A CASE OF ACANTHAMOEBA KERATITIS

Published 2022 - 26th ESCRS Winter Meeting

Reference: P183 | Type: Abstracts | DOI: 10.82333/xseq-vk23

Authors: Ioanna Gardeli* ¹ , Konstantina Mouriki ¹ , Maria Orfanidou ²

¹Cornea Department, State Ophthalmology Clinic,General Hospital of Athens G. Gennimatas,ATHENS,Greece, ²Microbiology Department,General Hospital of Athens G. Gennimatas,ATHENS,Greece

Purpose

The purpose of this paper is the presentation of the clinical course and the management of Acanthamoeba keatitis in a contact lens wearer.

Setting

This case is about a 25-year-old female patient who presented to the outpatient clinic complaining of eye pain and blurry vision in her left eye. The patient referred that she was using topical corticosteroid before visiting our clinic. The slit-lamp examination revealed radial keratoneuritis without anterior segment reaction.

Methods

The superficial corneal swab was used for cultures and Polymerase Chain Reaction (PCR). PCR was found to be positive for Acanthamoeba and cultures of Acanthamoeba were grown.

Results

In this case we used col Desomedine and Polyhexamethylene biguanide (PHMB) 0.02%. The clinical course of the patient was good and the Acanthamoeba keratitis was cured without any long-term complications.

Conclusion

Radial keratoneuritis is a presenting sign in Acanthamoeba keratitis. Prompt diagnosis and treatment of Acanthamoeba keratitis may lead to a good visual outcome.