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Updated: Jun 29, 2026

Quantification of Acanthamoeba spp. Motility
07:33

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.

Graefe'S Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie
|October 10, 2008
PubMed
Summary
This summary is machine-generated.

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.

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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.