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Acanthamoeba Keratitis – A case report

Authors: Saroj Gupta,; Atul Aher;

Acanthamoeba Keratitis – A case report

Abstract

{"references": ["1. Bharathi JM, Sirinivasan M, Ramakrishan R, Meenakshi R, Padmavathy S, Lalitha PN: A study of spectrum of Acanthoemba keratitis: A three year study at a tertiary eye care referral center at South India. Indian Journal of Ophthalmology, 2007; 55(1) :37-42. 2. Cherry FR, Ordan JL, John KGD: Acanthamoeba keratitis: multicentric survey in England 1992-96. British Journal of Ophthalmology, 1998; 82(12); 1387-1392.", "3. Devamani F, Gananaselvan J, Anandakannan K, Sridhar N, Sundararaj T: Studies on the prevalence of Acanthamoeba keratitis in and around Chennai. Indian Journal of Medical Microbiology, 1998: 16(4):152-153. 4. Illingworth CD, Cook SD, Karabatsas CH, Easty DL: Acanthamoeba keratitis; risk factors and outcome. British Journalof Ophthalmology, 1995; 79(12):1078- 1082. 5. Jeanette JS, Theodore MB, Visvesvara GS: The epidemiology of Acanthamoeba keratitis in the United States. American Journal of Ophthalmology, 1989; 107;331-336. 6. Manikandan P, Bhaskar M, Revathy R, John RK, Narendran V, Panneerselvam K: Acanthamoeba keratitis - A six year epidemiological review from a tertiary care eye hospital in South India. Indian Journal of Medical Microbiology, 2004; 22(4): 226-230. 7. Nicholson AD, Motwane S, Gogate A: Acanthamoeba keratitis: Jounal of Postgraduate Medicines, 1995; 41(3):81-82. 8. Sharma S, Garg P, Rao GN. Patient characteristics, diagnosis and treatment of non-contact lens related Acanthamoeba keratitis. Brithish Journal of Ophthalmology, 2000; 84 (10): 1103 -1108. 9a. Sharma S, Sirinivasan M, George C: Acanthamoeba keratitis in non contact lens wearers. Archives of Ophthalmology, 1990;108(5): 676-678. 9b. Sharma S, Sirinivasm M, George C: Diagnosis of Acanthamoeba keratitis \u2013 A report of four cases and review of literature. Indian Journal of Ophthalmology; 1990; 38(2): 50-56."]}

Acanthamoeba Keratitis (AK) is a serious sight threatening infection of the cornea. We report here a case of Acanthamoeba keratitis in a young healthy male. He presented to us with a history of minor trauma in his left eye & immediately he washed his eye with stagnant dirty water. Diagnosis was based on observation of actively motile trophozoites and cyst in normal saline wet mount preparation of the corneal ulcer scraping. Patient was treated with available antiamoebic drugs (Topical Neosporin, Clotrimazol, Tab. Ketaconazal, Polymixin- B). Patient responded extremely well to medical line of treatment.

Keywords

Acanthamoeba keratitis, trophozoites, cyst, wet mount examination.

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