Infection After Radial Keratotomy

Gussler, Joseph R.; Miller, Darlene; Jaffe, Mark S.; Alfonso, Eduardo C.

doi:10.1016/s0002-9394(14)72789-8

Cited by 28 publications

(11 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[1][2][3][4][5][6][7] Five of the 9 affected eyes were diagnosed with Acanthamoeba first with administration of topical antiamebic therapy before Fusarium identification and initiation of antifungal treatment. In fact, history has shown that most cases of combined Acanthamoeba and fungal keratitis are initially diagnosed as Acanthamoeba keratitis, and only after corneal perforation and therapeutic penetrating keratoplasty has the diagnosis of fungal corneal infection been discovered through corneal histopathology.…”

Section: Discussionmentioning

confidence: 99%

“…In fact, history has shown that most cases of combined Acanthamoeba and fungal keratitis are initially diagnosed as Acanthamoeba keratitis, and only after corneal perforation and therapeutic penetrating keratoplasty has the diagnosis of fungal corneal infection been discovered through corneal histopathology. [1][2][3][4][5][6][7][8] The delay in fungal diagnosis may represent the faster progression of Acanthamoeba keratitis in dual infections because the fungi have been shown to serve as a nutrient for the amoeba. 7,9 Regardless, coexistent atypical infectious keratitis with these 2 organisms, although extremely rare, has often resulted in severe keratolysis and need for therapeutic keratoplasty with poor visual outcomes like the case described here.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Concurrent Acanthamoeba and Fusarium Keratitis With Silicone Hydrogel Contact Lens Use

Lee

Grossniklaus

Edelhauser

2010

Cornea

View full text Add to dashboard Cite

Coexisting infection with Acanthamoeba and Fusarium species can occur in contact lens wear. Atypical infection must be considered in patients with corneal ulcers demonstrating poor therapeutic response in the setting of contact lens wear. Corticosteroids should be used with extreme caution in contact lens–related corneal infections, especially when the diagnosis remains unknown because they can lead to acceleration of active infection and keratolysis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Concurrent Acanthamoeba and Fusarium Keratitis With Silicone Hydrogel Contact Lens Use

Lee

Grossniklaus

Edelhauser

2010

Cornea

View full text Add to dashboard Cite

show abstract

“…Of the six cases of combined Acanthamoeba and fungal keratitis reported in the medical literature, five (Gussler et al. 1995; Tien & Sheu 1999; Froumis et al.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Acanthamoeba and fungal keratitis are relatively rare corneal infections that may respond poorly to medical therapy. Combined infection with these two pathogens is even rarer (Gussler et al 1995;Tien & Sheu 1999;Froumis et al 2001;Rumelt et al 2001;Babu & Murthy 2007) . Contact lens wear is an established risk factor for Acanthamoeba keratitis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Medical treatment for combined Fusarium and Acanthamoeba keratitis

Lin

Hsiao

Hui‐Kang

et al. 2009

Acta Ophthalmologica

View full text Add to dashboard Cite

ABSTRACT.Purpose: Acanthamoeba and fungal keratitis are rare ocular infections. We report cases of combined Fusarium and Acanthamoeba keratitis and the clinical course of medical treatment. Methods: We reviewed the medical records of patients treated for culture-proven Acanthamoeba keratitis at a referral centre, during 2001)2006. Results: Eleven consecutive patients were treated for culture-proven Acanthamoeba keratitis during the 5 years, two of whom had combined fungal infections. A 29-year-old man presented with ground-glass corneal oedema and epitheliopathy caused by contact lens use. The other patient, a 7-year-old girl, had eye trauma that led to a feathery corneal infiltrate. Both cases were treated with topical 0.02% polyhexamethylene biguanide (PHMB), 0.1% propamidine, 1% clotrimazole and 5% natamycin. Therapeutic keratoplasty was not required in either case. Conclusions: Timely identification of the pathogen, with repeated culture and smear if necessary, as well as adequate dosage to prevent recurrence is highly recommended in order to preclude the need for therapeutic penetrating keratoplasty.

show abstract

Catastrophic Complications of Automated Lamellar Keratoplasty

Friedman¹

1997

Arch Ophthalmol

View full text Add to dashboard Cite

Infection After Radial Keratotomy

Cited by 28 publications

References 3 publications

Concurrent Acanthamoeba and Fusarium Keratitis With Silicone Hydrogel Contact Lens Use

Concurrent Acanthamoeba and Fusarium Keratitis With Silicone Hydrogel Contact Lens Use

Medical treatment for combined Fusarium and Acanthamoeba keratitis

Catastrophic Complications of Automated Lamellar Keratoplasty

Contact Info

Product

Resources

About