A 51-year-old male, contact lens wear in the left eye presented with left eye redness, pain, light sensitivity, and tearing for 1 week. Foud to have acute corneal edema. His pain was rated as 7 out of 10 and described as a constant surface irritation and a scratchy sensation. He described constant tearing and blurry vision which did not change throughout the day. The patient took out his contact lens when the symptoms began. Please give your valuable opinion



Acanthamoeba keratitis . Acanthamoeba are naturally occurring amoeba (tiny, one-celled animals) commonly found in water sources, such as tap water, well water, swimming pools, hot tubs, and soil and sewage systems. If these tiny parasites infect the eye, Acanthamoeba keratitis results.. Acanthamoeba keratitis is a rare disease in which amoebae invade the cornea of the eye, and affects roughly 1.2 to 3 million people each year.  Acanthamoeba are protozoa found nearly ubiquitously in soil and water, and can cause infections of the skin, eyes, and central nervous system.

acanthamoebakeratitis take the scraping with sterlisd blade under topical anesthesia stain with Gimsa Wright or periodic acid -Schiff stain pain is the main symptom treatment polyhexamethylene biguanide PHMB and Variczole and oral ketaconazole follow the patient daily until clinical response is seen

. Acute corneal edema : The dx of treating ophthalmologist is acute corneal edema for which following rx is advised: Rx : . Steroid with antibiotics e/drops frequently. . Timolol e/drops . . cyclopentolate e/drops . . Oral paracetamol. .Oral dexamethasone. . 5% nacl e/drops sos. . Dark glasses.

Acanthamoebic keratitis topical preparations of Brolene, Neomycin-Polymyxin B-Gramicidin, polyhexamethylene biguanide (PHMB), chlorhexadine, and voriconazole eye drops Patients should be followed very closely mostly daily Cases of corneal perforation may need to be managed with surgical interventions.

keratitis with hypopyon Aquavous humour not seen Probably carelessness in putting contact lenses iridocyclitis is also seen

Thanx dr Vedprakash Sharma

Absence of aquse humour in A C

Tnx sir

Contact lens induced keratitis not detected and not treated at all -and now corneal oedema

Corneal ulcer n edema (due to irritation or ill fitted contact lens)?

Acanthamoeba keratitis

Acanthomoeba keratitis

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