Acanthamoeba keratitis- Pediatric Oncall

ISSN 0973 - 0958

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Question
Dear doc' It's a problem of one of my very dear friend, who is suffering from amoebic keratitis. but disease identified by some Chinese doctors at mainland China, but saying there is no cure available. Do u think so? If there is any possible cure pls advice! & suggest some doctors at Shankar netraalaya or any where suitable, asap. Regards
Answer
Acanthamoeba keratitis can occur in patients of any age, sex or race, but mostly manifests in young, healthy adults. The list of risk factors is long: corneal foreign body, contact with non-sterile water, bullous keratopathy, neurotrophic keratopathy, herpes simplex keratitis, radial keratotomy, swimming and scuba diving, basement membrane dystrophy, contact lens wear and bacterial keratitis. Cases sometimes arise with no identifiable risk factors. Patients with Acanthamoeba keratitis typically present with a unilateral, red, painful eye. Acanthamoeba keratitis occurs from Acanthamoeba castellani, an opportunistic free-living soil amoeba. Treatment of Acanthamoeba keratitis is difficult due to the organism's ability to encyst with the use of topical medications. Effective medications include topical polyhexamethylene biguanide, propamidine isethionate, chlorhexidine digluconate, polymixin B, neomycin and clortrimazole. Back to All Questions

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