Successful medical management of Acanthamoeba keratitis.

Abstract

Seven patients with documented Acanthamoeba keratitis were treated with prolonged and intensive triple antiamoebic therapy consisting of topical neomycin-polymyxin B-gramicidin, propamidine isethionate 0.1%, and miconazole nitrate 1%. Additionally, five patients were treated with topical corticosteroids. Six of seven patients were cured of Acanthamoeba keratitis with medical therapy alone, one patient required therapeutic penetrating keratoplasty to eradicate the infection. Two patients underwent penetrating keratoplasty to improve their vision after medical therapy. Our series differs from previous reports in that triple antiamoebic therapy was used in all seven patients and was successful in both early and advanced cases of Acanthamoeba keratitis. Prolonged and intensive topical therapy with these three antiamoebic drugs may be an effective mode of therapy for Acanthamoeba keratitis.

• Authors: S T Berger, B J Mondino, R H Hoft, P B Donzis, G N Holland, M K Farley, J E Levenson
• Journal: American journal of ophthalmology (Am J Ophthalmol) Vol. 110 Issue 4 Pg. 395-403 (Oct 15 1990) ISSN: 0002-9394 [Print] United States
• PMID: 2220974 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)

Chemical References

• Amebicides
• Anti-Bacterial Agents

Topics

• Administration, Topical
• Adult
• Amebiasis (drug therapy, therapy)
• Amebicides (therapeutic use)
• Anti-Bacterial Agents (therapeutic use)
• Corneal Transplantation
• Drug Therapy, Combination
• Female
• Humans
• Keratitis (etiology, pathology, therapy)
• Male
• Middle Aged