acanthamoeba keratitis

Mike Tyner mtyner at mindspring.com
Thu Sep 23 11:48:15 EST 1999


In my professional opinion, continuing to wear a contact
on the other eye is a big mistake. The chance of infecting
the other eye is too high with a known source three inches
away. Acanthamoeba is a hardy organism, difficult to kill.

-MT, OD


Aleksandra <anubhavi at usa.net> wrote in message
news:37EA28E8.64C9392D at usa.net...
> Errol wrote:
>
> > 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).
> >
>
> She doesn't use (precisely, cannot use) contact lens for this eye, just
for
> the other one. She is careful about her hygiene, but she's leading a kind
of
> normal life. So, anything is possible...
>
> >
> > >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 not know much about the cause and treatment for the
> > pain in her eye.
>
> Well, the eye is inflamed almost all of the time, and when she takes the
> Voltaren pills it calms down a bit, but not for long. Also, the eye drops
> that she uses against amebas are very aggressive and they irritates the
eye,
> and I suppose that is the main cause of the pain.
>
> It is not so much that she wants just to stop the pain as she needs help
to
> bring this to an end, regardless of methods.
>
> With regards,
> Aleksandra
>
>





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