acanthamoeba keratitis

Errol E.S.Kwan at massey.ac.nz
Wed Sep 22 23:02:47 EST 1999


On Thu, 23 Sep 1999 00:19:31 +0200, Aleksandra <anubhavi at usa.net>
wrote:

>Hi!
>For the last two years friend of mine has Acanthamoeba 'living' in her
>eye.
>It has been diagnosed just few months ago.
>
>Diagnosis is:
>  Keratouveitis subac.o.sin.
>  Acanthamoeba keratitis o.sin Macula corneae o.s.
>
>and it is treated with
>       Brolene drops (propamidine isethionate 0,1%)
>       Brolene ointment (dibromopropamidine BP 0-15%).
>       Atropin drops
>...but...
>the eye hurts very much, she constantly has to use painkiller for last 6
>months (Voltaren).
>She cannot see through this eye except through one small part on the
>side (through which she can notice the difference between light and
>dark).

Has this treatment removed the Acanthamoeba from your friends eye?  If
not then she is probably reinfecting herself.  Contact lenses are a
good source of infection.  If she wears them she should dispose of and
replace the lenses, cleaning/storage solutions, and cleaning/storage
containers.  She should make sure that she is also using the
commercially produced solutions and not just plain saline solution.
If she doesn't wear lenses then she should avoid touching the infected
eye but if she does, wash her hands immediately (good hygiene).

>In our country (Croatia, Europe) it is the first case of this kind of
>amoeba - it has been diagnosed in neighboring Slovenia. So, nobody
>exactly knows what to do next. We have got some advises that it would be
>best to make keratoplastic / transplantation of cornea in order to stop
>the pain and to improve the eyesight, but so far we didn't find any
>surgeon in Croatia willing to do it.
>If you have some advice / your own experience / you know where it can be
>treated or who knows more about it, please inform me.
>Thank you very much!
>A.
>

Sorry but I do know know much about operations on the eye.  I couldn't
advise you on this section.  But if she is still has the organism in
her eye, she may want to try eliminating it first before going for a
costly operation, especially if the source of the organism isn't
removed.



More information about the Microbio mailing list