Xuguang Sun, Lin Chen, Yan Zhang, Zhiqun Wang, Ran Li, Shiyun Luo, Xiuying Jin
Department of Eye Microbiology, Beijing Institute of Ophthalmology, TongRen Hospital, Beijing, China.
Am J Ophthalmol. 2003 Dec;136(6):1159-61. doi: 10.1016/s0002-9394(03)00635-4.
To present four cases of Acanthamoeba keratitis as a complication of orthokeratology.
Observational case report.
Four patients with Acanthamoeba keratitis had histories of overnight orthokeratology lens wear of 6 months to 2 years.
Three cases were diagnosed with Acanthamoeba keratitis by corneal scraping and one by confocal microscopy examination. The patients were treated with chlorhexidine, metronidazole, and neomycin sulfate, resulting in a rapid resolution of ocular inflammation.
Overnight wear of orthokeratology lenses may induce Acanthamoeba keratitis.
报告4例因角膜塑形术引发棘阿米巴角膜炎的病例。
观察性病例报告。
4例棘阿米巴角膜炎患者有夜间佩戴角膜塑形镜6个月至2年的病史。
3例通过角膜刮片诊断为棘阿米巴角膜炎，1例通过共聚焦显微镜检查确诊。患者接受了氯己定、甲硝唑和硫酸新霉素治疗，眼部炎症迅速消退。
夜间佩戴角膜塑形镜可能诱发棘阿米巴角膜炎。
