白内障術後のアカントアメーバ角膜炎の1例 [in Japanese] A Case of Acanthamoeba Keratitis after Operation for Cataract [in Japanese]
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<I>Acanthamoeba</I> keratitis occurs mainly in contact lens users. We experienced a patient with <I>Acathamoeba</I> keratitis after operation for cataract. A 70-year-old male, who suffered from suppurative keratitis with impairment of visual acuity and eye pain in the left eye after the operation, was admitted to our hospital. After admission he received treatment with oral and topical antibiotics without any improvement. Neither bacterial or fungal pathogens was detected from corenal skrappings. Blue stained <I>Acanthamoeba</I> cysts were detected with the Parker ink KOH preparation from punctured fluid of the anterior chamber of the eye. <I>Acanthamoeba</I> cysts were also cultured on a nonnurient agar plate with <I>Escherichia coli</I>. Then he was treated with oral and topical miconazole and topical fluconazole. His visual acuity did not improve because of the lag of appropriate treatment. Therefore, attention must be paid for the existence of <I>Acanthamoeba</I> keratitis after ophthalmologic operations.
- Kansenshogaku Zasshi
Kansenshogaku Zasshi 69(10), 1159-1161, 1995-10-20
The Japanese Association for Infectious Diseases