Acanthamoeba keratitis during orthokeratology.
OBJECTIVE
To report an infectious complication of overnight rigid gas-permeable contact lenses.


METHODS
Case report and medical literature review.


RESULTS
A 16-year-old girl developed laboratory-confirmed acanthamoebic keratitis during orthokeratology for myopic reduction. Recent case reports suggest that Acanthamoeba is a cause of microbial keratitis associated with gas-permeable contact lenses among teenagers and young adults undergoing orthokeratology.


CONCLUSIONS
Acanthamoeba keratitis is an emerging complication of orthokeratology in young myopes.
Wilhelmus
Kirk R
KR
Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, TX 77030, USA. kirkw@bcm.tmc.edu
D015823:Acanthamoeba Keratitis / Q000209:etiology*; D000293:Adolescent; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D001550:Benzamidines / Q000627:therapeutic use; D002710:Chlorhexidine / Q000627:therapeutic use; D003261:Contact Lenses / Q000009:adverse effects*; D003315:Cornea / Q000469:parasitology; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D009216:Myopia / Q000628:therapy
D000981:Antiprotozoal Agents; D001550:Benzamidines; C018961:hexamidine; D002710:Chlorhexidine