Bilateral acanthamoeba keratitis and treatment strategy based on lesion depth.
METHODS
This report summarizes a case of bilateral acanthamoeba keratitis in an 18-year-old male contact-lens wearer. Early diagnosis is important and combination treatment is recommended, tailored to the depth of the lesions.


CONCLUSIONS
Treatment can be difficult, particularly since amoebic cysts are especially resistant. Surgery may be required for advanced cases. Suggestions for reducing corneal toxicity to antiamoebic therapy are included.
Hassanlou
Mojgan
M
University of Ottawa Eye Institute, Ottawa, Ont.
Bhargava
Anuj
A
Hodge
William G
WG
D015823:Acanthamoeba Keratitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D048248:Acanthamoeba castellanii / Q000302:isolation & purification*; D000293:Adolescent; D000563:Amebicides / Q000627:therapeutic use*; D000818:Animals; D003262:Contact Lenses, Extended-Wear / Q000382:microbiology*; D003315:Cornea / Q000382:microbiology / Q000473:pathology*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male
D000563:Amebicides