Tachikawa T, Ishibashi Y, Fujisawa S, Takazawa S, Nyunt A K, Miyanaga Y
Department of Ophthalmology, Tokyo Women's Medical College, Daini Hospital, Japan.
Nippon Ganka Gakkai Zasshi. 1995 Jan;99(1):68-75.
Acanthamoeba keratitis in Japan was first reported by Ishibashi in 1988. Since then, the incidence of Acanthamoeba keratitis has gradually increased. We retrospectively analyzed 39 cases, 42 eyes, of amoebic keratitis reported in Japan from 1988 to September 1993. Of the 39 patients, 35 (89.7%) wore contact lenses, 32 (82.1%) soft contact lenses, and 3 (7.7%) hard contact lenses, and 4 (10.3%) did not wear contact lenses. Of the 4 patients without contact lenses, 3 had a history of trauma. Acanthamoeba keratitis is often difficult to diagnose. Twenty-four cases were misdiagnosed as herpetic keratitis. Early diagnosis and adequate therapy are important.
日本的棘阿米巴角膜炎于1988年由石桥首次报道。从那时起，棘阿米巴角膜炎的发病率逐渐上升。我们回顾性分析了1988年至1993年9月间日本报道的39例、42眼阿米巴角膜炎病例。39例患者中，35例（89.7%）佩戴隐形眼镜，其中32例（82.1%）佩戴软性隐形眼镜，3例（7.7%）佩戴硬性隐形眼镜，4例（10.3%）未佩戴隐形眼镜。在4例未佩戴隐形眼镜的患者中，3例有外伤史。棘阿米巴角膜炎往往难以诊断。24例被误诊为疱疹性角膜炎。早期诊断和适当治疗很重要。
