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Acta Ophthalmol Scand. 1999 Jun;77(3):347-8.

Severe Acanthamoeba sclerokeratitis in a non-contact lens wearer.

Author information

  • 1Department of Ophthalmology, Nagoya University School of Medicine, Japan. kojihira@med.nagoya-u.ac.jp

Abstract

PURPOSE:

To report a case of severe Acanthamoeba sclerokeratitis.

METHODS:

A 70-year-old male non-contact lens wearer was examined for severe pain in the left eye which began about 40 days after cataract surgery. In spite of a careful search, it required 6 weeks to detect Acanthamoeba. Systemic and topical fluconazol and miconazol did not help and the keratitis progressed into necrotic sclerokeratitis with protrusion of uveal tissue through the thin sclera.

RESULTS:

Those findings slowly got worse before the Acanthamoeba sclerokeratitis resolved 6 months later with scar formation.

CONCLUSION:

We describe the terminal and cicatricial stages of Acanthamoeba keratitis, and report that the healing process can follow the terminal stage and the eye does not need to be enucleated.

PMID:
10406160
[PubMed - indexed for MEDLINE]
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