title: [Acanthamoeba keratitis in hard contact lens wearers. Case report and review of the literature of 108 cases].
abstract: We report on a 49 year old woman with Acanthamoeba keratitis. She was wearing hard contact lenses and had a history of a minor trauma when removing her lens after a visit of a hot tub. She had the typical corneal ring infiltrate and complained about severe pain. The medical treatment was uneffective. Because of progressive deterioration penetrating keratoplasty was necessary. After a rekeratoplasty because of a recurrent infection on the transplant the patient has done well now for 3 years. The diagnosis was made on histological grounds. We report on 108 patients of the literature: 8 (7%) patients were wearing hard contact lenses; 19 (17%) remembered a trauma; 4 (3.7%) had visited a hot tub; 61 (56%) needed penetrating keratoplasty, 11 (10%) rekeratoplasty; 5 (4.6%) eyes were enucleated; in 21 (19%) patients the diagnosis was made on histological grounds.
authors.affiliation: Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg.
authors.forename: G E
authors.initials: GE
authors.lastname: Lang
authors.forename: A
authors.initials: A
authors.lastname: von Heimburg-Elliger
mesh_terms: D000048:Acanthamoeba / Q000648:ultrastructure; D015823:Acanthamoeba Keratitis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000818:Animals; D003261:Contact Lenses / Q000009:adverse effects*; D003315:Cornea / Q000473:pathology; D065306:Corneal Injuries; D003320:Corneal Ulcer / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D015948:Keratoplasty, Penetrating; D008855:Microscopy, Electron, Scanning; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D012086:Reoperation
vernacular_title: Akanthamöben-Keratitis bei Trägerin harter Kontaktlinsen. Fallbericht und Literaturübersicht über 108 Patienten.