title: Contact lens-related acanthamoeba keratitis in a patient with chronic fatigue syndrome.
abstract: OBJECTIVE
  To report a case of contact lens-related Acanthamoeba keratitis associated with improper lens hygiene in a patient with chronic fatigue syndrome (CFS).
  
  
  METHODS
  Contact lens-related Acanthamoeba keratitis was diagnosed in a 58-year-old man with a history of CFS. After medical management failed to prevail, a penetrating keratoplasty was performed in the affected eye.
  
  
  RESULTS
  There was no recurrence of Acanthamoeba keratitis after surgery. Complete re-epithelialization of the graft was observed with a best-corrected visual acuity of 20/80 in the operated eye at the last follow-up (3 months).
  
  
  CONCLUSIONS
  Our case report highlights the fact that concurrent incapacitating illnesses like CFS may not allow proper care of contact lenses thereby making patients prone to contact lens-related corneal infections.
authors.affiliation: Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
authors.forename: Vishal
authors.initials: V
authors.lastname: Jhanji
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Beltz
authors.forename: Rasik B
authors.initials: RB
authors.lastname: Vajpayee
mesh_terms: D015823:Acanthamoeba Keratitis / Q000150:complications / Q000209:etiology* / Q000601:surgery*; D003261:Contact Lenses / Q000009:adverse effects*; D015673:Fatigue Syndrome, Chronic / Q000150:complications* / Q000503:physiopathology; D005500:Follow-Up Studies; D006801:Humans; D006920:Hygiene; D015948:Keratoplasty, Penetrating; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014792:Visual Acuity