白内障術後のアカントアメーバ角膜炎の1例

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タイトル別名
  • A Case of <I>Acanthamoeba</I> Keratitis after Operation for Cataract
  • A Case of Acanthamoeba Keratitis after Operation for Cataract

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Acanthamoeba keratitis occurs mainly in contact lens users. We experienced a patient with Acathamoeba 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 Acanthamoeba cysts were detected with the Parker ink KOH preparation from punctured fluid of the anterior chamber of the eye. Acanthamoeba cysts were also cultured on a nonnurient agar plate with Escherichia coli. 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 Acanthamoeba keratitis after ophthalmologic operations.

収録刊行物

  • 感染症学雑誌

    感染症学雑誌 69 (10), 1159-1161, 1995

    一般社団法人 日本感染症学会

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