Confoscan: An ideal therapeutic Aid and screening tool in acanthamoeba keratitis
| Autor: | Nadia Al Kharousi, Upender Wali |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Epithelial Debridement medicine.medical_treatment Keratomileusis Laser In Situ Case Report Laser In Situ Keratomileusis Acanthamoeba Keratomileusis Cornea Young Adult Refractive surgery Ophthalmology parasitic diseases Animals Humans Medicine Microscopy Confocal biology business.industry LASIK Acanthamoeba infection General Medicine biology.organism_classification medicine.disease eye diseases Surgery Confocal Scanning Laser Tomography Contact lens medicine.anatomical_structure Acanthamoeba Keratitis Acanthamoeba keratitis Female sense organs business |
| Zdroj: | Middle East African Journal of Ophthalmology |
| ISSN: | 0974-9233 |
| Popis: | Although present worldwide, Acanthamoeba keratitis (AK) is a rare condition. It is a protozoal infection of the eye that is generally caused by wearing contaminated contact lenses or lens solutions. Confoscan and confocal scanning laser tomography (CSLT) are in vivo noninvasive diagnostic tools which provide high definition images of corneal microstructures. Laser in situ keratomileusis (LASIK) is a very common refractive surgery. We report a case series in which the first patient had contact lens induced Acanthamoeba keratitis with corneal epitheliopathy that was unresponsive to conservative treatment. Epithelial debridement was performed based on confoscan findings which confirmed the presence of Acanthamoeba cysts. Subsequently, the cornea re-epithelialized over two days. Another patient had CSLT prior to the LASIK which showed stromal cyst-like structures suggestive of Acanthamoeba keratitis. Four months after medical therapy, repeat CSLT was negative for Acanthamoeba cysts. Third patient was diagnosed with Acanthamoeba infection after undergoing lamellar keratoplasty. CSLT should be used as a screening procedure prior to any corneal refractive surgery to detect and treat protozoal and other infections preoperatively. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|