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Beyoglu Eye Journal Acanthamoeba Keratitis Associated with Scleral Contact Lens Use in a Keratoconus Patient [Beyoglu Eye J]
Beyoglu Eye J. 2020; 5(1): 53-56 | DOI: 10.14744/bej.2019.99609

Acanthamoeba Keratitis Associated with Scleral Contact Lens Use in a Keratoconus Patient

Mehmet Ozgur Cubuk1, Kadriye Dogruman Al3, Selma Usluca4, Kamil Bilgihan2
1Department of Ophthalmology, Istanbul Training and Research Hospital, Istanbul, Turkey
2Department of Ophthalmology, Gazi University Faculty of Medicine, Ankara, Turkey
3Department of Microbiology, Gazi University Faculty of Medicine, Ankara, Turkey
4Department of Parasitology, National Public Health Institution, Ankara, Turkey

To the best of our knowledge, this is the second reported case of Acanthamoeba keratitis (AK) as a result of scleral lens use and the first case of AK associated with Maxim scleral lens use (Accu-Lens, Inc., Lakewood, CO, USA). A 22-year-old male scleral lens user presented at the department of ophthalmology at Gazi University Hospital complaining of painful corneal opacities and erosion in the cornea of right eye. A real-time polymerase chain reaction assay (Primerdesign, Southampton, UK) was performed, and Acanthamoeba spp. DNA was amplified on the corneal specimen. A topical antimicrobial treatment was prescribed, and the symptoms had improved significantly at the 2-week follow-up. Contact lens wearers always run the risk of developing AK, even with gas-permeable scleral contact lenses. Therefore, AK must be considered as an important differential diagnosis in patients who use scleral contact lenses.

Keywords: Acanthamoeba keratitis, scleral contact lens.

Mehmet Ozgur Cubuk, Kadriye Dogruman Al, Selma Usluca, Kamil Bilgihan. Acanthamoeba Keratitis Associated with Scleral Contact Lens Use in a Keratoconus Patient. Beyoglu Eye J. 2020; 5(1): 53-56

Corresponding Author: Mehmet Ozgur Cubuk, Türkiye
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