Ertabaklar Hatice, Dayanir Volkan, Apaydin Pinar, Ertuğ Sema, Walochnik Julia
Adnan Menderes Universitesi Tip Fakültesi, Parazitoloji Anabilim Dali, Aydin, Turkey.
Turkiye Parazitol Derg. 2009;33(4):283-5.
Acanthamoeba keratitis (AK) is an opportunistic protozoan infection caused by the pathogenic Acanthamoeba and associated with soft contact lens wear. If untreated, it can cause serious visual disability. A 23 year-old female wearing soft contact lenses applied to the Department of Ophthalmology of the Aydin Adnan Menderes University School of Medicine, with symptoms of redness, pain and blurred vision of both eyes. She was given a diagnosis of AK on clinical and laboratory grounds. The agent isolated was found to be T4 genotype "Acanthamoeba castellani". The patient regained visual ability following treatment. Although contact lens wear is the major risk factor for Acanthamoeba keratitis, the disease is usually seen unilaterally whereas in our case a bilateral involvement was observed. Great care should be practiced during contact lens use and there should be strict adherence to hygienic conditions if infections affecting the eye are to be avoided.
棘阿米巴角膜炎（AK）是一种由致病性棘阿米巴引起的机会性原生动物感染，与软性隐形眼镜佩戴有关。如果不进行治疗，它会导致严重的视力残疾。一名佩戴软性隐形眼镜的23岁女性因双眼发红、疼痛和视力模糊的症状前往艾登阿德南·门德雷斯大学医学院眼科就诊。根据临床和实验室检查结果，她被诊断为棘阿米巴角膜炎。分离出的病原体被发现是T4基因型“卡氏棘阿米巴”。患者经治疗后恢复了视力。虽然隐形眼镜佩戴是棘阿米巴角膜炎的主要危险因素，但该病通常为单侧发病，而在我们的病例中观察到双侧受累。在使用隐形眼镜时应格外小心，如果要避免眼部感染，应严格遵守卫生条件。
