We describe a case of Acanthamoeba keratitis in a 20-year-old woman who wore disposable soft contact lenses. The diagnosis was made initially on the basis of a periodic acid-Schiff-stained corneal smear and subsequently confirmed by scanning electron microscopy and immunofluorescence. The patient was successfully treated with a combination of 0.053% polyhexamethylene biguanide and miconazole. Cytologic study and culture of corneal scrapings is relatively painless and inexpensive and may therefore be used for successful diagnosis and follow-up.
CYTOLOGIC DIAGNOSIS OF ACANTHAMOEBA-KERATITIS - REPORT OF A CASE WITH CORRELATIVE STUDY WITH INDIRECT IMMUNOFLUORESCENCE AND SCANNING ELECTRON-MICROSCOPY / Rivasi, Francesco; Longanesi, L; Casolari, Chiara; Croppo, Gp; Pierini, G; Zunarelli, E; Visvesvara, G. S.. - In: ACTA CYTOLOGICA. - ISSN 0001-5547. - ELETTRONICO. - 39:(1995), pp. 821-826.
CYTOLOGIC DIAGNOSIS OF ACANTHAMOEBA-KERATITIS - REPORT OF A CASE WITH CORRELATIVE STUDY WITH INDIRECT IMMUNOFLUORESCENCE AND SCANNING ELECTRON-MICROSCOPY
RIVASI, Francesco;CASOLARI, Chiara;
1995
Abstract
We describe a case of Acanthamoeba keratitis in a 20-year-old woman who wore disposable soft contact lenses. The diagnosis was made initially on the basis of a periodic acid-Schiff-stained corneal smear and subsequently confirmed by scanning electron microscopy and immunofluorescence. The patient was successfully treated with a combination of 0.053% polyhexamethylene biguanide and miconazole. Cytologic study and culture of corneal scrapings is relatively painless and inexpensive and may therefore be used for successful diagnosis and follow-up.
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