Bilateral radial keratoneuritis resulting from acanthamoeba keratitis

Acanthamoeba keratitis is a sight-threatening contact lens-related corneal infection disease, and often misdiagnosed as other common microbial infection. 1 Radial keratoneuritis, as an early and characteristic sign, is helpful to diagnose this confusing keratitis. 2 A 15-year-old girl presented to o...

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Bibliographic Details
Published in:The Kaohsiung journal of medical sciences 2022-01, Vol.38 (1), p.79-80
Main Authors: Lee, Po‐Yu, Lin, Chia‐Ching, Chiu, Li‐Yi, Lee, Po‐Yen
Format: Article
Language:English
Subjects:
Acanthamoeba - isolation & purification
Acanthamoeba Keratitis - diagnosis
Acanthamoeba Keratitis - drug therapy
Acanthamoeba Keratitis - parasitology
Acanthamoeba Keratitis - pathology
Adolescent
Anti-Infective Agents, Local - therapeutic use
Biguanides - therapeutic use
Chlorhexidine - therapeutic use
Contact lenses
Contact Lenses - adverse effects
Cornea
Cornea - parasitology
Cysts
Disinfectants - therapeutic use
Drinking water
Edema
Female
Humans
Infections
Keratitis
Photophobia - etiology
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Summary:Acanthamoeba keratitis is a sight-threatening contact lens-related corneal infection disease, and often misdiagnosed as other common microbial infection. 1 Radial keratoneuritis, as an early and characteristic sign, is helpful to diagnose this confusing keratitis. 2 A 15-year-old girl presented to our emergency department with a history of gritty sensation, redness, photophobia, and blurred vision in her both eyes for 10 days. According to the result of anterior segment optical coherence tomography (AS-OCT) (Figure 1C, the right eye), horizontal scan at the 5-o'clock position disclosed keratoneuritis as a highly reflective band running obliquely in the corneal stroma (Figure 1C, arrows). [...]acanthamoeba keratitis is an infectious complication of contact lens-wearing.
ISSN:1607-551X
2410-8650
DOI:10.1002/kjm2.12446