Deep anterior lamellar keratoplasty for acanthamoeba keratitis complicating the use of Boston scleral lens.

Abstract

BACKGROUND:

This is the first reported case of Acanthamoeba keratitis (AK) in a Boston scleral lens user. Consequently, the risk factors and treatment for AK need to be addressed in this unique case.

METHODS:

We conducted a retrospective case study of a 45-year-old man using Boston scleral lens diagnosed with AK. Risk factors for infection and management of the condition were assessed.

RESULTS:

This 45-year old Boston scleral lens user's risk factors for developing AK included dry eye syndrome, autologous serum tear use, potential tap water exposure, and long-term systemic corticosteroid use. His infection was refractory to medical management and required deep anterior lamellar keratoplasty for curative treatment.

CONCLUSION:

Ophthalmologists should have a higher level of suspicion for AK in all scleral lens users and consider the use of deep anterior lamellar keratoplasty for refractory cases.

• Authors: Bilal Farhat, John E Sutphin
• Journal: Eye & contact lens (Eye Contact Lens) Vol. 40 Issue 1 Pg. e5-7 (Jan 2014) ISSN: 1542-233X [Electronic] United States
• PMID: 24296954 (Publication Type: Case Reports, Journal Article)

Topics

• Acanthamoeba Keratitis (etiology, surgery)
• Contact Lenses (adverse effects)
• Corneal Transplantation
• Humans
• Male
• Middle Aged
• Retrospective Studies
• Risk Factors