Laser in situ keratomileusis treatment for myopia after Acanthamoeba keratitis.
OBJECTIVE
We report a case of a patient with a history of Acanthamoeba keratitis in the right eye who was successfully treated with Laser in situ keratomileusis (LASIK) for myopia correction.


METHODS
A 39-year-old woman with a history of wearing daily soft contact lens had early (epithelial phase) Acanthamoeba keratitis in the right eye. The corneal infection resolved with 5 months of topical polyhexamethylene biguanide and propamidine treatment. Recurrence of Acanthamoeba keratitis did not occur after the first episode, and no scarring of the cornea was noted. Laser in situ keratomileusis was performed in both eyes 2 years later.


RESULTS
The patient successfully underwent LASIK procedures in both eyes. No complications were observed intraoperatively and postoperatively in the right eye. The cornea remained clear 3 months postoperatively, and she achieved 6/6 uncorrected visual acuity.


CONCLUSIONS
Following successful treatment of Acanthamoeba keratitis, the LASIK procedure can be performed on previously infected cornea with successful results. There is no recurrence of Acanthamoeba keratitis at 3-month follow-up.
Lim
Li
L
Corneal Service, Singapore National Eye Centre, Singapore. lim_li@snec.com.sg
Wei
Rui Hua
RH
D015823:Acanthamoeba Keratitis / Q000188:drug therapy* / Q000209:etiology; D000328:Adult; D000563:Amebicides / Q000627:therapeutic use; D001550:Benzamidines / Q000627:therapeutic use; D001645:Biguanides; D003263:Contact Lenses, Hydrophilic / Q000009:adverse effects*; D003315:Cornea / Q000601:surgery*; D004202:Disinfectants / Q000627:therapeutic use; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D009216:Myopia / Q000601:surgery*
D000563:Amebicides; D001550:Benzamidines; D001645:Biguanides; D004202:Disinfectants; C031233:polihexanide; C005555:propamidine