Lim Li, Wei Rui Hua
Corneal Service, Singapore National Eye Centre, Singapore.
Eye Contact Lens. 2004 Apr;30(2):103-4. doi: 10.1097/01.icl.00000117849.3627.b0.
We report a case of a patient with a history of Acanthamoeba keratitis in the right eye who was successfully treated with Laser in situ keratomileusis (LASIK) for myopia correction.
A 39-year-old woman with a history of wearing daily soft contact lens had early (epithelial phase) Acanthamoeba keratitis in the right eye. The corneal infection resolved with 5 months of topical polyhexamethylene biguanide and propamidine treatment. Recurrence of Acanthamoeba keratitis did not occur after the first episode, and no scarring of the cornea was noted. Laser in situ keratomileusis was performed in both eyes 2 years later.
The patient successfully underwent LASIK procedures in both eyes. No complications were observed intraoperatively and postoperatively in the right eye. The cornea remained clear 3 months postoperatively, and she achieved 6/6 uncorrected visual acuity.
Following successful treatment of Acanthamoeba keratitis, the LASIK procedure can be performed on previously infected cornea with successful results. There is no recurrence of Acanthamoeba keratitis at 3-month follow-up.
我们报告一例右眼有棘阿米巴角膜炎病史的患者，其成功接受了准分子原位角膜磨镶术（LASIK）以矫正近视。
一名39岁有每日佩戴软性隐形眼镜史的女性右眼患有早期（上皮期）棘阿米巴角膜炎。经5个月局部使用聚六亚甲基双胍和丙脒治疗后，角膜感染得到解决。首次发作后未出现棘阿米巴角膜炎复发，且未观察到角膜瘢痕形成。两年后对双眼进行了准分子原位角膜磨镶术。
患者双眼成功接受了LASIK手术。右眼术中及术后均未观察到并发症。术后3个月角膜保持透明，她获得了6/6的未矫正视力。
在成功治疗棘阿米巴角膜炎后，可以对先前感染的角膜进行LASIK手术，且效果良好。在3个月的随访中未出现棘阿米巴角膜炎复发。
