Acanthamoeba infection after radial keratotomy.

Friedman, R F; Wolf, T C; Chodosh, J · Am J Ophthalmol · 1997

case_report · Level V

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Abstract

To describe a case of Acanthamoeba infection of the cornea after radial and astigmatic keratotomy. A 29-year-old man developed ulcerative keratitis in the right eye 6 weeks after uncomplicated radial and astigmatic keratotomy. Three sets of corneal cultures for bacteria and fungi were negative. Culture on non-nutrient agar grew Acanthamoeba organisms. Clinical improvement occurred after topical antiamebic therapy was instituted. Incisional keratotomy may predispose the cornea to delayed-onset infectious keratitis. Acanthamoeba should be considered as a possible cause of infection and should be cultured for in refractory cases.

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