| Acanthamoeba keratitis associated with contact lenses: six consecutive cases of successful management. | |
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MedLine Citation:
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PMID: 2540794 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We examined and treated six patients with acanthamoeba keratitis associated with contact lens wear from 1981 to 1988. Five patients were treated with topical neomycin-polymyxin B-gramicidin (Neosporin) and propamidine isethionate (Brolene) drops. The patients were followed up for an average of 32 months (range 16-75 months). Two patients underwent penetrating keratoplasty at 22 and 26 months after the onset of symptoms and have maintained clear grafts with no evidence of recurrence. In four patients corneal infiltrates cleared on topical medication. All six patients have 6/6 best corrected vision. Early diagnosis and medical treatment alone can result in resolution of corneal infiltrates due to acanthamoebae. With this initial therapy we have had no treatment failures. |
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Authors:
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M B Moore; J P McCulley |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The British journal of ophthalmology Volume: 73 ISSN: 0007-1161 ISO Abbreviation: Br J Ophthalmol Publication Date: 1989 Apr |
Date Detail:
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Created Date: 1989-06-16 Completed Date: 1989-06-16 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0421041 Medline TA: Br J Ophthalmol Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 271-5 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas 75235-9057. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acanthamoeba Adolescent Adult Amebiasis / drug therapy*, etiology Amidines / therapeutic use* Animals Anti-Infective Agents, Local / therapeutic use Antiprotozoal Agents / therapeutic use Bacitracin / therapeutic use* Benzamidines / therapeutic use* Contact Lenses / adverse effects* Drug Combinations Drug Therapy, Combination / therapeutic use Female Humans Keratitis / drug therapy*, etiology Male Neomycin / therapeutic use* Polymyxin B / therapeutic use* Polymyxins / therapeutic use* |
| Chemical | |
Reg. No./Substance:
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0/Amidines; 0/Anti-Infective Agents, Local; 0/Antiprotozoal Agents; 0/Benzamidines; 0/Drug Combinations; 0/Polymyxins; 140-63-6/propamidine isethionate; 1404-04-2/Neomycin; 1404-26-8/Polymyxin B; 1405-87-4/Bacitracin; 8057-37-2/bacitracin zinc, neomycin sulfate, polymyxin B, drug combination |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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