. This case highlights Acanthamoeba trophozoites in the sclera, potentially driving inflammation and necrotizing scleritis.
Area of Science:
- Ophthalmology
- Infectious Diseases
- Pathology
Background:
- Acanthamoeba keratitis can lead to Acanthamoeba scleritis, a severe ocular complication.
- This study details a case of Acanthamoeba sclerokeratitis following prior treatment for Acanthamoeba keratitis.
Observation:
- A patient with a history of penetrating keratoplasty for Acanthamoeba keratitis developed nodular necrotizing scleritis.
- Viable Acanthamoeba was cultured from the affected scleral tissue.
- The patient underwent enucleation due to persistent Acanthamoeba sclerokeratitis.
Findings:
- Histopathology confirmed Acanthamoeba invasion into the sclera.
- Trophozoites were identified in the scleral tissue, though not at the cryotherapy site.
- The presence of Acanthamoeba trophozoites in the sclera is linked to immune response exacerbation.
Implications:
- This case provides evidence of Acanthamoeba organisms invading scleral tissue.
- Scleral invasion by Acanthamoeba may contribute to the development of nodular scleritis.
- Understanding this pathway is crucial for managing severe Acanthamoeba infections of the eye.
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