Journal of the Korean Ophthalmological Society 2007;48(7):991-994.
Published online July 31, 2007.
Acanthamoeba Keratitis Related to Cosmetic Contact Lenses.
Young Min Park, Tae Won Hahn, Si Hwan Choi, Jong Soo Lee, Ji Eun Lee
1Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea. jiel75@hanmail.net
2Apgujung St. Mary's Eye Center, Seoul, Korea.
3Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea.
미용 콘택트렌즈와 연관된 아칸트아메바 각막염
박영민1,한태원2,최시환3,이종수1,이지은1
Department of Ophthalmology, College of Medicine, Pusan National University1, Pusan, Korea Apgujung St. Mary`s Eye Center2, Seoul, Korea Department of Ophthalmology, College of Medicine, Chungnam National University3, Daejeon, Korea
Correspondence:  Ji Eun Lee, M.D.
Abstract
PURPOSE
To report a rare case of Acanthamoeba keratitis in both eyes related to cosmetic contact lenses. METHODS: A 17-year-old girl with a history of wearing cosmetic contact lenses presented with keratitis. She purchased cosmetic contact lenses on the internet, and used contact lens care system irregularly with tap water. RESULTS: After analysis of the corneal scraping, the contact lenses and the storage solution, the organism Acanthamoeba was identified. The patient was treated with polyhexamethylene biguanide (PHMB) and chlorhexidine for 3 months, and recovered with normal visual acuity. CONCLUSIONS: Poor hygiene and insufficient disinfection may be major risk factors for Acanthameoba keratitis in cosmetic contact lens wearers. The cosmetic contact lens user should receive professional advice before using these lenses, and this precaution must be communicated to the public.
Key Words: Acanthamoeba keratitis;Contact lens care system;Cosmetic contact lens


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