Giovannini A, Tittarelli R, Bertelli E, Frongia G B, Mariotti C, Manso E, Biavasco F
University Eye Clinic, Diagnostic Laboratory, Torrette Regional Hospital, Italy.
Ophthalmologica. 1994;208(6):321-4. doi: 10.1159/000310530.
Acanthamoeba keratitis is an uncommon but potentially devastating complication of contact lens wear that has been reported with increasing frequency since its first description in 1974. We describe a case of bilateral Acanthamoeba keratitis, which occurred in a 24-year-old man, wearing gas-permeable contact lenses. This is to our knowledge the first case of Acanthamoeba keratitis reported in Italy, and the fourth bilateral case reported in the literature. Medical therapy (carried out after the first week by a different institution, due to the absence of essential antiamebic drugs on the Italian market) was effective in stopping the progression of the disease.
棘阿米巴角膜炎是一种不常见但可能具有毁灭性的隐形眼镜佩戴并发症，自1974年首次被描述以来，其报告频率不断增加。我们描述了一例双侧棘阿米巴角膜炎病例，该病例发生在一名24岁佩戴透气性隐形眼镜的男性身上。据我们所知，这是意大利报告的首例棘阿米巴角膜炎病例，也是文献中报告的第四例双侧病例。药物治疗（由于意大利市场上缺乏基本的抗阿米巴药物，第一周后由另一家机构进行）有效地阻止了疾病的进展。
