Aim We aim to share our experience in the management of a 19 years old female patient, who presented to Princess Haya Military Hospital in Aqaba, Jordan, with a very aggressive keratitis. Patients and methods A 19 years old female patient with 1 year history of keratitis that did not resolve despite several treatment strategies tried elsewhere, presented to the eye clinic in Aqaba. Ocular examination showed signs of Acanthamoeba keratitis with perineuritis. Corneal cultures were not informative. Corneal biopsy showed a mixed Candida and Acanthamoeba growth. Results The patient was started on topical and oral anti-amoebic and antifungal treatment (antiamoebic drops brought from UK). Improvement was drastic after 2 weeks of treatment. The patient maintained a chronic low infective state and scarring of the cornea. She received therapeutic and visual karatoplasty 3 months later. Patient is now 12 months after her PKP. The cornea is clear and vision is 6/12 unaided. Conclusion Cases of mixed fungal and amoebic keratitis are very rare. Prompt treatment and diagnosis is essential for recovery. Controversy still exists on the use of steroids after corneal transplantation for treatment of chronic fungal keratitis. Management should be tailored to each individual case. How to cite this article Al Raqqad N, Al Fgara N. Management of Acanthamoeba and Candida Keratitis in a Young Female: Our Experience at Princess Haya Military Hospital. Int J Kerat Ect Cor Dis 2015;4(3):120-122.
Aim: to share our experience in treating patients with high myopia and or astigmatism using toric and phakic intraocular lenses at Prince Hashem Hospital in Jordan. Patients and Methods: This is a retrospective study of fifty eyes of 36 patients who were treated between June 2015 and July 2016 at Prince Hashem Hospital in Jordan. Patients' age ranged between 22 years and 54 years. All patients had high myopia (≥6 dipoters) and/or astigmatism and were not eligible for surface laser ablation and intolerant to contact lenses. Preoperative best corrected visual acuity BCVA, ophthalmological slit lamp examination, manifest and cycloplegic refraction, corneal topography using Oculus Pentacam and IOL master were obtained in all patients. Results: In all the patients preoperative refraction ranged between -4 to -33 sphere and -3.5 to -8 cylinder. Phacoemulsification and implantation of toric intraocular lenses (IOL) was done in 21 patients, Visian implantable collamer lens (sphere and toric ICL) were implanted in 18 patients and Raqqad et al.; JAMMR, 28(12): 1-6, 2018; Article no.JAMMR.47325 2 toric iris claw lenses (Ophthec Artisan/ Artiflex) were used for the remaining 11 patients. All surgical procedures were done under local anesthesia. All patients showed improvement in their visual acuity after surgery and spectacle independence. Complications were minimal in the form of lens rotation resulting in decrease in BCVA seen in 3 patients with toric IOLs and two Visian ICLs patients. High intraocular pressure was seen in one patient. Mean follow-up period was between 6 months to 1 year. Conclusion: Toric and phakic IOLs can be very useful in correcting astigmatism and or myopia. Proper patient selection and counseling is essential to ensure best refractive outcome and avoid complications. Original Research Article
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